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Article: 极低出生体重儿动脉导管未闭手术结扎时机的研究.

Liu, Tai-Xiang / Ma, Xiao-Lu / Chen, Zheng / Shi, Li-Ping

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics

2022 Volume 24, Issue 5, Page(s) 500–506

Abstract: Objectives: To study the effect of timing of surgical ligation of patent ductus arteriosus (PDA) on the prognosis of very low birth weight infants (VLBWI).: Methods: The medical data of VLBWI who underwent transthoracic ligation for PDA from June ... ...

Title translation	Timing of surgical ligation of patent ductus arteriosus in very low birth weight infants.
Abstract	Objectives: To study the effect of timing of surgical ligation of patent ductus arteriosus (PDA) on the prognosis of very low birth weight infants (VLBWI). Methods: The medical data of VLBWI who underwent transthoracic ligation for PDA from June 2018 to May 2021 were reviewed retrospectively. The infants were divided into early ligation group (≤21 days of age) and late ligation group (>21 days of age) based on the age of ligation. The two groups were compared in terms of perioperative clinical features, complications, and mortality. The risk factors for early surgical ligation were analyzed. Results: A total of 72 VLBWI were enrolled, with 19 infants (26%) in the early ligation group and 53 infants (74%) in the late ligation group. There were significant differences in birth weight, gestational age, weight at operation, days of age at operation, rates of preoperative invasive and noninvasive mechanical ventilation, incidence rate of pulmonary hemorrhage, incidence rate of hypotension, preoperative PDA internal diameter (mm/kg), intraoperative PDA external diameter (mm/kg), incidence rate of post-ligation cardiac syndrome, and duration of postoperative invasive mechanical ventilation between the two groups ( Conclusions: Early surgical ligation may be performed for VLBWI who are experiencing pulmonary hemorrhage and hemodynamically significant PDA confirmed by cardiac ultrasound after birth. However, post-ligation cardiac syndrome should attract enough attention. In addition, early surgical ligation of PDA does not increase the risk of surgery-related and long-term complications or death, indicating that it is a safe and feasible treatment option.
MeSH term(s)	Ductus Arteriosus, Patent/surgery ; Gestational Age ; Humans ; Infant ; Infant, Newborn ; Infant, Very Low Birth Weight ; Ligation ; Retrospective Studies
Language	Chinese
Publishing date	2022-02-03
Publishing country	China
Document type	Journal Article
ISSN	1008-8830
ISSN	1008-8830
DOI	10.7499/j.issn.1008-8830.2112151
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Article: [Dyspnea and situs inversus in a boy aged 3 days].

Lin, Hui-Jia / Luo, Fang / Ma, Xiao-Lu

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics

2021 Volume 23, Issue 6, Page(s) 633–638

Abstract: A boy was admitted on day 3 after birth due to shortness of breath for 2 days and cyanosis for 1 day. He had clinical manifestations of dyspnea in the early postnatal period and situs inversus, and was finally diagnosed with Kartagener syndrome. His ... ...

Abstract	A boy was admitted on day 3 after birth due to shortness of breath for 2 days and cyanosis for 1 day. He had clinical manifestations of dyspnea in the early postnatal period and situs inversus, and was finally diagnosed with Kartagener syndrome. His condition was improved after oxygen therapy, anti-infective therapy, and aerosol therapy. The genetic testing showed that there was a large-fragment loss of heterozygosity, exon 48_50, and a hemizygous mutation, c.7915C > T(p.R2639X), in the
MeSH term(s)	China ; Dyspnea ; Exons ; Humans ; Infant, Newborn ; Kartagener Syndrome/diagnosis ; Kartagener Syndrome/genetics ; Kartagener Syndrome/therapy ; Male ; Situs Inversus/complications ; Situs Inversus/diagnosis ; Situs Inversus/genetics
Language	Chinese
Publishing date	2021-06-15
Publishing country	China
Document type	Journal Article
ISSN	1008-8830
ISSN	1008-8830
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Article ; Online: Predictive Tool for Closure of Ductus Arteriosus with Pharmacologic or Surgical Treatment in Preterm Infants.

Liu, TaiXiang / Chen, Zheng / Ma, XiaoLu / Shi, LiPing

Pediatric cardiology

2021 Volume 43, Issue 2, Page(s) 373–381

Abstract: To construct a model with the indices obtained by echocardiography to predict whether patent ductus arteriosus (PDA) was required to be treated with pharmacologic treatment or surgical ligation, we performed a prospective observational study, including ... ...

