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Exploring the potential mechanism of WuFuYin against hypertrophic scar using network pharmacology and molecular docking

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World Journal of Clinical Cases 2024年第18期12卷 3505-3514页

作者： shu-yang zhang Song-Xue Guo Lei-Lei Chen Jia-Yan Zhu Ming-Sheng Hou Jia-Ke Lu Xue-Xiang Shen Department of General Surgery Shaoxing Hospital of Traditional Chinese MedicineShaoxing 312000Zhejiang ProvinceChina Department of Plastic Surgery The Second Affiliated Hospital of Zhejiang University School of MedicineHangzhou 310009Zhejiang ProvinceChina Hand and Plastic Surgery The first People’s Hospital of Linping DistrictHangzhou 311013Zhejiang ProvinceChina Department of Pathology Shaoxing Hospital of Traditional Chinese MedicineShaoxing 312000Zhejiang ProvinceChina Department of Traumatology Yuyao Hospital of Traditional Chinese MedicineNingbo 315400Zhejiang ProvinceChina

BACKGROUND Hypertrophic scar(HTS)is dermal fibroproliferative disorder,which may cause physiological and psychological problems.Currently,the potential mechanism of WuFuYin(WFY)in the treatment of HTS remained to be elucidated.AIM To explore the potential mechanism of WFY in treating HTS.METHODS Active components and corresponding targets were retrieved from the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform.HTSrelated genes were obtained from the GeneCards,DisGeNET,and National Center for Biotechnology Information.The function of targets was analyzed by performing Gene Ontology and Kyoto Encyclopaedia of Genes and Genome(KEGG)enrichment analysis.A protein+IBM-protein interaction(PPI)network was developed using STRING database and Cytoscape.To confirm the high affinity between compounds and targets,molecular docking was performed.RESULTS A total of 65 core genes,which were both related to compounds and HTS,were selected from multiple databases.PPI analysis showed that CKD2,ABCC1,MMP2,MMP9,glycogen synthase kinase 3 beta(GSK3B),PRARG,MMP3,and phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit gamma(PIK3CG)were the hub targets and MOL004941,MOL004935,MOL004866,MOL004993,and MOL004989 were the key compounds of WFY against HTS.The results of KEGG enrichment analysis demonstrated that the function of most genes were enriched in the PI3K-Akt pathway.Moreover,by performing molecular docking,we confirmed that GSK3B and 8-prenylated eriodictyol shared the highest affinity.CONCLUSION The current findings showed that the GSK3B and cyclin dependent kinase 2 were the potential targets and MOL004941,MOL004989,and MOL004993 were the main compounds of WFY in HTS treatment.

关键词： WuFuYin Hypertrophic scar Network pharmacology Molecular docking Enrichment analysis

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The chemokine CCL17 is a novel therapeutic target for cardiovascular aging

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Signal Transduction and Targeted Therapy 2023年第5期8卷 2068-2071页

作者： yang zhang Xiaoqiang Tang Zeyuan Wang Lun Wang zhangwei Chen Ju-Ying Qian Zhuang Tian shu-yang zhang Department of Cardiology Peking Union Medical College HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina Department of Cardiology Zhongshan HospitalFudan UniversityShanghai Institute of Cardiovascular DiseasesShanghai200032China Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE State Key Laboratory of BiotherapyWest China Second University HospitalSichuan UniversityChengdu610041China

Dear Editor,Aging results in higher susceptibility to age-related disease,especially cardiovascular disease,which has become a public health priority.1,2 Recent studies have progressively unraveled the critical role of vasculature as a gatekeeper of life-span and health-span.3 In this light,vascular rejuvenation is geroprotective.The circulating proteomic signature is tightly related to aging and aging-induced vascular diseases,4 but drugs targeting circulating proteins are not available.

关键词： aging protective signature

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Immunotherapy for the rheumatoid arthritis-associated coronary artery disease: promise and future

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Chinese Medical Journal 2019年第24期132卷 2972-2983页

作者： Lun Wang yang zhang shu-yang zhang Department of Cardiology Peking Union Medical College HospitalPeking Union Medical College&Chinese Academy of Medical SciencesBeijing 100730China

