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Tislelizumab: Structural Innovations and Expanding Clinical Horizons in Next-Generation PD-1 Immunotherapy Tislelizumab:下一代PD-1免疫治疗的结构创新和扩展临床视野
Q1 Medicine Pub Date : 2025-08-13 DOI: 10.1002/cdt3.70017
Thy T. Nguyen, Bohan Zhang, Luke Zhong, Xiuyi Liang, Letao Bo

Tislelizumab is a next-generation PD-1 monoclonal antibody developed to overcome the limitations of earlier immune checkpoint inhibitors. By eliminating Fcγ receptor binding, it avoids macrophage-mediated T-cell clearance and enhances the antitumor immune response. Unlike conventional PD-1 inhibitors, tislelizumab binds to PD-1 in a way that more closely mimics the natural PD-L1 interaction, potentially improving efficacy and reducing immune-related toxicity. This review highlights its structural advantages, clinical efficacy across multiple cancers, and recent global regulatory approvals. We also discuss key pharmacokinetic features and current challenges, including the need for predictive biomarkers, immune-related adverse events, and combination therapy strategies. Together, these insights may guide the more effective and safer use of tislelizumab in cancer immunotherapy.

Tislelizumab是新一代PD-1单克隆抗体,旨在克服早期免疫检查点抑制剂的局限性。通过消除Fcγ受体结合,它避免巨噬细胞介导的t细胞清除,增强抗肿瘤免疫反应。与传统的PD-1抑制剂不同,tislelizumab以更接近天然PD-L1相互作用的方式与PD-1结合,可能提高疗效并降低免疫相关毒性。这篇综述强调了其结构优势,对多种癌症的临床疗效,以及最近全球监管机构的批准。我们还讨论了关键的药代动力学特征和当前的挑战,包括对预测性生物标志物、免疫相关不良事件和联合治疗策略的需求。总之,这些见解可以指导在癌症免疫治疗中更有效和更安全地使用tislelizumab。
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引用次数: 0
Managing Diabetes One Step at a Time in Low- and Middle-Income Countries: The Promise of Wearable Devices 在低收入和中等收入国家一步一步地管理糖尿病:可穿戴设备的前景
Q1 Medicine Pub Date : 2025-08-12 DOI: 10.1002/cdt3.70018
Safayet Jamil, Masoud Mohammadnezhad, Abdulrakib Abdulrahim, Faisal Muhammad, Hafiz T. A. Khan

The global burden of diabetes mellitus disproportionately affects low- and middle-income countries (LMICs), where limited healthcare infrastructure hampers timely and effective disease management. Wearable technologies, such as continuous glucose monitors (CGMs), insulin pumps, and fitness trackers, offer a transformative opportunity to bridge care gaps by enabling real-time monitoring, personalized feedback, and improved glycemic control. Evidence shows how wearables enhance patient engagement, support clinical decision-making, and reduce complications. However, significant barriers such as cost, digital illiteracy, poor system integration, and data privacy concerns impede widespread adoption in LMICs. Case studies from Ghana, China, and Ethiopia illustrate these devices' potential and challenges in resource-limited settings. Policy interventions, such as public-private partnerships, subsidies, simplified interfaces, and digital literacy programs, are essential to overcome these obstacles. Furthermore, integrating wearable data into national health systems and leveraging artificial intelligence can improve individualized care and long-term outcomes. As mobile phone use increases in LMICs, coupling wearables with mHealth platforms could further empower self-management. With targeted investments and regulatory support, wearable technologies can be pivotal in advancing equitable, proactive, and data-driven diabetes care across underserved populations.

糖尿病的全球负担对低收入和中等收入国家的影响尤为严重,在这些国家,有限的卫生保健基础设施妨碍了及时和有效的疾病管理。可穿戴技术,如连续血糖监测仪(cgm)、胰岛素泵和健身追踪器,通过实现实时监测、个性化反馈和改善血糖控制,为弥合护理差距提供了一个变革性的机会。有证据表明,可穿戴设备如何提高患者参与度,支持临床决策,并减少并发症。然而,成本、数字文盲、较差的系统集成和数据隐私问题等重大障碍阻碍了在中低收入国家的广泛采用。来自加纳、中国和埃塞俄比亚的案例研究说明了这些设备在资源有限的环境下的潜力和挑战。政策干预措施,如公私伙伴关系、补贴、简化界面和数字扫盲计划,对于克服这些障碍至关重要。此外,将可穿戴数据整合到国家卫生系统并利用人工智能可以改善个性化护理和长期结果。随着中低收入国家手机使用量的增加,将可穿戴设备与移动健康平台相结合可以进一步增强自我管理能力。在有针对性的投资和监管支持下,可穿戴技术可以在服务不足人群中促进公平、主动和数据驱动的糖尿病护理方面发挥关键作用。
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引用次数: 0
Relationship Between Chronic Body Pain and Depression Among Middle-Aged and Elderly People in China: A Longitudinal Population-Based Study From CHARLS 中国中老年人慢性身体疼痛与抑郁的关系:CHARLS的一项纵向人群研究
Q1 Medicine Pub Date : 2025-07-30 DOI: 10.1002/cdt3.70016
Jiaying Wang, Kai Wang, Qingxia Gao, Wenchang Xu, Gongchang Yu, Bin Shi