Abstract	To construct a model with the indices obtained by echocardiography to predict whether patent ductus arteriosus (PDA) was required to be treated with pharmacologic treatment or surgical ligation, we performed a prospective observational study, including all neonates with gestational age ≤ 30 weeks and assessed the hemodynamics of PDA by serial daily echocardiography examination at postnatal age of 0-12 h, 24 h, 48 h, and 72 h, respectively. The infants were classified in two groups based on whether they were treated with non-steroidal anti-inflammatory drugs (NSAIDs) and/or surgical ligation to close the PDA from the second week after birth. We compared the echocardiographic indices between the two groups and utilized the indices to construct a model to predict which premature infants' PDA requires intervention. The results showed that a total of forty-two preterm infants were enrolled in the study. 15 (35.7%) preterms were in the intervention group and 27 (64.3%) preterms were in the non-intervention group. Compared with the non-intervention group, the intervention group had a higher proportion of left ventricular volume overload and systemic shunt effect. In addition, the combined indicators of PDA size/weight > 3.2 mm/kg and LA/Ao > 1.4 at postnatal age of 72 h had a highest value to predict whether PDA requires intervention. These findings denoted that serial daily echocardiographic assessment can be useful in predicting whether a PDA will be closed with NSAIDs and/or surgical ligation in preterm infants with gestational age ≤ 30 weeks.Trial registration Number: IRB No. 2018-IRB-073. Date: 2018/09/21, retrospectively registered.
MeSH term(s)	Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Ductus Arteriosus ; Ductus Arteriosus, Patent/diagnostic imaging ; Ductus Arteriosus, Patent/drug therapy ; Ductus Arteriosus, Patent/surgery ; Humans ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature
Chemical Substances	Anti-Inflammatory Agents, Non-Steroidal
Language	English
Publishing date	2021-09-12
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	800857-7
ISSN	1432-1971 ; 0172-0643
ISSN (online)	1432-1971
ISSN	0172-0643
DOI	10.1007/s00246-021-02731-w
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Article: Giant omphalocele associated pulmonary hypertension: A retrospective study.

Liu, Tai-Xiang / Du, Li-Zhong / Ma, Xiao-Lu / Chen, Zheng / Shi, Li-Ping

Frontiers in pediatrics

2022 Volume 10, Page(s) 940289

Abstract: Background: Omphalocele is a common congenital defect of the abdominal wall, management of giant omphalocele (GO) is particularly for pediatric surgeons and neonatologists worldwide. The current study aimed to review and summarize the clinical features ... ...

Abstract	Background: Omphalocele is a common congenital defect of the abdominal wall, management of giant omphalocele (GO) is particularly for pediatric surgeons and neonatologists worldwide. The current study aimed to review and summarize the clinical features and prognosis in neonates with GO complicated with pulmonary hypertension (PH), which is associated with increased mortality, while in hospital. Materials and methods: Medical records of infants with GO between July 2015 and June 2020 were retrospectively analyzed. The patients enrolled were divided into PH and non-PH groups based on the presence or absence of PH, and patients with PH were divided into death and survival groups based on survival status. Clinical characteristics and outcomes were compared between groups, respectively. The risk factors for PH were analyzed by binary logistic regression. Results: In total, 67 neonates were identified as having GO and 24 (35.8%) were complicated with PH. Infants with PH were associated with intubation within 24 h after birth ( Conclusion: Pulmonary hypertension is a serious complication and significantly increases the mortality and morbidities in infants with a GO. In addition, early and serial assessment of PH by echocardiography should be a routine screening scheme, especially in the neonatal omphalocele population who required a staged surgical repair. Clinicians should be aware that infants with PH who had low weight, severe and refractory PH have a higher risk of death.
Language	English
Publishing date	2022-09-09
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711999-3
ISSN	2296-2360
ISSN	2296-2360
DOI	10.3389/fped.2022.940289
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Article: Value of bedside echocardiography in predicting persistent patency of the ductus arteriosus during the early postnatal period in very low birth weight infants.

Liu, Tai-Xiang / Ma, Xiao-Lu / Chen, Jun-Jin / Lin, Hui-Jia / Wang, Chen-Hong / Chen, Ming-Yan / Ge, Jia-Jing / Shi, Li-Ping

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics

2022 Volume 24, Issue 1, Page(s) 26–32

Abstract: Objectives: To study the value of bedside echocardiography in predicting persistent patency of the ductus arteriosus during the early postnatal period in very low birth weight (VLBW) infants.: Methods: A retrospective analysis was performed for 51 ... ...

