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Essential phospholipids for nonalcoholic fatty liver disease associated with metabolic syndrome: A systematic review and network meta-analysis

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World Journal of Clinical Cases 2020年第21期8卷 5235-5249页

作者： Asad Izziddin Dajani branko popovic ADSC Medcare Hospital and Saudi German HospitalSharjahAl KhanPO Box 6328United Arab Emirates Sanofi-Aventis Deutschland GmbH CHC Global Medical AffairsFrankfurt am Main 65926Germany

BACKGROUND Essential phospholipids(EPL)are used for the supportive treatment of nonalcoholic fatty liver disease(NAFLD),but data are mostly from small-scale *** To evaluate the efficacy of EPL treatment in adult patients with NAFLD and type 2 diabetes and/or *** The MEDLINE,PubMed,Embase,and Cochrane databases were searched up to March 2019 for clinical trials and comparative observational *** studies were those published in English or Chinese that enrolled adult patients(≥18 years)with NAFLD and type 2 diabetes mellitus and/or obesity receiving EPL as monotherapy or as add-on therapy to existing therapy,and that included at least one of the efficacy outcomes of interest.A variety of studies were identified;thus,direct,indirect and cohort meta-analyses were *** difference(MD)and 95%confidence interval(CI)were calculated for continuous variables,and relative risk with 95%CI for disease response and recovery.A random-effects model was used to address between-study *** Ten studies met the inclusion criteria(n=22-324).EPL treatment duration ranged from 4 to 72 *** the direct meta-analysis(four randomized controlled trials),compared with antidiabetic therapy alone,EPL plus antidiabetic therapy was associated with a significantly greater reduction in[alanine aminotransferase(ALT);MD:11.28 U/L(95%CI:-17.33,-5.23),P=0.0003],triglyceride[MD:-49.33 mg/dL(95%CI:-66.43,-32.23),P<0.0001]and total cholesterol levels[MD:-29.74 mg/dL(95%CI:-38.02,-21.45),P<0.0001].There was also a significant increase in the rate of overall improvement[relative risk 1.50(95%CI:1.26-1.79),P<0.0001],and risk of no disease(P=0.0091),and a reduction in moderate disease(P=0.0187);there were no significant differences in severe disease,mild disease,or significant *** the cohort meta-analysis of three non-randomized clinical trials,the MD in ALT levels was-16.71 U/L(95%CI:-24.94,-8.49)and 23%of patients had improved *** the

关键词： Non-alcoholic fatty liver disease Diabetes Obesity Metabolic syndrome Essential phospholipids Systematic review Meta-analysis

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The pathologic relevance of metabolic criteria in patients with biopsy-proven nonalcoholic fatty liver disease and metabolic dysfunction associated fatty liver disease:A multicenter cross-sectional study in China

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Hepatobiliary & Pancreatic Diseases International 2021年第5期20卷 426-432页

作者： Rui-Xu Yang Zheng-Sheng Zou Bi-Hui Zhong Hong Deng Fang-Ping He Jun-Ping Shi Cai-Yan Zhao Yu-Qiang Mi Yong-Jian Zhou Fu-Sheng Di Rui-Dan Zheng Qin Du Jia Shang branko popovic Jin Jun Chen Jian-Gao Fan Center for Fatty Liver Department of GastroenterologyXinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai Key Lab of Pediatric Gastroenterology and NutritionShanghai 200092China Department of Liver Disease Fifth Medical Center of Chinese PLA General HospitalBeijing 100039China Department of Gastroenterology the First Affiliated HospitalSun Yat-Sen UniversityGuangzhou 510080China Department of Infectious Diseases the Third Affiliated HospitalSun Yat-Sen UniversityGuangzhou 510630China Department of Gastroenterology II the First Affiliated Hospital of Xinjiang Medical UniversityXinjiang Uygur Autonomous RegionsUrumqi 830011China The Affiliated Hospital of Hangzhou Normal University Hangzhou 310015China Department of Infectious Disease the Third Hospital of Hebei Medical UniversityShijiazhuang 050051China Department of Infectious Diseases Tianjin Second People's HospitalTianjin 300192China Department of Gastroenterology and Hepatology Guangzhou First People's HospitalSchool of MedicineSouth China University of TechnologyGuangzhou 510180China Department of Endocrinology and Metabolism The Third Central Hospital of TianjinTianjin 300170China Diagnosis and Treatment Center for Liver Diseases Zhengxing HospitalZhangzhou 363000China Department of Gastroenterology the Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009China Department of Infectious Diseases Henan Provincial People's HospitalZhengzhou 450003China Sanofi-Aventis Deutschland GmbH Frankfurt 65929Germany Hepatology Unit Department of Infectious DiseasesNanfang HospitalSouthern Medical UniversityGuangzhou 510515China