Objective:To review the latest progress on the pathogenic mechanism and management of rheumatoid arthritis(RA)-associated coronary artery disease(CAD),and propose advice on future management optimization as well as prospects for research and development of new therapeutic regimen.Data sources:This study was based on data obtained from PubMed up to May 2019 using various search terms and their combinations,including coronary artery disease,myocardial ischemia,cardiovascular diseases,RA,rheumatic diseases,treatment,therapy,strategies,immunotherapy,inflammation,and anti-inflammation.Study selection:All retrieved literature was scrutinized,most relevant articles about the pathogenic mechanism and clinical management,especially anti-inflammatory therapy of RA-associated CAD were reviewed.Results:RA is an immune-mediated chronic inflammatory disease which has a great social disease burden.In addition to typical arthritic manifestations,RA also affects extra-articular tissues and organs,within which the involvement of the cardiovascular system,especially incorporating CAD,is the leading cause of death for patients with RA.Recently,numerous basic and clinical studies have been carried out on the mechanism of CAD development and progression under the inflammatory cascade of RA.The effect of traditional RA drugs on CAD risk management has been gradually clarified,and more emerging biologic agents are being explored and studied,which have also achieved satisfactory outcomes.Furthermore,with the success of the CANTOS clinical trial,novel anti-inflammatory therapy for the prevention of cardiovascular disease is believed to have a broad prospect.Conclusions:RA is an independent risk factor for CAD,which mainly results from the underlying inflammatory cascade;therefore,anti-inflammatory therapy,especially the emerging novel biologic drugs,is important for CAD management in patients with RA and may also be a promising approach among the general population.

关键词： Cardiovascular disease Coronary artery disease Rheumatoid arthritis

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Statins as candidate therapeutic agents for coronavirus disease 2019(COVID-19)

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Chinese Medical Journal 2021年第4期134卷 407-409页

作者： Sheng-De Li shu-yang zhang Bin Peng Department of Neurology Peking Union Medical College HospitalPeking Union Medical College and Chinese Academy of Medical SciencesBeijing 100730China Department of Cardiology Peking Union Medical College HospitalPeking Union Medical College and Chinese Academy of Medical SciencesBeijing 100730China

Statins are 3-hydroxy-3-methyl glutaryl(HMG)-coenzyme A(CoA)reductase inhibitors,acting on the rate-limiting enzyme for the conversion of HMG-CoA to L-mevalonate to reduce cholesterol biosynthesis.Apart from reducing cardiovascular events by lowering low-density lipoprotein cholesterol concentrations,pleiotropic cholesterol-independent functions of statins,including immunomodulatory and anti-inflammatory effects,are increasingly recognized.

关键词： cholesterol cardiovascular therapeutic

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Intestinal Microbiota Metabolism and Atherosclerosis

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Chinese Medical Journal 2015年第20期128卷 2805-2811页

作者： Tian-Xing Liu Hai-Tao Niu shu-yang zhang Department of Cardiology Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100730 China Institute of Laboratory Animal Sciences Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100021 China

Objective： This review aimed to summarize the relationship between intestinal microbiota metabolism and cardiovascular disease （CVD） and to propose a novel CVD therapeutic target. Data Sources： This study was based on data obtained from PubMed and EMBASE up to Jtme 30, 2015. Articles were selected using the following search terms：＂＇Intestinal microbiota＂, ＂trimethylamine N-oxide （TMAO）＂, ＂trimethylamine （TMA）＂, ＂cardiovascular＂, and ＂atherosclerosis＂. Study Selection： Studies were eligible if they present information on intestinal microbiota metabolism and atherosclerosis. Studies on TMA-containing nutrients were also included. Results： A new CVD risk factor, TMAO, was recently identified. It has been observed that several TMA-containing compounds may be catabolized by specific intestinal microbiota, resulting in TMA release. TMA is subsequently converted to TMAO in the liver. Several preliminary studies have linked TMAO to CVD, particularly atherosclerosis; however, the details of this relationship remain unclear. Conclusions： Intestinal microbiota metabolism is associated with atherosclerosis and may represent a promising therapeutic target with respect to CVD management.

关键词： Atherosclerosis Cardiovascular Intestinal Microbiota Metabolism Trimethylamine Trimethylamine N-oxide

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Hyperthyroidism-associated coronary spasm:A case of non-ST segment elevation myocardial infarction with thyrotoxicosis

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Journal of Geriatric Cardiology 2011年第4期8卷 258-259页

作者： Xiao-Hu Kuang shu-yang zhang Chinese Academy of Medical Sciences&Peking Union Medical College&Peking Union Medical College Hospital Beijing 100730China Department of Cardiology Peking Union Medical College HospitalShuai Fu Yuan 1Beijing 100730China

Hyperthyroidism is associated with many heart diseases.Thyrotoxic state has a relationship with coronary spasm.We present a case of a non-menopausal woman with hyperthyroidism who complained of chest pain.The diagnosis of coronary spasm was confirmed by coronary angiography(CAG).She is treated well with anti-thyrotoxicosis and anti-anginal medication.We recommend not use CAG as the first diagnostic choice among the patients with medication-uncontrolled hyperthyroidism and chest pain.

