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  1. Article: [Discipline construction of critical care medicine under the guideline of "excellence, high-quality and sustainability" in the First Affiliated Hospital of Zhengzhou University].

    Liu, Zhangsuo

    Zhonghua wei zhong bing ji jiu yi xue

    2019  Volume 31, Issue 2, Page(s) 139–142

    Abstract: Objective: Critical care medicine plays an important role in public health emergencies, major disasters and treatments of critically ill patients as an emerging clinical discipline. Our hospital put critical care medicine in an important position and ... ...

    Abstract Objective: Critical care medicine plays an important role in public health emergencies, major disasters and treatments of critically ill patients as an emerging clinical discipline. Our hospital put critical care medicine in an important position and apply multiple measures under the guidance of the spirit of graded diagnosis and national medical system reform combined with our concept of "more detailed, more excellent, high quality and sustainable development". Our hospital promote rapid, high-quality sustainable development of critical care by increasing discipline construction, scientific research, professional training, talent introduction, academic exchange, information construction, and precision medical treatment, etc.
    MeSH term(s) China ; Critical Care ; Education, Medical/standards ; Guidelines as Topic ; Hospitals, University ; Humans
    Language Chinese
    Publishing date 2019-03-02
    Publishing country China
    Document type Journal Article
    ISSN 2095-4352
    ISSN 2095-4352
    DOI 10.3760/cma.j.issn.2095-4352.2019.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Mechanistic Pathogenesis of Endothelial Dysfunction in Diabetic Nephropathy and Retinopathy.

    Yang, Jing / Liu, Zhangsuo

    Frontiers in endocrinology

    2022  Volume 13, Page(s) 816400

    Abstract: Diabetic nephropathy (DN) and diabetic retinopathy (DR) are microvascular complications of diabetes. Microvascular endothelial cells are thought to be the major targets of hyperglycemic injury. In diabetic microvasculature, the intracellular ... ...

    Abstract Diabetic nephropathy (DN) and diabetic retinopathy (DR) are microvascular complications of diabetes. Microvascular endothelial cells are thought to be the major targets of hyperglycemic injury. In diabetic microvasculature, the intracellular hyperglycemia causes damages to the vascular endothelium, via multiple pathophysiological process consist of inflammation, endothelial cell crosstalk with podocytes/pericytes and exosomes. In addition, DN and DR diseases development are involved in several critical regulators including the cell adhesion molecules (CAMs), the vascular endothelial growth factor (VEGF) family and the Notch signal. The present review attempts to gain a deeper understanding of the pathogenesis complexities underlying the endothelial dysfunction in diabetes diabetic and retinopathy, contributing to the development of new mechanistic therapeutic strategies against diabetes-induced microvascular endothelial dysfunction.
    MeSH term(s) Diabetes Mellitus/metabolism ; Diabetic Nephropathies/etiology ; Diabetic Nephropathies/metabolism ; Diabetic Retinopathy/metabolism ; Endothelial Cells/metabolism ; Humans ; Hyperglycemia/complications ; Hyperglycemia/metabolism ; Vascular Endothelial Growth Factor A/metabolism
    Chemical Substances Vascular Endothelial Growth Factor A
    Language English
    Publishing date 2022-05-25
    Publishing country Switzerland
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2592084-4
    ISSN 1664-2392
    ISSN 1664-2392
    DOI 10.3389/fendo.2022.816400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sepsis-Associated Acute Kidney Injury

    Dong Wang / Tongwen Sun / Zhangsuo Liu

    Intensive Care Research, Vol 3, Iss 4, Pp 251-

    2023  Volume 258

    Abstract: Abstract Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host immune response to infection. The kidneys are one of the first organs to be injured in sepsis. About two-thirds of patients with septic shock develop acute ... ...