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引用次数: 0
HDL-C/LDL-C Ratio and All-Cause Mortality in Populations at High CVD Risk: A Prospective Observational Cohort Study 心血管疾病高危人群的HDL-C/LDL-C比值和全因死亡率:一项前瞻性观察队列研究
Q1 Medicine Pub Date : 2025-07-21 DOI: 10.1002/cdt3.70013
Biting Lin, Yunzhi Ling, Gengyu Zhou, Ziqing Ruan, Fan Chen, Simiao Chen, Tingting Weng, Yuanfan Zhu, Jingyi Lin, Ling Yu, Kaiyang Lin

Background

The ratio of high-density lipoprotein cholesterol (HDL-C) to low-density lipoprotein cholesterol (LDL-C) predicts cardiovascular disease (CVD) endpoints, yet its prognostic validity in high-risk populations and for type 2 diabetes mellitus (T2DM)-related adverse events remains unestablished.

Methods

This study included 32,609 people aged 35–75 years in Fujian Province, China, who were at high risk for CVD. The primary endpoint was all-cause mortality during follow-up. Cox proportional hazard models and restricted cubic spline (RCS) analysis were used to evaluate the correlation between the HDL-C/LDL-C ratio and the endpoints.

Result

On the basis of the restricted RCS curve, the participants were classified as having a low (< 0.3), middle (0.3–0.5), or high (> 0.5) HDL-C/LDL-C ratio. Multivariate Cox regression analyses revealed that the risk of all-cause mortality (HR = 1.48, 95% CI 1.14–1.93, p < 0.01 for low; HR = 1.30, 95% CI 1.06–1.58, p < 0.05 for high) was increased in the low and high groups. Participants without T2DM who were at high risk for CVD had similar prognoses (HR = 1.65, 95% CI 1.19–2.28, p < 0.01 for low; HR = 1.35, 95% CI 1.05–1.74, p < 0.01 for high). However, this association was not found in participants with T2DM who were at high risk for CVD.

Conclusion

HDL-C/LDL-C can be used to predict the prognosis of individuals at high risk for CVD, and maintaining HDL-C/LDL-C ratios between 0.3 and 0.5 may be the most helpful range for this population. Furthermore, maintaining this ratio range holds clinical significance for cohorts without T2DM, although further exploration is needed in this T2DM cohort.

背景:高密度脂蛋白胆固醇(HDL-C)与低密度脂蛋白胆固醇(LDL-C)的比值预测心血管疾病(CVD)终点,但其在高危人群和2型糖尿病(T2DM)相关不良事件中的预后有效性仍未确定。方法本研究纳入32609名年龄在35-75岁的中国福建省心血管疾病高危人群。主要终点是随访期间的全因死亡率。采用Cox比例风险模型和限制性三次样条(RCS)分析评价HDL-C/LDL-C比值与终点之间的相关性。结果根据限定RCS曲线,将参与者分为低(< 0.3)、中(0.3 - 0.5)和高(> 0.5) HDL-C/LDL-C比值。多因素Cox回归分析显示,低剂量组和高剂量组的全因死亡风险(HR = 1.48, 95% CI 1.14-1.93, p < 0.01)均增加(HR = 1.30, 95% CI 1.06-1.58, p < 0.05)。无T2DM的CVD高危患者预后相似(HR = 1.65, 95% CI 1.19-2.28,低为0.01;HR = 1.35, 95% CI 1.05-1.74,高为p <; 0.01)。然而,在心血管疾病高风险的2型糖尿病患者中没有发现这种关联。结论HDL-C/LDL-C可用于预测心血管疾病高危人群的预后,维持HDL-C/LDL-C比值在0.3 ~ 0.5之间可能是对该人群最有帮助的范围。此外,维持这一比例范围对于非T2DM队列具有临床意义,尽管在T2DM队列中需要进一步探索。
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引用次数: 0
Longitudinal Cohort Study of Metabolomic Markers Associated With Type 2 Diabetes Risk in Korean Adults 与韩国成人2型糖尿病风险相关的代谢组学标志物的纵向队列研究
Q1 Medicine Pub Date : 2025-07-16 DOI: 10.1002/cdt3.70014
Md. Kamruzzaman, Catherine Apio, Md. Mozaffar Hosain, Min Kyong Moon, Geum-Sook Hwang, Eunyong Ahn, Taesung Park