关键词： hyperthyroidism coronary spasm coronary angiography beta-blocker

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Relationship between Neutrophil-to-Lymphocyte Ratio and Pulse Wave Velocity in Young Patients with Systemic Lupus Erythematosus

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Chinese Medical Journal 2018年第1期131卷 10-15页

作者： Xu-Fei yang Fa-Ming Ding Yi-Cong Ye shu-yang zhang Department of Cardiology Peking Union Medical College Hospital Peking Union Medical College and Chinese Academy of Medical Sciences Beijing 100730 China

Background： The incidence of atherosclerosis-related myocardial infarction can be as much as 50-fold greater in young patients with systemic lupus e~,thematosus （SLE） than in age-matched controls. There are several explanations for this phenomenon, all of which result in a chronic state of low-grade inflammation. Recently, the neutrophil-to-lynlphocyte ratio （NLR） has been proposed as a useliil biomarker of inflammation. Pulse wave velocity （PWV） is a reliable indicator of vascular damage and atherosclerosis. There is a paucity of data concerning the relationship between NLR and atherosclerosis as measured by PWV in patients with SLE. This study aimed to verify whether there is a positive correlation between NLR and PWV and to explore factors that influence PWV in young SLE patients. Methods： A total of 90 female patients with SLE were enrolled in this cross-sectional investigation. Traditional and nontraditional cardiovascular risk factors were assessed on the same day that brachial-ankle PWV （baPWV） was examined. The patients were divided into three groups according to their mean baPWV values： patients whose mean baPWV value was lower than the first tertile were placed in Group 1 ： patients whose mean baPWV value was between the first tertile and the second tertile were placed in Group 2： and patients whose mean baPWV value was higher than the second tertile were placed in Group 3. SPSS 20.0 was used to perform all statistical analyses in this study. Both univariate linear regression and multivariate regression models were utilized to analyze the association between NLR and arterial stiffness. Results： Systolic blood pressure, diastolic blood presstire （DBP）. and triglycerides were all significantly different among Groups 1,2, and 3 （ 111.90 ± 12.85 mmHg vs. 114.60 ± 12.88 mmHg vs. 129.43 ±16.21 mmHg, P 〈 0.001 ： 68.77 ± 8.63 mmHg vs. 71.87 ± 9.77 mmHg vs. 82.57 ± 14.89 mmHg, P 〈 0.001 ; and 1.44 [0.91-2.47] mmol/L vs. 0.98 [0.78-1.26] mmol/L vs. 2.20 [0.94-3.66] mmol/L P = 0.030： respectively）, as were creatin

关键词： Arterial Stiffness： Neutrophil-to-Lymphocyte Ratio Pulse Wave Velocity Systemic Lupus Erythematosus

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Current understanding of gut microbiota alterations and related therapeutic intervention strategies in heart failure

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Chinese Medical Journal 2019年第15期132卷 1843-1855页

作者： Xi Chen Han-Yu Li Xiao-Min Hu Yan zhang shu-yang zhang Department of Cardiology Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100730 China Central Research Laboratory Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100730 China State Key Laboratory of Membrane Biology Institute of Molecular Medicine Peking University Beijing 100871 China

Objective:The purpose of this review is to stress the complicated interactions between the microbiota and the development of heart failure.Moreover,the feasibility of modulating intestinal microbes and metabolites as novel therapeutic strategies is discussed.Data sources:This study was based on data obtained from PubMed up to March 31,2019.Articles were selected using the following search terms:“gut microbiota,”“heart failure,”“trimethylamine N-oxide (TMAO),”“short-chain fatty acid (SCFA),”“bile acid,”“uremic toxin,treatment,diet,probiotic,prebiotic,antibiotic,” and “fecal microbiota transplantation.”Results:Accumulated evidence has revealed that the composition of the gut microbiota varies obviously in people with heart failure compared to those with healthy status.Altered gut microbial communities contribute to heart failure through bacterial translocation or affecting multiple metabolic pathways,including the trimethylamine/TMAO,SCFA,bile acid,and uremic toxin pathways.Meanwhile,modulation of the gut microbiota through diet,pre/probiotics,fecal transplantation,and microbial enzyme inhibitors has become a potential therapeutic approach for many metabolic disorders.Specifically,a few studies have focused on the cardioprotective effects of probiotics on heart failure.Conclusions:The composition of the gut microbiota in people with heart failure is different from those with healthy status.A reduction in SCFA-producing bacteria in patients with heart failure might be a notable characteristic for patients with heart failure.Moreover,an increase in the microbial potential to produce TMAO and lipopolysaccharides is prominent.More researches focused on the mechanisms of microbial metabolites and the clinical application of multiple therapeutic interventions is necessarily required.