Background:This study aimed to assess the association between metabolic syndrome(Met S)and severity of nonalcoholic fatty liver disease(NAFLD),and to discuss the pathological relevance of the diagnostic criteria in metabolic(dysfunction)associated fatty liver disease(MAFLD).Methods:This was a multicenter,cross-sectional *** with NAFLD confirmed by liver biopsy were enrolled between July 2016 and December 2018 from 14 centers across the mainland of *** and metabolic parameters were collected to assess the pathological ***:Of 246 enrolled patients with NAFLD,150(61.0%)had the comorbidity of Met *** the increase of metabolic components,the proportions of nonalcoholic steatohepatitis(NASH)and significant fibrosis were notably *** comorbid three metabolic components significantly increased the proportion of NASH,and further increase of metabolic components did not increase the proportion of ***,the increase of metabolic components was parallel to the increase of the proportion of liver *** the 246 patients,239(97.2%)met the diagnostic criteria of *** non-MAFLD patients had less NASH,they present with similar proportion of significant fibrosis and *** the diagnostic criteria of MAFLD,BMI≥23 kg/m2 was related to NASH(Mantel-Haenszel Common Estimate OR:2.975;95%CI:1.037–8.538;P=0.043),and T2 DM was related to significant fibrosis(Mantel-Haenszel Common Estimate OR:2.531;95%CI:1.388–4.613;P=0.002).The homeostasis model assessment of insulin resistance(HOMA-IR)≥2.5 was the most significant factor for NASH(OR:4.100;95%CI:1.772–9.487;P=0.001)and significant factor for liver fibrosis(OR:2.947;95%CI:1.398–6.210;P=0.004)after the adjustments of the BMI and ***:Metabolic dysregulations are important risk factors in NAFLD *** insulin resistance status may play a predominant role in the progression in MAFLD patients.

关键词： Nonalcoholic fatty liver disease Metabolic syndrome Insulin resistance

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Metabolic Disorders Combined with Noninvasive Tests to Screen Advanced Fibrosis in Nonalcoholic Fatty Liver Disease

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Journal of Clinical and Translational Hepatology 2021年第5期9卷 607-614页

作者： Yi-Wen Shi Fang-Ping He Jin-Jun Chen Hong Deng Jun-Ping Shi Cai-Yan Zhao Yu-Qiang Mi Zheng-Sheng Zou Yong-Jian Zhou Fu-Sheng Di Rui-Dan Zheng Qin Du Jia Shang Rui-Xu Yang branko popovic Bi-Hui Zhong Jian-Gao Fan Center for Fatty Liver Department of GastroenterologyXinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai Key Lab of Pediatric Gastroenterology and NutritionShanghaiChina Department of Gastroenterology II The First Affiliated Hospital of Xinjiang Medical UniversityXinjiang Uygur Autonomous RegionsÜrümqiChina Hepatology Unit Department of Infectious DiseasesNanfang HospitalSouthern Medical UniversityGuangzhouChina Department of Infectious Diseases the Third Affiliated HospitalSun Yat-Sen UniversityGuangzhouChina The Affiliated Hospital of Hangzhou Normal University HangzhouChina Department of Infectious Disease The Third Hospital of Hebei Medical UniversityShijiazhuangChina Department of Infectious Diseases Tianjin Second People’s HospitalTianjinChina Department of Liver Disease Chinese PLA General Hospitalthe Fifth Medical Center of Chinese PLA General HospitalBeijingChina Department of Gastroenterology and Hepatology Guangzhou First People’s HospitalSchool of MedicineSouth China University of TechnologyGuangzhouChina Department of Endocrinology and Metabolism The Third Central Hospital of TianjinTianjinChina Diagnosis and Treatment Center for Liver Diseases Zhengxing HospitalZhangzhouChina Department of Gastroenterology the Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhouChina Department of Infectious Diseases Henan Provincial Peoples’Hospital Zhengzhou ZhengzhouChina Sanofi-Aventis Deutschland GmbH FrankfurtGermany Department of Gastroenterology The First Affiliated HospitalSun Yat-Sen UniversityGuangzhouChina