Title translation	生后早期床旁心脏超声预测极低出生体重儿动脉导管持续开放的研究.
Abstract	Objectives: To study the value of bedside echocardiography in predicting persistent patency of the ductus arteriosus during the early postnatal period in very low birth weight (VLBW) infants. Methods: A retrospective analysis was performed for 51 VLBW infants who were admitted from March 2020 to June 2021, with an age of ≤3 days and a length of hospital stay of ≥14 days. According to the diameter of patent ductus arteriosus (PDA) on days 14 and 28 after birth, the infants were divided into three groups: large PDA group (PDA diameter ≥2 mm), small PDA group (PDA diameter <2 mm), and PDA closure group (PDA diameter =0 mm). The echocardiographic parameters measured at 72 hours after birth were compared among the three groups. The receiver operating characteristic (ROC) curve was used to evaluate the value of the echocardiographic parameters in predicting persistent patency of the ductus arteriosus (PDA≥2 mm) at the ages of 14 and 28 days. Results: On day 14 after birth, there were 17 infants in the large PDA group, 11 in the small PDA group, and 23 in the PDA closure group. On day 28 after birth, there were 14 infants in the large PDA group, 9 in the small PDA group, and 26 in the PDA closure group. There were significant differences in gestational age, birth weight, rate of pulmonary surfactant use, and incidence rate of hypotension among the three groups ( Conclusions: The indicators obtained by beside echocardiography at 72 hours after birth, especially PDA diameter and end-diastolic velocity of the left pulmonary artery, can predict persistent patency of the ductus arteriosus at the ages of 14 and 28 days in VLBW infants, which provides a basis for the implementation of early targeted treatment strategy for PDA.
MeSH term(s)	Ductus Arteriosus, Patent/diagnostic imaging ; Echocardiography ; Humans ; Infant ; Infant, Newborn ; Infant, Very Low Birth Weight ; Retrospective Studies ; Vena Cava, Superior
Language	Chinese
Publishing date	2022-02-18
Publishing country	China
Document type	Journal Article
ISSN	1008-8830
ISSN	1008-8830
DOI	10.7499/j.issn.1008-8830.2109087
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Article: A case of unusual acquired factor V deficiency.

Ma, Xiao-Lu / Wang, Wu-Chao / Du, Chang / Zhang, Ting / Li, Tai-Feng / Guo, Yang / Zhu, Ji-Hong

World journal of emergency medicine

2022 Volume 14, Issue 1, Page(s) 78–80

Language	English
Publishing date	2022-04-14
Publishing country	China
Document type	Journal Article
ZDB-ID	2753264-1
ISSN	1920-8642
ISSN	1920-8642
DOI	10.5847/wjem.j.1920-8642.2023.003
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Article: [A 2-day-old neonate with hyperbilirubinemia and thrombocytopenia].

Li, Chen / Chen, Zheng / Chen, Ming-Yan / Ma, Xiao-Lu

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics

2019 Volume 21, Issue 12, Page(s) 1218–1222

Abstract: A girl was admitted to the hospital on day 2 after birth due to jaundice of the skin and sclera for half a day. The main clinical manifestations were persistent severe jaundice and thrombocytopenia, and she was finally diagnosed with congenital ... ...

Abstract	A girl was admitted to the hospital on day 2 after birth due to jaundice of the skin and sclera for half a day. The main clinical manifestations were persistent severe jaundice and thrombocytopenia, and she was finally diagnosed with congenital thrombotic thrombocytopenic purpura (TTP). Her conditions were improved after phototherapy, exchange transfusion, and infusion of fresh frozen plasma, red blood cells, and platelets. Gene detection showed a homozygous mutation of c.3650T>C(p.I1217T) in the ADAMTS13 gene, while her parents had a heterozygous mutation at this locus. Congenital TTP is a rare autosomal recessive disease, and timely infusion of fresh frozen plasma can achieve a good clinical outcome. This is the first case of congenital TTP caused by homozygous mutation at this locus reported in China and overseas.
MeSH term(s)	ADAMTS13 Protein ; Anemia ; China ; Female ; Humans ; Hyperbilirubinemia ; Infant, Newborn ; Purpura, Thrombotic Thrombocytopenic
Chemical Substances	ADAMTS13 Protein (EC 3.4.24.87)
Language	Chinese
Publishing date	2019-12-23
Publishing country	China
Document type	Case Reports ; Journal Article
ISSN	1008-8830
ISSN	1008-8830
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Article: ASAP2 interrupts c-MET-CIN85 interaction to sustain HGF/c-MET-induced malignant potentials in hepatocellular carcinoma.