关键词： Heart failure Gut microbiota Dysbiosis Treatment

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“In front of patients,I will always be a pupil.”Dr.Xiaoqian zhang:the founder of the modern Chinese gastroenterology

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Protein & Cell 2019年第1期10卷 1-4页

作者： Lu Wang Xudong Liu Wenli Duan shu-yang zhang Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China

Dr.Xiaoqian zhang(张教骞,Hsiao-Chien Chang)was an outstanding clinician,therapist and medical educator,a member of the Academic Divisions of the Chinese Academy of Sciences,he is considered to be the founder of the modern Chinese gastroenterology(PUMCH,1988).As a doctor,he made a systemic and deep research on human blood volume,gastric secretion function,peptic ulcer disease,gastric ulcer and gastric cancer,celiac tuberculosis,amoebic dysentery,ulcerative colitis and so on.He diagnosed and treated multiple intractable diseases.As an educator,he emphasized the training of clinical basic skills,urged students to grasp the utilization of science in study and work.He trained a large number of talents for Chinese medicine.

关键词： be multiple doctor basic grasp he

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Inflammatory biomarkers and cerebral small vessel disease:a community-based cohort study

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Stroke & Vascular Neurology 2022年第4期7卷 302-309,I0009-I0014页

作者： Ding-Ding zhang Yuan Cao Jing-Yu Mu Yi-Ming Liu Feng Gao Fei Han Fei-Fei Zhai Li-Xin Zhou Jun Ni Ming Yao Ming-Li Li Zheng-Yu Jin shu-yang zhang Li-Ying Cui Yong Shen Yi-Cheng Zhu Central Research Laboratory State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Department of Neurology State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Division of Life Sciences and Medicine Institute on Aging and Brain DisordersThe First Affiliated Hospital of USTCUniversity of Science and Technology of ChinaHefeiChina Department of Radiology State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Department of Cardiology State Key Laboratory of Complex Severe and Rare DiseasesPeking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina

Background and purpose Although inflammation has been proposed to be a candidate risk factor for cerebral small vessel disease(CSVD),previous findings remain largely inconclusive and vary according to disease status and study designs.The present study aimed to investigate possible associations between inflammatory biomarkers and MRI markers of CSVD.Methods A group of 15 serum inflammatory biomarkers representing a variety of those putatively involved in the inflammatory cascade was grouped and assessed in a cross-sectional study involving 960 stroke-free subjects.The biomarker panel was grouped as follows:systemic inflammation(high-sensitivity C reactive protein(hsCRP),interleukin 6 and tumour necrosis factorα),endothelial-related inflammation(E-selectin,P-selectin,intercellular adhesion molecule 1,vascular cell adhesion molecule 1(VCAM-1),CD40 ligand,lipoprotein-associated phospholipase A2,chitinase-3-like 1 protein and total homocysteine(tHCY))and media-related inflammation(matrix metalloproteinases 2,3 and 9,and osteopontin).The association(s)between different inflammatory groups and white matter hyperintensity(WMH),lacunes,cerebral microbleeds(CMBs),enlarged perivascular space(PVS)and the number of deep medullary veins(DMVs)were investigated.Results High levels of serum endothelial-related inflammatory biomarkers were associated with both increased WMH volume(R^(2)=0.435,p=0.015)and the presence of lacunes(R^(2)=0.254,p=0.027).Backward stepwise elimination of individual inflammatory biomarkers for endothelial-related biomarkers revealed that VCAM-1 was significant for WMH(β=0.063,p=0.005)and tHCY was significant for lacunes(β=0.069,p<0.001).There was no association between any group of inflammatory biomarkers and CMBs or PVS.Systemic inflammatory biomarkers were associated with fewer DMVs(R^(2)=0.032,p=0.006),and backward stepwise elimination of individual systemic-related inflammatory biomarkers revealed that hsCRP(β=−0.162,p=0.007)was significant.Conclusion WMH and lacunes were associated with endothelial-r

关键词： inflammation cerebral stepwise

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