Background and Aims:Nonalcoholic fatty liver disease(NAFLD)is associated with metabolic *** study aimed to explore the role of metabolic disorders in screening advanced fibrosis in NAFLD ***:A total of 246 histologically-proven NAFLD patients were enrolled across 14 *** compared the severity of fibrosis in patients with different components of metabolic *** on standard noninvasive tests and metabolic disorders,we developed new algorithms to identify advanced ***:Metabolic syndrome(MetS)was frequent in NAFLD patients(133/246,54%).Patients with MetS had a higher proportion of significant fibrosis(p=0.014)and higher LSM values(9.2 kPa,vs.7.4 kPa,p=0.002)than those without *** with more metabolic disorders had higher fibrosis stages(p=0.017).Reduced highdensity lipoprotein cholesterol(odds ratio[OR]:2.241,95%confidence interval[CI]:1.004–5.002,p=0.049)and raised fasting glucose(OR:4.500,95%CI:2.083–9.725,p<0.001)were significantly associated with advanced *** these two metabolic disorders as a screening tool,a sensitivity,specificity and accuracy of 92%,81%and 83%was achieved,*** the new algorithms combining metabolic disorders with noninvasive measurements,the number of patients requiring liver biopsy was reduced,especially in combination with the Fibrosis-4 score and metabolic disorders(36%to 17%,p<0.001).In addition,this stepwise algorithm could achieve a high accuracy(85%)and high negative predictive value(93%).Conclusions:Metabolic disorders should be taken into consideration in the diagnosis of advanced *** further validation and investigation,new algorithms could be recommended in primary care units to spare patients from unnecessary referral and liver biopsies.

关键词： Nonalcoholic fatty liver disease Liver fibrosis Metabolic syndrome Noninvasive measurement

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Response of Growth Dynamics of Two Spring Geophytes to Light Regime in a Lime-Beech Forest

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Journal of Integrative Plant Biology 2006年第5期48卷 527-535页

作者： Zorica popovic Aleksandar Mijovic branko Karadzic Miroslava Mijatovic Institute of Biological Research Department of Ecology Despota Stefana Boulevard 142 11060 Belgrade Serbia and Montenegro Environment Protection Agency Ministry for Science and Environmental Protection Republic of Serbia Serbia and Montenegro

Blomaee accumulation, leaf longevity and growth rate of two spring forest geophytes, Scllla blfolla L. and Arum maculatum L. were estimated separately for three size groups within each population of these species. Despite the differences in leaf longevity, both species showed a similar pattern of blomass accumulation In relation to their phenologles and reproductive demands. Eco-physlological acclimation to changing light environment was assumed through photosynthetic parameters and dynamics of leaf area Index In the predominant size group of each species. A light response curve was measured under natural light for each species through the continuum of Its phenology to quantify the photosynthetic photon flux density at light saturation, light-saturated photosynthetic rate, light compensation point, and dark respiration. Light-saturated assimilation per leaf area basis, dark respiration rate and light compensation points were significantly higher in S. blfolla relative to A. maculatum. However, the acclimation of photosynthesis that would respond to light changes in environment was not found in S. bifolla. In contrast, In A. maculatum a marked shift In the light dependence of photosynthesis through the season was noticed, which resulted In a strong photosynthetic acclimation to the low-light conditions. Accompanied by significant leaf area Index, this efficient low-light photosynthesis enabled greater leaf longevity, and consequently longer accumulative period to A. maculatum. From the different parameters that we determined （both photosynthetic acclimation and growth strategy） it would appear that these species belong to two distinct subgroups： S. blfolla to the early and A. maculatum to the late vernals.

关键词： biomass accumulation deciduous forests early and late vernals leaf area index (LAI) light response of photosynthesis spring geophytes.

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346GHz返波振荡器研制进展

346GHz返波振荡器研制进展

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2016真空电子学分会第二十届学术年会

作者：唐烨 Claudio Paoloni branko popovic 潘攀 Rosa Letizia Logan Himes 马顺源 Mauro Mineo Diana Gamzina 冯进军 Ali Malekabadi Neville C.Luhmann Jr 中国电子科技集团公司第十二研究所英国Lancaster大学美国UC Davis大学

346GHz返波振荡器用于热核聚变中对等离子体密度的诊断。目前346GHz返波振荡器正在由中国电子科技集团公司第十二研究所、英国Lancaster大学和美国UC Davis大学联合研制。高频慢波结构的方案共有两种,分别为中国电子科技集团公司第十二... 详细信息

346GHz返波振荡器用于热核聚变中对等离子体密度的诊断。目前346GHz返波振荡器正在由中国电子科技集团公司第十二研究所、英国Lancaster大学和美国UC Davis大学联合研制。高频慢波结构的方案共有两种,分别为中国电子科技集团公司第十二研究所提出的新型高频慢波结构和Lancaster大学提出的双排齿高频慢波结构,电子枪、磁聚焦系统和输能结构由中国电子科技集团公司第十二研究所提供。本文对346GHz返波振荡器的研制进展进行了报道。

关键词：太赫兹返波振荡器 MEMS 盒型窗永磁聚集系统

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