Lina Lu's research while affiliated with Shanghai Jiao Tong University and other places
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Publications (24)
Background
In a cohort of hospitalized children with congenital heart disease (CHD), a new digital pediatric malnutrition screening tool as a mobile application was validated, and its effectiveness and clinical value were determined as a prospective study.
Methods and results
Children with CHD (n = 1125) were screened for malnutrition risk. The in...
Background:
Pediatric intestinal pseudo-obstruction (PIPO) is a heterogeneous and severe group of disorders with a high mortality rate. Patients with PIPO often develop malnutrition and need long-term nutrition support. This study aimed to determine the nutrition status, particularly micronutrients, during the long-term follow-up of patients with...
Background
Type I short bowel syndrome (SBS) occurs after a critical reduction in the functional gut mass and resection of intestinal continuity after ileostomy or jejunostomy for necrotizing enterocolitis (NEC), intestinal atresia or other causes. SBS is often accompanied with intestinal failure-associated liver disease (IFALD) who requires long-t...
The leiomodin1 (LMOD1) gene, encoding a potent actin nucleator, was recently reported as a potential pathogenic gene of megacystis‐microcolon‐intestinal hypoperistalsis syndrome (MMIHS, OMIM 619362). However, only a single patient has been reported to have LMOD1 mutations, and the underlying pathogenic mechanism remains unknown. Here, we described...
Background and objectives:
Our objective is to study the efficacy and safety of parenteral nutrition (PN) with iron sucrose to prevent anemia in preterm infants.
Methods and study design:
We performed a randomized, double-blind controlled trial in which preterm infants were divided into five groups randomly: a control group (PN without iron sucr...
Background and objectives:
Primary Intestinal Lymphangiectasia (PIL) is a rare congenital and digestive disease, which could present through a broad spectrum of clinical manifestations, diagnostic and treatment management. The aim of this study was to introduce the diagnosis and nutrition treatment of children with PIL through the twelve years of...
Background: Primary Intestinal Lymphangiectasia (PIL) is a rare congenital and digestive disease, which could present through a broad spectrum of clinical manifestations, diagnostic and treatment management. The aim of this study was to introduce the diagnosis and nutrition treatment of children with IL through the twelve years of experience.
Metho...
PurposeThe goal of this study was to analyze long-term outcome of various pediatric short bowel syndrome (SBS) at an intestinal rehabilitation center in China.Methods
One hundred and fifty-seven children with SBS were enrolled in this study from October 1988 to July 2019. Their long-term follow-up outcome was analyzed according to the age of diseas...
Purpose
Vitamins and trace elements are essential nutrients for growth and intestinal adaptation in children with short bowel syndrome (SBS). This study aimed to assess micronutrients’ status during and after weaning off PN in pediatric SBS.
Methods
This retrospective study evaluated the follow-up of 31 children with SBS between Jan 2010 and Sep 2...
Objectives:
Pediatric intestinal pseudo-obstruction (PIPO) is a severe gastrointestinal disorder occurring in children, leading to failure to thrive, malnutrition, and long-term parenteral nutrition dependence. Enteric smooth muscle actin γ-2 (ACTG2) variants have been reported to be related to the pathogenesis of PIPO. This study aimed to determi...
Background
Congenital short bowel syndrome (CSBS) is a rare disorder characterized by retardation of intestinal development. However, it is still not well recognized at present. In this study, the etiological, clinical, and genetic characteristics of CSBS in China were analyzed.
Methods
Nine infants with CSBS were recruited. Full‐thickness biopsy...
Background
Parenteral nutrition-associated liver disease (PNALD) is a major complication of long-term of parenteral nutrition (PN). The pathogenesis of PNALD remains unclear. We investigated the changes in taxonomic and functional composition of gut microbiota and serum bile acid levels in a rat model of PNALD.
Methods
Male 4-week-old Sprague Dawl...
Aim:
We aimed to explore risk factors associated with parenteral nutrition-associated cholestasis (PNAC) in very-low-birthweight (VLBW) infants.
Methods:
VLBW infants receiving parenteral nutrition (PN) for at least 14 days were enrolled in a retrospective dual-centre study and divided into two groups chronologically: group A (2000-2007) and gro...
Background:
The early-life gut microbiota, which is critically important for the long-term health of infants, is normally sensitive to perturbations, especially in preterm infants. However, how the gut microbiota develops and what key factors affect the preterm gut microbiota remain largely unknown. We hypothesized that preterm microbial dysbiosis...
Background and aim
Studies about differences in microbial communities between the small intestine and colon in infants with short bowel syndrome (SBS) are rare. We aimed to characterize the bacterial diversity of small bowel stoma effluents and feces of SBS infants.
Methods
Seven SBS infants were enrolled in this study and provided two samples (on...
Objective
To assess the incidence of extrauterine growth restriction (EUGR) in very low‐birth‐weight infants (VLBWIs) and evaluate the nutrition factors in VLBWIs associated with inadequate nutrient intakes during hospitalization.
Methods
A total of 128 VLBWIs were divided into an EUGR group (n = 87) and a non‐EUGR group (n = 41). Growth and paren...
Background/objectives:
The aim of this study was to assess the effects of a fish oil-based lipid emulsion on intestinal failure-associated liver disease (IFALD) in children.
Subjects/methods:
From January 2014 through June 2017, we enrolled 32 children with IF on long-term parenteral nutrition (PN). When the levels of any three of seven liver in...
The aim of the study was to evaluate the prognosis and survival of pediatric subjects with chronic intestinal pseudo-obstruction (CIPO) and investigate the independent risk factors affecting their prognosis.