    Abstract Abstract Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host immune response to infection. The kidneys are one of the first organs to be injured in sepsis. About two-thirds of patients with septic shock develop acute kidney injury, with a six- to eightfold increase in mortality. Growing evidences elucidate pathophysiological mechanisms, biomarkers, and response to therapy of sepsis-associated acute kidney injury (S-AKI). However, there is still a lack of effective and specific interventions for the treatment of S-AKI. This review summarizes the relevant evidence and provides an overview of the current understanding of S-AKI, focusing on pathophysiology, diagnosis, biomarkers, and therapeutic approaches.
    Keywords Sepsis ; Sepsis-associated acute lung injury ; Epidemiology ; Pathophysiology ; Treatment ; Prevention ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; Medicine ; R
    Language English
    Publishing date 2023-08-01T00:00:00Z
    Publisher Springer
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Telitacicept for autoimmune nephropathy.

    Cai, Jingjing / Gao, Dan / Liu, Dongwei / Liu, Zhangsuo

    Frontiers in immunology

    2023  Volume 14, Page(s) 1169084

    Abstract: B cells and the humoral immunity are important players in the pathogenesis of autoimmune diseases. BAFF (also known as BLYS) and a proliferation-inducing ligand APRIL are required for the maintenance of the B-cell pool and humoral immunity. BAFF and ... ...

    Abstract B cells and the humoral immunity are important players in the pathogenesis of autoimmune diseases. BAFF (also known as BLYS) and a proliferation-inducing ligand APRIL are required for the maintenance of the B-cell pool and humoral immunity. BAFF and APRIL can promote B-cell differentiation, maturation, and plasma cell antibody secretion. BAFF/APRIL overexpression has been identified in several autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, IgA nephropathy, etc. Telitacicept, a novel fully human TACI-Fc fusion protein that binds both BAFF and APRIL, was approved in China in March 2021 for the treatment of systemic lupus erythematosus at a recommended dose of 160 mg/w subcutaneously and is in clinical trials for the treatment of multiple indications in other autoimmune diseases. In this review, we explored telitacicept's mechanism of action and clinical data. In addition, the immune features of autoimmune nephropathy were discussed, emphasizing lupus nephritis, IgA nephropathy, and membranous nephropathy.
    MeSH term(s) Humans ; Glomerulonephritis, IGA/drug therapy ; B-Cell Activating Factor/metabolism ; Lupus Erythematosus, Systemic ; Lupus Nephritis/drug therapy ; Lupus Nephritis/pathology ; Autoantibodies
    Chemical Substances telitacicept ; B-Cell Activating Factor ; Autoantibodies
    Language English
    Publishing date 2023-06-05
    Publishing country Switzerland
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2023.1169084
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Serum Total Bilirubin and Progression of Chronic Kidney Disease and Mortality: A Systematic Review and Meta-Analysis.

    Li, Jia / Liu, Dongwei / Liu, Zhangsuo

    Frontiers in medicine

    2021  Volume 7, Page(s) 549

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-01-25
    Publishing country Switzerland
    Document type Systematic Review
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2020.00549
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Metabolomic profiling of amino acids study reveals a distinct diagnostic model for diabetic kidney disease.

    Wang, Jiao / Zhou, Chunyu / Zhang, Qing / Liu, Zhangsuo

    Amino acids

    2023  Volume 55, Issue 11, Page(s) 1563–1572

    Abstract: Diabetic kidney disease (DKD), a highly prevalent complication of diabetes mellitus, is a major cause of mortality in patients. However, identifying circulatory markers to diagnose DKD requires a thorough understanding of the metabolic mechanisms of DKD. ...

