Jian Huang’s research while affiliated with The Children’s Hospital of Eastern Ontario and other places

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Publications (599)


Scale-Adaptive viable tumor burden estimation via histopathological microscopy image segmentation
  • Article

March 2025

Computers in Biology and Medicine

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Yihao Guo

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Xingru Huang

The NEXT complex regulates H3K27me3 levels to affect cancer progression by degrading G4/U-rich lncRNAs
  • Article
  • Full-text available

February 2025

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16 Reads

Nucleic Acids Research

Polycomb repressive complex 2 (PRC2) is responsible for depositing H3K27me3 and plays essential roles in gene silencing during development and cancer. Meanwhile, the nuclear exosome targeting (NEXT) complex facilitates the degradation of numerous noncoding RNAs in the nucleoplasm. Here we find that the functional deficiency of the NEXT complex leads to an overall decrease in H3K27me3 levels. Specifically, ZCCHC8 depletion results in significant upregulation of nascent long noncoding RNAs (lncRNAs) containing G-quadruplex (G4) and U-Rich motifs (G4/U-Rich lncRNAs). The G4 motif binds to EZH2, blocking the chromatin recruitment of PRC2, while the U-Rich motif is specifically recognized by the NEXT complex for RNA exosome-mediated degradation. In tumor tissues with high ZCCHC8 expression in clear cell renal cell carcinoma (ccRCC) and lung adenocarcinoma (LUAD) patients, the NEXT complex excessively degrades nascent G4/U-Rich lncRNAs. Consequently, PRC2 core subunits are released and recruited to neighboring genomic loci, resulting in increased H3K27me3 levels and downregulation of adjacent genes, including tumor suppressors like SEMA5A and ARID1A. Notably, the EZH2 inhibitor Tazemetostat (EPZ-6438) exhibits greater sensitivity in cells with higher ZCCHC8 expression. Altogether, our findings demonstrate a novel mechanism that the NEXT complex regulates H3K27me3 levels by degrading nascent G4/U-Rich lncRNAs in cancer cells.

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Image quality assessment of dataset. (a) SNR) analysis of the 0.35 T low-field MRI data. Images were presented in neurological orientation with R and L indicate right and left side of patient body position. (b) Distribution of SNR. (c) CNR analysis of the 0.35 T low-field MRI data. (d) Distribution of CNR.
Preprocesing steps and atlas based brain tissue segmentation. (a) Raw 0.35 T T2WI from a representative patient. (b) N4 bias field corrected image. (c) manual segmentation of brain parenchyma and segmented image in (d). (f–h) Registration from patient individual space to template space in three steps: rigid (h), affine (g), SyN (f). Red dashed line depicts the contour of template (e). The inverse transformed template (i) and corresponding tissue probability maps (j). (k) Whole brain segmentation estimated by EM.
T2w images and segmentaions from 10 representative infants at 1–10 weeks age post delivery. The segmentations of interested brain regions were encoded by corresponding colors.
Spatiotepmporal atlas of developing infant brain in first ten weeks chronological age.
Plots show the volumetric asymmetry of developmental trajectories in gray matter (a), white matter (b), lateral ventricle (c), hippocampus (d), amygdala (e), thalamus (f), caudate (g), putamen (h), pallidum (i), and accumbens (j). Each scatter represents the volume of selected brain region from on subject. Linear regressions and 95% confidence intervals were plotted for volume measurement of two hemispheres separately. Measurements, regressions, and confidence ranges from right hemisphere are in blue, and those from left hemisphere are in red.

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A Low-Field MRI Dataset For Spatiotemporal Analysis of Developing Brain

January 2025

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8 Reads

Scientific Data

Recently, imaging investigation of brain development has increasingly captured the attention of researchers and clinicians in an attempt to understand the link between the brain and behavioral changes. Although high-field MR imaging of infants is feasible, the necessary customizations have limited its accessibility, affordability, and reproducibility. Low-field MR, as an emerging solution for scrutinizing developing brain, has exhibited its unique advantages in safety, portability, and cost-effectiveness. The presented low-field infant structural MR data aims to manifest the feasibility of using low-field MR image to exam brain structural changes during early life in infants. The dataset comprises 100 T2 weighed MR images from infants with in-plane resolution of ~0.85 mm and ~6 mm slice thickness. To demonstrate the potential utility, we conducted atlas-based whole brain segmentations and volumetric quantifications to analyze brain development features in first 10 week in postnatal life. This dataset addresses the scarcity of a large, extended-span infant brain dataset that restricts the further tracking of infant brain development trajectories and the development of routine low-field MR imaging pipelines.