Ma, Xiao-Lu / Nie, Yan-Yan / Xie, Su-Hong / Zheng, Hui / Tong, Ying / Wang, Yan-Chun / Yan, Tian-Qing / Meng, Xin / Cao, Jia-Zhen / Tang, Wei-Guo / Guo, Lin / Lu, Ren-Quan

Experimental hematology & oncology

2023 Volume 12, Issue 1, Page(s) 38

Abstract: Background: Sustained activation of hepatocyte growth factor (HGF)/c-MET signaling is a major driver of hepatocellular carcinoma (HCC) progression, but underlying mechanism is unclear. ArfGAP With SH3 Domain, Ankyrin Repeat And PH Domain 2 (ASAP2) can ... ...

Abstract	Background: Sustained activation of hepatocyte growth factor (HGF)/c-MET signaling is a major driver of hepatocellular carcinoma (HCC) progression, but underlying mechanism is unclear. ArfGAP With SH3 Domain, Ankyrin Repeat And PH Domain 2 (ASAP2) can reportedly activate GTPases and promote receptor tyrosine kinase signaling. However, the exact role of ASAP2 in HCC, especially for c-MET activation, also remains elusive. Methods: ASAP2 expression levels in HCC tissues and cells were quantified using qRT-PCR, western blot (WB) analysis, and immunohistochemistry staining. Cell counting kit-8 (CCK-8) and colony formation assays were performed to evaluate cell proliferation rates. Flow cytometry assays were conducted to assess apoptosis rates. Wound healing and Transwell assays were performed to determine cell migration and invasion capacities. Epithelial-mesenchymal transition (EMT)-related marker expression levels were also examined. Subcutaneous implantation and tail vein injection models were applied for in vivo growth and metastasis evaluations, respectively. Bioinformatics analyses of The Cancer Genome Atlas and STRING datasets were performed to explore ASAP2 downstream signaling. Co-immunoprecipitation and Cycloheximide chasing experiments were performed to assess protein-protein interactions and protein half-life, respectively. Results: ASAP2 had higher expression levels in HCC tissues than in normal liver, and also predicted poor prognosis. Knocking down ASAP2 significantly impaired cell proliferation, migration, and invasion capacities, but promoted apoptosis in HCC cells in vitro. However, overexpression of ASAP2 achieved the opposite effects. In vivo experiments confirmed that ASAP2 could promote HCC cell growth and facilitate lung metastasis. Interestingly, ASAP2 was essential for triggering EMT. Gene Set Enrichment Analysis demonstrated that c-MET signaling was greatly enriched in ASAP2-high HCC cases. Additionally, c-MET signaling activity was significantly decreased following ASAP knockdown, evidenced by reduced c-MET, p-AKT, and p-ERK1/2 protein levels. Importantly, ASAP2 knockdown effectively attenuated HGF/c-MET signaling-induced malignant phenotypes. c-MET and ASAP2 expression levels were positively correlated in our cohort. Mechanistically, ASAP2 can directly bind to CIN85, thereby disrupting its interaction with c-MET, and can thus antagonize CIN85-induced c-MET internalization and lysosome-mediated degradation. Notably, knocking down CIN85 can rescue the observed inhibitory effects caused by ASAP2 knockdown. Conclusions: This study highlights the importance of ASAP2 in sustaining c-MET signaling, which can facilitate HCC progression.
Language	English
Publishing date	2023-04-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2669066-4
ISSN	2162-3619
ISSN	2162-3619
DOI	10.1186/s40164-023-00393-3
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Article ; Online: A predictive model for identifying secondary underlying diseases of hemophagocytic lymphohistiocytosis.

Gao, Wei-Bo / Hu, Li-Juan / Ma, Xiao-Lu / Shi, Mao-Jing / Wang, Chun-Yu / Ma, Yong / Song, Xiao-Jing / Zhu, Ji-Hong / Wang, Tian-Bing

Frontiers in immunology

2023 Volume 14, Page(s) 1143181

Abstract: Background: Secondary hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening disease of immune hyperactivation that arises in the context of infectious, inflammatory, or neoplastic triggers. The aim of this study was to establish a ... ...

