Browsing by Author "Li, Fan"

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    Insulin mitigates acute ischemia–induced atrial fibrillation and sinoatrial node dysfunction ex vivo
    (American Society for Clinical Investigation, 2024-11-14) Qiu, Huiliang; Li, Fan; Prachyl, Hannah; Patino-Guerrero, Alejandra; Rubart, Michael; Zhu, Wuqiang; Pediatrics, School of Medicine
    Acute atrial ischemia is a well-known cause of postoperative atrial fibrillation (POAF). However, mechanisms through which ischemia contributes to the development of POAF are not well understood. In this study, ex vivo Langendorff perfusion was used to induce acute ischemia/reperfusion in the heart to mimic POAF. Inducibility of atrial fibrillation (AF) was evaluated using programmed electrical stimulation and verified with open-atrium optical mapping. Compared with the control group without ischemia, 25 minutes of ischemia substantially increased the incidence of AF. The right atrium was more susceptible to AF than the left atrium. Administering insulin for 30 minutes before ischemia and during reperfusion with 25 minutes of ischemia greatly reduced the vulnerability to AF. However, insulin treatment during reperfusion only did not show substantial benefits against AF. Optical mapping studies showed that insulin mitigated ischemia-induced abnormal electrophysiology, including shortened action potential duration and effective refractory period, slowed conduction velocity, increased conduction heterogeneity, and altered calcium transients. In conclusion, insulin reduced the risk of acute ischemia/reperfusion-induced AF via improving the electrophysiology and calcium handling of atrial cardiomyocytes, which provides a potential therapy for POAF.
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    Multi-omic profiling of clear cell renal cell carcinoma identifies metabolic reprogramming associated with disease progression
    (Springer Nature, 2024) Hu, Junyi; Wang, Shao-Gang; Hou, Yaxin; Chen, Zhaohui; Liu, Lilong; Li, Ruizhi; Li, Nisha; Zhou, Lijie; Yang, Yu; Wang, Liping; Wang, Liang; Yang, Xiong; Lei, Yichen; Deng, Changqi; Li, Yang; Deng, Zhiyao; Ding, Yuhong; Kuang, Yingchun; Yao, Zhipeng; Xun, Yang; Li, Fan; Li, Heng; Hu, Jia; Liu, Zheng; Wang, Tao; Hao, Yi; Jiao, Xuanmao; Guan, Wei; Tao, Zhen; Ren, Shancheng; Chen, Ke; Pathology and Laboratory Medicine, School of Medicine
    Clear cell renal cell carcinoma (ccRCC) is a complex disease with remarkable immune and metabolic heterogeneity. Here we perform genomic, transcriptomic, proteomic, metabolomic and spatial transcriptomic and metabolomic analyses on 100 patients with ccRCC from the Tongji Hospital RCC (TJ-RCC) cohort. Our analysis identifies four ccRCC subtypes including De-clear cell differentiated (DCCD)-ccRCC, a subtype with distinctive metabolic features. DCCD cancer cells are characterized by fewer lipid droplets, reduced metabolic activity, enhanced nutrient uptake capability and a high proliferation rate, leading to poor prognosis. Using single-cell and spatial trajectory analysis, we demonstrate that DCCD is a common mode of ccRCC progression. Even among stage I patients, DCCD is associated with worse outcomes and higher recurrence rate, suggesting that it cannot be cured by nephrectomy alone. Our study also suggests a treatment strategy based on subtype-specific immune cell infiltration that could guide the clinical management of ccRCC.