Flowchart of HER2‐positive recurrent/metastatic breast cancer patients administered KN026 and docetaxel in this phase II clinical trial.
Abbreviations: HER2, human epidermal growth factor receptor 2; SS, safety set; EAS, efficacy analysis set.
Kaplan‐Meier survival curves for A) DOR, B) PFS, and C) OS in recurrent/metastatic breast cancer patients who received KN026 and docetaxel.
Abbreviations: NR, not reached; DOR, duration of response; PFS, progression‐free survival; OS, overall survival.
Efficacy and safety of KN026 and docetaxel for HER2‐positive breast cancer: a phase II clinical trial

January 2025

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7 Reads

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1 Citation

Background The standard first‐line treatment for human epidermal growth factor receptor 2 (HER2)‐positive recurrent/metastatic breast cancer currently includes pertuzumab plus trastuzumab and docetaxel. This study aimed to evaluate the effectiveness of KN026, an anti‐HER2 bispecific antibody, plus docetaxel in first‐line treatment of HER2‐positive recurrent/metastatic breast cancer. Methods This open‐label, single‐arm, phase II study enrolled patients with HER2‐positive recurrent/metastatic breast cancer in 19 centers across China from December 30, 2019 to May 27, 2021. Patients were administered KN026 (30 mg/kg) plus docetaxel (75 mg/m²) in 21‐day cycles. Primary endpoints included the objective response rate (ORR) and duration of response (DOR). In addition, overall survival (OS), progression‐free survival (PFS), clinical benefit rate (CBR) and safety profile were examined. Results A total of 57 patients were included. In the efficacy analysis set of 55 patients, the ORR was 76.4% (95% confidence interval [CI], 63.0%‐86.8%), and the CBR was 85.5% (95% CI, 73.3%‐93.5%). The median DOR was not reached (95% CI, 20.7 months‐not reached). In the safety set of 57 patients, the median PFS was 27.7 months (95% CI, 18.0 months‐not reached). The median OS was not reached, with OS rates at 12, 24 and 30 months of 93.0%, 84.1% and 78.5%, respectively. Grade ≥3 treatment‐emergent adverse events (AEs) were detected in 36 (63.2%) patients. No deaths were attributed to KN026 or docetaxel. Conclusion KN026 plus docetaxel showed promising efficacy and a manageable safety profile in first‐line treatment of HER2‐positive recurrent/metastatic breast cancer.


Figure 1. PF4-Actn1 −/− mice recapitulate the main features of thrombocytopenia without changes in platelet turnover. (A) Mouse MKs were isolated from the BM of Actn1 f/f and PF4-Actn1 −/− mice by flow sorting, and the protein expression of α-actinin-1, α-actinin-4, and total α-actinin was analyzed via western blotting. β-Actin was used as a loading control. (B) Washed platelets from Actn1 f/f and PF4-Actn1 −/− mice were lysed, and the protein levels of α-actinin-1, α-actinin-4, and total α-actinin were analyzed via western blotting. β-Actin was used as a loading control. (C) Platelet counts in the peripheral blood of Actn1 f/f (n = 28 mice) and PF4-Actn1 −/− (n = 24 mice) mice. (D) Mean platelet volume in Actn1 f/f (n = 28 mice) and PF4-Actn1 −/− (n = 24 mice) mice. (E) TEM images of platelets from Actn1 f/f and PF4-Actn1 −/− mice. Representative images from 1 of 3 experiments with similar results are displayed. The scale bar is 2 μm. Male mice aged 6 to 10 weeks were used for these animal experiments. (F) The area of each platelet in cross-sections of the TEM was measured (n = 287, Actn1 f/f platelets; n = 254, PF4-Actn1 −/− platelets). (G) The platelet life span was measured by determining the percentage of biotin-positive platelets in vivo at the indicated time points after tail vein injection of NHS (N-hydroxysuccinimide ester)-biotin in Actn1 f/f and PF4-Actn1 −/− mice (n = 10 mice per group). (H) Platelet apoptosis in Actn1 f/f (n = 8 mice) and PF4-Actn1 −/− (n = 6 mice) mice was measured by flow cytometry. (I) The concentration of TPO in the serum of Actn1 f/f
α-Actinin-1 deficiency in megakaryocytes causes low platelet count, platelet dysfunction, and mitochondrial impairment