Abstract	Background: Secondary hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening disease of immune hyperactivation that arises in the context of infectious, inflammatory, or neoplastic triggers. The aim of this study was to establish a predictive model for the timely differential diagnosis of the original disease resulting in HLH by validating clinical and laboratory findings to further improve the efficacy of therapeutics for HLH. Methods: We retrospectively enrolled 175 secondary HLH patients in this study, including 92 patients with hematologic disease and 83 patients with rheumatic disease. The medical records of all identified patients were retrospectively reviewed and used to generate the predictive model. We also developed an early risk score using multivariate analysis weighted points proportional to the Results: The multivariate logistic analysis revealed that lower levels of hemoglobin and platelets (PLT), lower levels of ferritin, splenomegaly and Epstein-Barr virus (EBV) positivity were associated with hematologic disease, but young age and female sex were associated with rheumatic disease. The risk factors for HLH secondary to rheumatic diseases were female sex [OR 4.434 (95% CI, 1.889-10.407), Conclusion: The established predictive model was designed to help clinicians diagnose the original disease resulting in secondary HLH during routine practice, which might be improve prognosis by enabling the timely treatment of the underlying disease.
MeSH term(s)	Humans ; Female ; Male ; Lymphohistiocytosis, Hemophagocytic/etiology ; Lymphohistiocytosis, Hemophagocytic/complications ; Epstein-Barr Virus Infections/diagnosis ; Herpesvirus 4, Human ; Retrospective Studies ; Rheumatic Diseases/complications
Language	English
Publishing date	2023-04-28
Publishing country	Switzerland
Document type	Journal Article ; 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.2023.1143181
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Article ; Online: Investigating anorectal function using postoperative MRI-based fibrosis score in patients with locally advanced rectal cancer receiving neoadjuvant chemoradiotherapy: a two-center study.

Yuan, Yuan / Yu, Yue / Sun, Yi Qun / Li, Shuai / Lu, Hai Di / Ma, Xiao Lu / Lu, Jian Ping / Shao, Cheng Wei / Zhang, Wei / Tong, Tong / Gao, Xian Hua / Shen, Fu

Annals of medicine

2023 Volume 55, Issue 2, Page(s) 2268112

Abstract: Purpose: This study aimed to develop a postoperative MRI-based fibrosis scoring system and to assess its correlation with anorectal function in locally advanced rectal cancer (LARC) cases administered neoadjuvant chemoradiotherapy (nCRT).: Methods: ... ...

Abstract	Purpose: This study aimed to develop a postoperative MRI-based fibrosis scoring system and to assess its correlation with anorectal function in locally advanced rectal cancer (LARC) cases administered neoadjuvant chemoradiotherapy (nCRT). Methods: Pathologically confirmed LARC cases administered nCRT and radical resection were assessed retrospectively. Based on postoperative magnetic resonance imaging (MRI) findings, anastomotic fibrosis score (AFS) and perirectal fibrosis score (PFS) were determined to evaluate the extent of fibrosis. The Wexner continence score for anorectal function was obtained 2 years postoperatively and assessed for correlation with MRI fibrosis scores. The cases were divided into 2 groups by the median Wexner score. Univariable and multivariable analyses were adopted for building a nomogram model, whose diagnostic performance was estimated by receiver operating characteristic (ROC) and decision curve analyses (DCA). Results: Finally, 144 patients with LARC were included in cohort 1 (training set). 52 patients were enrolled in cohort 2 (external validation set). Spearman correlation analysis indicated that AFS and PFS were positively correlated with the Wexner score. Univariable and multivariable analyses revealed age, tumor height, AFS, and PFS were independent predictors of anorectal function. The nomogram model achieved a good diagnostic performance, with AUCs of 0.800 and 0.827 in the training and validation sets, respectively; its predicting value was also confirmed by DCA. Conclusion: The present study showed AFS and PFS derived from postoperative MRI are positively correlated with Wexner score. In addition, the new scoring system was effective in predicting anorectal function in LARC cases administered nCRT.
MeSH term(s)	Humans ; Rectal Neoplasms/diagnostic imaging ; Rectal Neoplasms/surgery ; Retrospective Studies ; Neoadjuvant Therapy/methods ; Chemoradiotherapy/methods ; Treatment Outcome ; Magnetic Resonance Imaging/methods ; Fibrosis
Language	English
Publishing date	2023-10-12
Publishing country	England
Document type	Journal Article
ZDB-ID	1004226-x
ISSN	1365-2060 ; 1651-2219 ; 0785-3890 ; 1743-1387
ISSN (online)	1365-2060 ; 1651-2219
ISSN	0785-3890 ; 1743-1387
DOI	10.1080/07853890.2023.2268112
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