This was a retrospective case series of all pediatric subjects suffering from CIPO and treated at the Pediatric Surgical ward of Xinhua Hospit...
Background and objectives:
For delivery of parenteral nutrition (PN), long-term central access is often required in infants with intestinal failure (IF). Compared to central venous catheters (CVCs), peripherally inserted central catheters (PICCs) are less invasive, as they are smaller, and they can even be placed without general anesthesia. In thi...
Background:
The gut microbiota plays a vital role in modulating the metabolic and immune functions of the intestines. We aimed to analyze the dysbiosis of microbiota in infants with short bowel syndrome (SBS) with different complications.
Procedure:
We included 26 fecal samples from 18 infants with SBS during parenteral nutrition. The samples we...
Background:
The pathogenesis of parenteral nutrition-associated cholestasis (PNAC) has not been clarified. The objective of this study was to explore the incidence of PNAC in premature infants without surgery and to identify associated risk factors.
Materials and methods:
Premature neonates who received parenteral nutrition (PN) at least 14 days...
The aim of this study was to identify the underlying molecular mechanism for the development of megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) in four Chinese patients. We found a c.770G>A (p.R257H) mutation in three patients, and a c.769C>T (p.R257C) mutation in the fourth patient by using whole-exome sequencing and targeted San...
Although our previous studies have provided evidence that oxidative stress has an essential role in total parenteral nutrition (TPN)-associated liver injury, the mechanisms involved are incompletely understood. Here, we show the existence of crosstalk between the miR-200 family of microRNAs and oxidative stress. The members of the miR-200 family ar...
Citations
... It is one of the older tertiary general hospitals in Shanghai and the only general hospital in Shanghai that has both perinatal and complete pediatric subspecialties [83,84]. As a general hospital encompassing pediatrics, Xinhua Hospital has established a good reputation in Shanghai and even throughout China [70,[85][86][87]. However, the current medical services of the Pediatric Outpatient Clinic of Xinhua Hospital is no longer sufficient to cope with the increase in the hospital's business volume and cannot continue to provide high-quality medical services for children. ...
... Visceral myopathies (VMs), including chronic intestinal pseudoobstruction, pediatric-onset intestinal pseudo-obstruction, and megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS), are a group of rare diseases that often cause death in childhood (1)(2)(3). VM arises from smooth muscle dysfunction in the bowel, bladder, and uterus (1). The most common cause of VM is mutations in the gene encoding smooth muscle γactin (ACTG2) (4,5). ...
... It is even more difficult to define IFALD prevalence in the various subgroups of patients according to IF etiology. IFALD occurs in 20%−60% of pediatric patients receiving prolonged PN and manifests as cholestasis in 25%−60% of cases (3,(6)(7)(8)(9)(10). In neonatal population, the rates are increased, particularly in patients with necrotizing enterocolitis (NEC). ...
... It is characterized by focal or diffuse dilatation of bowel lymphatics [2][3][4] in the lamina propria region of the villi, often extending into the submucosa [5] . The global prevalence and incidence of primary intestinal lymphangiectasia (PIL) are still unknown [3,6,7] . It was first reported by Waldmann et al. in 1961 [6] . ...
... There are a variety of reasons that can cause a volvulus to develop including anatomically variations, medications, lifestyle, changes in physiology [2]. Some patients undergoing surgical treatment after intestinal necrosis will also develop short bowel syndrome due to excessive bowel resection, leading to poor prognosis [3]. Therefore, early diagnosis and treatment of intestinal volvulus is very important. ...
... Preschool children have heightened nutritional needs due to their rapid growth, and malnutrition during this phase can have lasting developmental repercussions, including delays in development, psychomotor deceleration, and behavioral disorders [14,15]. Insufficient dietary patterns, including selective eating or insufficient feeding practices by caregivers, can result in the overconsumption of certain foods and imbalanced diets, leading to overweightness and inadequate intake of trace elements [16][17][18][19][20]. Picky eating behaviors are characterized by the refusal to eat certain foods, neophobia, and other irregular eating habits [21]. ...
... Most of the variation in MMIHS cases is a heterozygous missense mutation in the ACTG2 gene, reported in many patients with autosomal dominant. [6][7][8][9][10][11] ACTG2 encodes for one of the six actin isoforms (gamma-2 smooth muscle actin) and is mainly expressed in urinary bladder and intestinal tissues. The other four genes have recently been reported in a few patients with MMIHS. ...
... [2] They require chronic parenteral nutrition as well as gradual oral feeding with hypo osmolar preparations to enhance absorptive capacity and achieve autonomy. [3] Some studies using hormonal modulation have also yielded promising results. [1,3] Our country still lacks specialized centers that explain the poor prognosis in our cases. ...
... Previous studies have suggested that total parenteral nutrition (TPN) leads to a significant loss of microbial diversity and alterations in the gut microbial profile in animals and infants [4,5]. Probiotic bacteria such as Lactobacillus and Bifidobacterium are commonly used in the treatment of gastrointestinal diseases such as inflammatory bowel disease, necrotizing enterocolitis, and short bowel syndrome (SBS) with controversial results [6]. ...
... A retrospective study of risk factors associated with PNAC in preterm infants showed that birth weight and gestational age at birth were not independent risk factors for PNAC in preterm infants (P were 0.219 and 0.998, respectively) [22]. Another study of 387 infants examining risk factors for PNAC in VLBWI also showed that birth weight and gestational age at birth were not independent risk factors for the development of PNAC (P 0.773 and 0.181, respectively) [23], which is consistent with the results of this study. However, lower gestational age at birth and lower birth weight were associated with a higher incidence of early complications in preterm infants, which tend to have more severe symptoms and inevitably lead to a longer hospital stay. ...