    Abstract Diabetic kidney disease (DKD), a highly prevalent complication of diabetes mellitus, is a major cause of mortality in patients. However, identifying circulatory markers to diagnose DKD requires a thorough understanding of the metabolic mechanisms of DKD. In this study, we performed ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) to reveal altered metabolic profiles of amino acids (AAs) in patients with DKD. We found decreased plasma levels of histidine and valine, increased urine levels of proline, decreased urine levels of histidine and valine, and increased saliva levels of arginine in patients with DKD compared with the levels in patients with type 2 diabetes mellitus (T2DM) and in healthy controls. Our analyses of the key metabolites and metabolic enzymes involved in histidine and valine metabolism indicated that the AAs level alterations may be due to enhanced carnosine hydrolysis, decreased degradation of homocarnosine and anserine, enhanced histidine methylation, and systemic enhancement of valine metabolism in patients with DKD. Notably, we generated a distinct diagnostic model with an AUC of 0.957 and an accuracy up to 92.2% on the basis of the AA profiles in plasma, urine and saliva differing in patients with DKD using logistic regression and receiver operating characteristic analyses. In conclusion, our results suggest that altered AA metabolic profiles are associated with the progression of DKD. Our DKD diagnostic model on the basis of AA levels in plasma, urine, and saliva may provide a theoretical basis for innovative strategies to diagnose DKD that may replace cumbersome kidney biopsies.
    MeSH term(s) Humans ; Diabetic Nephropathies/metabolism ; Amino Acids ; Diabetes Mellitus, Type 2/metabolism ; Histidine ; Chromatography, Liquid ; Tandem Mass Spectrometry ; Amines ; Valine
    Chemical Substances Amino Acids ; Histidine (4QD397987E) ; Amines ; Valine (HG18B9YRS7)
    Language English
    Publishing date 2023-09-22
    Publishing country Austria
    Document type Journal Article
    ZDB-ID 1121341-3
    ISSN 1438-2199 ; 0939-4451
    ISSN (online) 1438-2199
    ISSN 0939-4451
    DOI 10.1007/s00726-023-03330-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Atrasentan in patients with diabetes and chronic kidney disease.

    Liu, Dongwei / Liu, Zhangsuo

    Lancet (London, England)

    2020  Volume 395, Issue 10220, Page(s) 269–270

    MeSH term(s) Atrasentan ; Diabetes Mellitus, Type 2 ; Double-Blind Method ; Humans ; Kidney ; Renal Insufficiency, Chronic
    Chemical Substances Atrasentan (V6D7VK2215)
    Language English
    Publishing date 2020-01-02
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(19)33021-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The key mediator of diabetic kidney disease: Potassium channel dysfunction.

    Guo, Jia / Zhang, Chaojie / Zhao, Hui / Yan, Yufan / Liu, Zhangsuo

    Genes & diseases

    2023  Volume 11, Issue 4, Page(s) 101119

    Abstract: Diabetic kidney disease is a leading cause of end-stage renal disease, making it a global public health concern. The molecular mechanisms underlying diabetic kidney disease have not been elucidated due to its complex pathogenesis. Thus, exploring these ... ...

    Abstract Diabetic kidney disease is a leading cause of end-stage renal disease, making it a global public health concern. The molecular mechanisms underlying diabetic kidney disease have not been elucidated due to its complex pathogenesis. Thus, exploring these mechanisms from new perspectives is the current focus of research concerning diabetic kidney disease. Ion channels are important proteins that maintain the physiological functions of cells and organs. Among ion channels, potassium channels stand out, because they are the most common and important channels on eukaryotic cell surfaces and function as the basis for cell excitability. Certain potassium channel abnormalities have been found to be closely related to diabetic kidney disease progression and genetic susceptibility, such as K
    Language English
    Publishing date 2023-09-22
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2821806-1
    ISSN 2352-3042 ; 2352-3042
    ISSN (online) 2352-3042
    ISSN 2352-3042
    DOI 10.1016/j.gendis.2023.101119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Novel immune cross-talk between inflammatory bowel disease and IgA nephropathy.

    Yan, Qianqian / Zhao, Zihao / Liu, Dongwei / Li, Jia / Pan, Shaokang / Duan, Jiayu / Liu, Zhangsuo

    Renal failure

    2024  Volume 46, Issue 1, Page(s) 2337288

    Abstract: The mechanisms underlying the complex correlation between immunoglobulin A nephropathy (IgAN) and inflammatory bowel disease (IBD) remain unclear. This study aimed to identify the optimal cross-talk genes, potential pathways, and mutual immune- ... ...