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引用次数: 0
The Role of Vitamin D in Diabetes Ketosis and Ketoacidosis 维生素D在糖尿病酮症和酮症酸中毒中的作用
Q1 Medicine Pub Date : 2025-07-02 DOI: 10.1002/cdt3.70015
Cui Zhang, Jia Liu, Sumita Cholekho, Qin Pei, Huiwen Tan
<p>Diabetes mellitus (DM) is a common endocrine and metabolic disorder, and diabetes ketosis (DK) is a significant acute complication. Individuals with type 1 DM (T1DM) are inherently at risk for diabetic ketoacidosis (DKA). Individuals with T2DM may develop DK under certain conditions, including infection, interruption of insulin therapy, stress, or excessive alcohol consumption. Recent studies have indicated that vitamin D supplementation reduces the risk of progression from prediabetes to T2DM and that it may also be involved in the prevention of diabetes complications. Yet most previous research has been observational correlations rather than interventional trials.</p><p>The relationship between metabolic, cardiovascular, and autoimmune diseases and 25[OH]D levels has been explored in several studies. A retrospective study conducted in Morocco examined 200 pediatric patients (aged 1–18 years) with T1DM during 2019 and 2023. The results suggested a possible link between vitamin D and the risk of developing DKA. Specifically, patients with DKA had lower levels of 25[OH]D compared to those without DKA at the onset of T1DM. Furthermore, more severe acidosis was associated with lower concentrations of 25[OH]D [<span>1</span>]. Vitamin D levels also appear to be associated with ketosis episodes in individuals with ketosis-prone type 2 diabetes (KPT2D). In these patients, serum 25[OH]D has been found to be an independent factor that helps prevent bouts of ketosis episodes [<span>2</span>]. These findings suggest that vitamin D deficiency may predispose patients to a greater risk of metabolic decompensation in both T1DM and T2DM settings.</p><p>Vitamin D supplementation combined with lifestyle changes has been recommended to those with a high risk of DM as a means of diabetes risk reduction and improvement of impaired glucose regulation (IGR). However, its effects seem to be more marked in nonobese individuals, and evidence that this also applies to obese populations remains limited [<span>3, 4</span>]. Notably, pediatric studies demonstrate compelling associations between vitamin D status and diabetes management. A 3-month intervention with vitamin D in pediatrics diagnosed with T1DM and vitamin D deficiency reduced HbA1c levels, underscoring its potential