January 2025

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21 Reads

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1 Citation

Blood Advances

Cytoskeletal remodeling and mitochondrial bioenergetics play important roles in thrombocytopoiesis and platelet function. Recently, α-actinin-1 mutations have been reported in patients with congenital macrothrombocytopenia. However, the role and underlying mechanism of α-actinin-1 in thrombocytopoiesis and platelet function remain elusive. Using MK-specific α-actinin-1 knockout (PF4-Actn1-/-) mice, we demonstrated that PF4-Actn1-/- mice exhibited reduced platelet counts. The decreased platelet number in PF4-Actn1-/- mice was due to defects in thrombocytopoiesis. H&E staining and flow cytometry revealed a decrease in the number of MKs in the bone marrow of PF4-Actn1-/- mice. The absence of α-actinin-1 increased the proportion of 2 N-4 N MKs and decreased the proportion of 8 N-32 N MKs. CFU-MK colony formation, the ratio of proplatelet formation-bearing MKs, and MK migration in response to SDF-1 signaling were inhibited in PF4-Actn1-/- mice. Platelet spreading, clot retraction, aggregation, integrin αIIbβ3 activation, and P-selectin exposure in response to various agonists were decreased in PF4-Actn1-/- platelets. Notably, PF4-Actn1-/- platelets inhibited calcium mobilization, ROS generation, and actin polymerization in response to collagen and thrombin. Furthermore, the PF4-Actn1-/- mice exhibited impaired hemostasis and thrombosis. Mechanistically, proteomic analysis of low-ploidy (2-4 N) and high-ploidy (≥8 N) PF4-Actn1-/- MKs revealed that α-actinin-1 deletion reduced platelet activation and mitochondrial function. PF4-Actn1-/- platelets and Actn1 KO 293T cells exhibited reduced mitochondrial membrane potential, mitoROS generation, mitochondrial calcium mobilization, and mitochondrial bioenergetics. Overall, in this study, we report that mice with α-actinin-1 deficiency in MKs exhibit low platelet count and impaired platelet function, thrombosis, and mitochondrial bioenergetics.