    Abstract The mechanisms underlying the complex correlation between immunoglobulin A nephropathy (IgAN) and inflammatory bowel disease (IBD) remain unclear. This study aimed to identify the optimal cross-talk genes, potential pathways, and mutual immune-infiltrating microenvironments between IBD and IgAN to elucidate the linkage between patients with IBD and IgAN. The IgAN and IBD datasets were obtained from the Gene Expression Omnibus (GEO). Three algorithms, CIBERSORTx, ssGSEA, and xCell, were used to evaluate the similarities in the infiltrating microenvironment between the two diseases. Weighted gene co-expression network analysis (WGCNA) was implemented in the IBD dataset to identify the major immune infiltration modules, and the Boruta algorithm, RFE algorithm, and LASSO regression were applied to filter the cross-talk genes. Next, multiple machine learning models were applied to confirm the optimal cross-talk genes. Finally, the relevant findings were validated using histology and immunohistochemistry analysis of IBD mice. Immune infiltration analysis showed no significant differences between IBD and IgAN samples in most immune cells. The three algorithms identified 10 diagnostic genes, MAPK3, NFKB1, FDX1, EPHX2, SYNPO, KDF1, METTL7A, RIDA, HSDL2, and RIPK2; FDX1 and NFKB1 were enhanced in the kidney of IBD mice. Kyoto Encyclopedia of Genes and Genomes analysis showed 15 mutual pathways between the two diseases, with lipid metabolism playing a vital role in the cross-talk. Our findings offer insights into the shared immune mechanisms of IgAN and IBD. These common pathways, diagnostic cross-talk genes, and cell-mediated abnormal immunity may inform further experimental studies.
    MeSH term(s) Humans ; Animals ; Mice ; Glomerulonephritis, IGA/genetics ; Kidney ; Algorithms ; Gene Expression Profiling ; Inflammatory Bowel Diseases/genetics ; Hydroxysteroid Dehydrogenases ; Proteins
    Chemical Substances HSDL2 protein, human (EC 1.1.-) ; Hydroxysteroid Dehydrogenases (EC 1.1.-) ; KDF1 protein, mouse ; Proteins
    Language English
    Publishing date 2024-04-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 632949-4
    ISSN 1525-6049 ; 0886-022X
    ISSN (online) 1525-6049
    ISSN 0886-022X
    DOI 10.1080/0886022X.2024.2337288
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Hematological features and risk factors of hospitalized COVID-19 patients

    Chaoyang Hua / Jia Li / Yanfang Yang / Zhangsuo Liu

    European Journal of Inflammation, Vol

    A retrospective analysis

    2022  Volume 20

    Abstract: Background: Coronavirus disease 2019 (COVID-19) became pandemic in 2020 and recently, mutated coronaviruses have emerged in many countries. The aim of this study was to identify the clinical characteristics and risk factors for critical illness in ... ...

    Abstract Background: Coronavirus disease 2019 (COVID-19) became pandemic in 2020 and recently, mutated coronaviruses have emerged in many countries. The aim of this study was to identify the clinical characteristics and risk factors for critical illness in hospitalized COVID-19 patients in Zhengzhou for clinical prevention and management. Materials and methods: A total of 70 patients hospitalized with COVID-19 were enrolled between 21 January and 29 February 2020, in Zhengzhou, China. Clinical characteristics, hematological findings, neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), and inflammatory index on admission were obtained from medical records, COVID-19 patients with different outcomes were compared. Results: The median age was 55 years. Forty-three (61.0%) patients were classified as having severe or critical cases. Eighteen (25.7%) patients died in hospital and the remaining 52 were discharged. Patients who died tend to be old with expectoration and chronic obstructive pulmonary disease. Compared to survivor, non-survivor had significantly higher numbers of leucocytes and neutrophils, NLR, aspartate aminotransferase (AST), γ-glutamyl transpeptidase, total bilirubin, direct bilirubin, lactate dehydrogenase (LDH), prothrombin time, D-dimer, C-reactive protein, and decreased platelets, lymphocytes, uric acid, and albumin (ALB). Logistic regression analysis identified leucocytes, platelets, PLR, NLR, AST, and ALB as independent predictive factors for poor outcomes. The area under curve of the combination of leucocytes, PLR, NLR, and AST was 0.87, with a sensitivity of 0.83 and specificity of 0.81. Conclusion: Our results identified risk factors among COVID-19 patients for in-hospital mortality. Leucocytes, PLR, NLR, and AST could have important reference value for predicting prognosis, especially in low-resource countries.
    Keywords Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-05-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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