role in glycemic optimization [<span>5</span>]. Another prospective study, which included 90 patients with uncontrollable T1DM and vitamin D deficiency at the Specialized Center for Endocrinology and Diabetes in Baghdad, Iraq, showed a high frequency of vitamin D deficiency, closely related to poor glycemic control [<span>6</span>]. Studies in children have shown that pediatrics with DKA tend to have lower median 25[OH]D levels than those without DKA. This supports the recommendation to include vitamin D supplements in managing T1DM and acute diabetes crises [<span>7</span>]. Preclinical validation emerges from diabetic Wistar rat models, where vitamin D supplementation attenuated fasting hypergly
糖尿病(DM)是一种常见的内分泌代谢疾病,而糖尿病酮症(DK)是其重要的急性并发症。1型糖尿病(T1DM)患者天生就有糖尿病酮症酸中毒(DKA)的风险。T2DM患者可能在某些情况下发生DK,包括感染、胰岛素治疗中断、压力或过度饮酒。最近的研究表明,补充维生素D可以降低从糖尿病前期发展为2型糖尿病的风险,并可能参与预防糖尿病并发症。然而,大多数先前的研究都是观察性的相关性,而不是干预性的试验。一些研究已经探讨了代谢、心血管和自身免疫性疾病与25[OH]D水平之间的关系。在摩洛哥进行的一项回顾性研究对2019年至2023年期间患有T1DM的200名儿科患者(1-18岁)进行了检查。研究结果表明,维生素D与患DKA的风险之间可能存在联系。具体来说,在T1DM发病时,DKA患者的25[OH]D水平低于无DKA患者。此外,更严重的酸中毒与较低浓度的25[OH]D[1]有关。维生素D水平似乎也与酮症易发2型糖尿病(KPT2D)患者的酮症发作有关。在这些患者中,血清25[OH]D已被发现是一个独立的因素,有助于预防酮症发作bb0。这些发现表明,维生素D缺乏可能使T1DM和T2DM患者更容易发生代谢失代偿。维生素D补充与生活方式的改变已被推荐给糖尿病高风险人群,作为降低糖尿病风险和改善血糖调节受损(IGR)的一种手段。然而,它的效果似乎在非肥胖个体中更为明显,而证明这也适用于肥胖人群的证据仍然有限[3,4]。值得注意的是,儿科研究表明维生素D水平与糖尿病管理之间存在令人信服的关联。对诊断为T1DM和维生素D缺乏症的儿科患者进行为期3个月的维生素D干预,可降低HbA1c水平,强调其在血糖优化中的潜在作用。另一项前瞻性研究,包括伊拉克巴格达内分泌与糖尿病专业中心的90名患有无法控制的T1DM和维生素D缺乏症的患者,显示维生素D缺乏症的频率很高,与血糖控制不良密切相关。对儿童的研究表明,与没有DKA的儿童相比,服用DKA的儿童的25[OH]D水平中位数更低。这支持了将维生素D补充剂纳入T1DM和急性糖尿病危机管理的建议[10]。临床前验证来自糖尿病Wistar大鼠模型,其中维生素D补充剂减轻了空腹高血糖并抑制了生酮标志物,表明代谢失代偿[8]的治疗调节。从机制上讲,维生素D缺乏通过多因素途径加剧了DKA的发病机制和严重程度。一种可能的解释是,酸中毒可能导致1- α -羟化酶丧失活性,并通过肾脏增加维生素d结合蛋白的损失。此外,维生素D受体(vdr)在胰腺β细胞上的存在突出了维生素D在调节胰岛素产生和分泌[9]中的重要作用。临床上,维生素D缺乏会导致糖尿病,并使糖尿病患者胰岛素分泌和释放问题恶化。严重的DKA发作会短暂地降低血清25[OH]D水平。如果DKA恢复后维生素D水平仍然很低,这可能表明维生素D持续缺乏。总之,维生素D补充剂在减缓糖尿病进展和减少DK和DKA发病率方面具有多效性,特别是在儿科和非肥胖人群中。需要进一步的研究和临床试验来阐明潜在的机制和改进治疗方法。我们建议考虑补充维生素D作为管理DK和DKA的支持疗法。还需要进一步的研究来证实这种关系,并确定预防糖尿病代谢并发症的理想维生素D剂量。崔章:构思、写作—初稿、形式分析、写作—审校。刘佳:写作-审编(平等)。Sumita Cholekho:写作-评论和编辑(平等)。秦沛:写作-审编(平等)。谭惠文:写作-审编(平等),监督。作者没有什么可报告的。作者声明无利益冲突。使用LLM对文章进行校对。
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引用次数: 0
Guide for Authors 作者指南
Q1 Medicine Pub Date : 2025-06-06 DOI: 10.1002/cdt3.70012
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引用次数: 0
Correction to “Association of Cannabis With Chronic Obstructive Pulmonary Disease and COVID-19 Infection” 更正“大麻与慢性阻塞性肺病和COVID-19感染的关系”
Q1 Medicine Pub Date : 2025-05-15 DOI: 10.1002/cdt3.70010

S. Lehrer and P. H. Rheinstein, “Association of Cannabis With Chronic Obstructive Pulmonary Disease and COVID-19 Infection,” Chronic Diseases and Translational Medicine 8 (2022): 238–241, https://doi.org/10.1002/cdt3.38.

The original article included a Conflict of Interest statement which stated: “The authors declare no conflicts of interest.” The journal and the publisher have determined that a conflict of interest on behalf of each author was not declared at publication. The journal and the publisher have had sufficient communication with the authors via email after raising questions about the Conflict of Interest in the article. The authors declared that there was no undeclared Conflict of Interest and further stated that their individual affiliations with commercial entities did not influence the research findings. Following further correspondence between the publisher and the authors, all parties have agreed to include the following Conflicts of Interest statement with the published article.

Conflicts of Interest

Steven Lehrer serves in a scientific advisory capacity with Fermata Pharma, Inc. Peter H. Rheinstein is President of Severn Health Solutions. The scientific content was developed without influence from Fermata Pharma Inc. or Severn Health Solutions.

S. Lehrer和P. H. Rheinstein,“大麻与慢性阻塞性肺病和COVID-19感染的关联”,慢性疾病和转化医学8 (2022):238-241,https://doi.org/10.1002/cdt3.38.The原文包括利益冲突声明:“作者声明不存在利益冲突。”期刊和出版商已经确定,在发表时没有声明代表每位作者的利益冲突。在对文章中的利益冲突提出质疑后,期刊和出版商已经通过电子邮件与作者进行了充分的沟通。作者声明不存在未申报的利益冲突,并进一步表示他们与商业实体的个人关系不会影响研究结果。根据出版商和作者之间的进一步通信,所有各方都同意在发表的文章中包含以下利益冲突声明。steven Lehrer在Fermata Pharma, Inc.担任科学顾问。Peter H. Rheinstein是Severn Health Solutions的总裁。科学内容的开发不受Fermata Pharma Inc.或Severn Health Solutions的影响。
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引用次数: 0
Correction to “Shingles Vaccination Reduces the Risk of Parkinson's Disease” 更正“接种带状疱疹疫苗可减低帕金森氏症的风险”
Q1 Medicine Pub Date : 2025-05-14 DOI: 10.1002/cdt3.70009

S. Lehrer and P. H. Rheinstein, “Shingles Vaccination Reduces the Risk of Parkinson's Disease,” Chronic Diseases and Translational Medicine 9 (2023): 54−57, https://doi.org/10.1002/cdt3.50.

The original article included a Conflict of Interest statement which stated: “The authors declare no conflicts of interest.” The journal and the publisher have determined that a conflict of interest on behalf of each author was not declared at publication. The journal and the publisher have had sufficient communication with the authors via email after raising questions about the Conflict of Interest in the article. The authors declared that there was no undeclared Conflict of Interest and further stated that their individual affiliations with commercial entities did not influence the research findings. Following further correspondence between the publisher and the authors, all parties have agreed to include the following Conflicts of Interest statement with the published article.

Conflicts of Interest

Steven Lehrer serves in a scientific advisory capacity with Fermata Pharma, Inc. Peter H. Rheinstein is President of Severn Health Solutions. The scientific content was developed without influence from Fermata Pharma Inc. or Severn Health Solutions.

S. Lehrer和P. H. Rheinstein,“带状疱疹疫苗接种降低帕金森病的风险”,《慢性疾病与转化医学》9(2023):54−57,https://doi.org/10.1002/cdt3.50.The原文包括利益冲突声明:“作者声明不存在利益冲突。”期刊和出版商已经确定,在发表时没有声明代表每位作者的利益冲突。在对文章中的利益冲突提出质疑后,期刊和出版商已经通过电子邮件与作者进行了充分的沟通。作者声明不存在未申报的利益冲突,并进一步表示他们与商业实体的个人关系不会影响研究结果。根据出版商和作者之间的进一步通信,所有各方都同意在发表的文章中包含以下利益冲突声明。steven Lehrer在Fermata Pharma, Inc.担任科学顾问。Peter H. Rheinstein是Severn Health Solutions的总裁。科学内容的开发不受Fermata Pharma Inc.或Severn Health Solutions的影响。
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引用次数: 0
Epigenetic Changes Related to Hypertension in Asian Adults: A Systematic Review 亚洲成年人高血压相关的表观遗传改变:系统综述
Q1 Medicine Pub Date : 2025-05-13 DOI: 10.1002/cdt3.70008
Lilik Sukesi, Yunia Sribudiani, Steven Yulius Usman, Eric Ricardo Yonatan, Ahmedz Widiasta, Noormarina Indraswari, Ria Bandiara, Nanny N. M. Soetedjo

Background

Elevated high blood pressure is controlled by complicated, little-understood genetic and epigenetic pathways that are influenced by both heritable and environmental variables. Many adult systolic and diastolic blood pressure-related genomic loci have been identified through previous genome-wide association studies (GWAS); meanwhile, studies specifically on Asian adult populations have not been done. This study aims to comprehensively assess and summarize any gene changes that have been studied and see whether there is a possible influence between epigenetic changes and hypertension in Asian adults.

Methods

This evidence-based analysis is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement and has been registered in PROSPERO under registration number [CRD42024622261]. The data were processed qualitatively to assess the risk of bias using the Newcastle–Ottawa Scale (NOS) and Agency for Health Research and Quality (AHRQ) standards as the threshold. Our study in particular shows that epigenetic modifications may play a role in hypertension, particularly in Asian individuals.

Results

A total of 28 studies were selected for qualitative evaluation. In the adult Asian population, 26 publications (92.8%) reported a relationship between blood pressure and epigenetics. Every study describes a distinct gene or location associated with hypo- or hypermethylation. Elevated systolic and diastolic blood pressure was linked to variations of several single-nucleotide polymorphisms (SNPs), cytosine phosphate guanines (CPGs), and other monogenic genes.

Conclusion

Alterations in epigenetic modifications in potential genes or loci are linked to systolic and diastolic blood pressure of Asian adult populations.

PROSPERO Protocol Registration: CRD42024622261.

背景:高血压是由复杂的、鲜为人知的遗传和表观遗传途径控制的,这些途径受遗传和环境变量的影响。许多成人收缩压和舒张压相关的基因组位点已经通过先前的全基因组关联研究(GWAS)确定;同时,还没有专门针对亚洲成年人的研究。本研究旨在对已研究的基因变化进行综合评估和总结,探讨表观遗传变化与亚洲成人高血压之间是否存在可能的影响。该循证分析基于系统评价和荟萃分析首选报告项目(PRISMA) 2020声明,并已在PROSPERO注册,注册号为[CRD42024622261]。对数据进行定性处理,以纽卡斯尔-渥太华量表(NOS)和健康研究与质量机构(AHRQ)标准为阈值评估偏倚风险。我们的研究特别表明,表观遗传修饰可能在高血压中起作用,特别是在亚洲个体中。结果共选取28项研究进行定性评价。在成年亚洲人群中,26篇出版物(92.8%)报道了血压与表观遗传学之间的关系。每项研究都描述了与低甲基化或高甲基化相关的不同基因或位置。收缩压和舒张压升高与几种单核苷酸多态性(snp)、磷酸胞嘧啶鸟嘌呤(CPGs)和其他单基因基因的变异有关。结论亚洲成年人的收缩压和舒张压与潜在基因或基因座的表观遗传修饰改变有关。普洛斯佩罗协议注册号:CRD42024622261。
{"title":"Epigenetic Changes Related to Hypertension in Asian Adults: A Systematic Review","authors":"Lilik Sukesi,&nbsp;Yunia Sribudiani,&nbsp;Steven Yulius Usman,&nbsp;Eric Ricardo Yonatan,&nbsp;Ahmedz Widiasta,&nbsp;Noormarina Indraswari,&nbsp;Ria Bandiara,&nbsp;Nanny N. M. Soetedjo","doi":"10.1002/cdt3.70008","DOIUrl":"https://doi.org/10.1002/cdt3.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Elevated high blood pressure is controlled by complicated, little-understood genetic and epigenetic pathways that are influenced by both heritable and environmental variables. Many adult systolic and diastolic blood pressure-related genomic loci have been identified through previous genome-wide association studies (GWAS); meanwhile, studies specifically on Asian adult populations have not been done. This study aims to comprehensively assess and summarize any gene changes that have been studied and see whether there is a possible influence between epigenetic changes and hypertension in Asian adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This evidence-based analysis is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement and has been registered in PROSPERO under registration number [CRD42024622261]. The data were processed qualitatively to assess the risk of bias using the Newcastle–Ottawa Scale (NOS) and Agency for Health Research and Quality (AHRQ) standards as the threshold. Our study in particular shows that epigenetic modifications may play a role in hypertension, particularly in Asian individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 28 studies were selected for qualitative evaluation. In the adult Asian population, 26 publications (92.8%) reported a relationship between blood pressure and epigenetics. Every study describes a distinct gene or location associated with hypo- or hypermethylation. Elevated systolic and diastolic blood pressure was linked to variations of several single-nucleotide polymorphisms (SNPs), cytosine phosphate guanines (CPGs), and other monogenic genes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Alterations in epigenetic modifications in potential genes or loci are linked to systolic and diastolic blood pressure of Asian adult populations.</p>\u0000 \u0000 <p><b>PROSPERO Protocol Registration:</b> CRD42024622261.</p>\u0000 </section>\u0000 </div>","PeriodicalId":32096,"journal":{"name":"Chronic Diseases and Translational Medicine","volume":"11 3","pages":"197-204"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cdt3.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Chronic Diseases and Translational Medicine
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