Serum metabolic characteristics of LABC patients in response to NACT. a Clinical design overview of metabolomics study. b Number of identified metabolites in the serum sample and the distribution of their chemical categories. c Principal component analysis (PCA) reveals significant changes in metabolic profiles before and after NACT treatment. d Volcano plot of metabolites significantly associated with NACT treatment (P value < 0.05, FC > 1.5 or < 0.66). Aquamarine dots (n = 24) and orange dots (n = 36) represent metabolites that were increased and decreased, respectively, before and after NACT treatment. The grey dots represent unchanged metabolites. e Pathway enrichment analysis of metabolites (n = 60) significantly altered before and after NCAT (Hypergeometric test; P < 0.05). The pathway enrichment was performed using MetaboAnalyst. f, g Heatmaps show the top 20 decreased (f) and top 20 increased (g) metabolites associated with NACT treatment
Pre-therapeutic metabolic traits predict the hematologic toxicities caused by NACT. a Significant correlation between the lowest counts of the four cell types associated with hematological toxicity and the pre-treatment serum metabolites. (Pearson correlation; two-sided Student’s t test P < 0.05). Hb, hemoglobin; WBC, white blood cells; PLT, platelets; NEUT, neutrophils. b Pathway enrichment analyses of hematologic toxicity associated metabolites (Hypergeometric test; P < 0.05). c Four examples of metabolites and their relevance to hematological toxicity. (Pearson correlation; two-sided Student’s t test P < 0.05). Neu5Ac, N-Acetylneuraminic acid. Error bands represent 95% confidence intervals. d Multiple linear regression models constructed from different serum baseline metabolites to predict nadir cell counts and hematological toxicity during NACT. (Pearson correlation; two-sided Student’s t test P < 0.05). Error bands represent 95% confidence intervals. Supplementary Tables 3–6 provide details of the prediction models
Predictive model for therapeutic efficacy based on key serum metabolites. a Heatmap revealed baseline metabolites significantly correlated with response (R) to NACT (P < 0.05; Two-sided Student T test). b Pathway enrichment analysis (P < 0.05; Hypergeometric test). c Lasso regression for the selection of key metabolites. d Selected key metabolites and breast cancer subtype for the logistic regression model to predict the chances of R. e The sensitivity and specificity of the prediction model with a risk score of 0.5 (R: n = 18; NR: n = 32). f Receiver operating characteristic curve of the logistic regression model
Acyl carnitines are associated with subtype differences in R status following NACT. a Non-Luminal patients had a significantly higher chance of achieving R than Luminal (P = 0.08; χ.² test). b Venn plot showed the number of metabolites associated with the subtype in R patients (red) and all patients (blue). c, d All patients (Luminal = 19, non-Luminal = 31) and R patients (Luminal = 4, non-Luminal = 14) total carnitine and Car (18:0) levels. e Subtype disparity in carnitine levels associated with R status after NACT. (nd, not detected; **, P < 0.01; *, P < 0.05; ns, not significant; Two-sided Wilcoxon test)
Achieving R to NACT may be attributed to elevated essential amino acids. a Differentially changed metabolites associated with NACT treatment and R status, and the combination of both using a two-way ANOVA analysis (P < 0.05). b Pathway enrichment analysis of metabolites related to both NACT treatment and R status (Hypergeometric test; P < 0.05). c Metabolic correlation between two amino acids in R and NR patients (Pearson correlation; r > 0.50 and two-sided Student’s t test P < 0.05). d, e Amino acid levels in serum samples from R (n = 18) and NR (n = 32) patients before and after NACT treatment: c, before NACT at baseline; d, after NACT (Two-sided Wilcoxon test; ns, not significant; ***, P < 0.001; **, P < 0.01). f Amino acid levels in serum samples from R (n = 18) and NR (n = 32) patients after NACT treatment. Data normalized to baseline levels (Two-sided Wilcoxon test). g Odd ratios of amino acids related to R status after NACT (two-sided z-test of logistic regression; ns, not significant). R (n = 18) and NR (n = 32). Error bars represent 95% confidence intervals
Serum metabolomic profiling for predicting therapeutic response and toxicity in breast cancer neoadjuvant chemotherapy: a retrospective longitudinal study

January 2025

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24 Reads

Breast Cancer Research

Background Neoadjuvant chemotherapy (NACT) is the standard-of-care treatment for patients with locally advanced breast cancer (LABC), providing crucial benefits in tumor downstaging. Clinical parameters, such as molecular subtypes, influence the therapeutic impact of NACT. Moreover, severe adverse events delay the treatment process and reduce the effectiveness of therapy. Although metabolic changes during cancer treatment are crucial determinant factors in therapeutic responses and toxicities, related clinical research remains limited. Methods One hundred paired blood samples were collected from 50 patients with LABC before and after a complete NACT treatment cycle. Untargeted metabolomics was used by liquid chromatography-mass spectrometry (LC–MS) to investigate the relationship between dynamically changing metabolites in serum and the responses and toxicities of NACT. Results Firstly, we observed significant alterations in serum metabolite levels pre- and post-NACT, with a predominant enrichment in the sphingolipid and amino acid metabolism pathways. Second, pre-treatment serum metabolites successfully predicted the therapeutic response and hematotoxicities during NACT. In particular, molecular subtype variations in favorable treatment responses are linked to acyl carnitine levels. Finally, we discovered that the therapeutic effects of NACT could be attributed to essential amino acid metabolism. Conclusion This study elucidated the dynamic changes in metabolism during NACT treatment, providing a possibility for developing responsive metabolic signatures for personalized NACT treatment.




Citations (39)


... Research is ongoing to evaluate the feasibility and accuracy of these novel techniques. For instance, the injection of carbon nanoparticle suspensions has emerged as a reliable alternative that may enhance targeted axillary dissection procedures in breast cancer patients who achieve a pathologic complete response after NAT [35]. The introduction of such innovative approaches is essential to improve surgical precision and reduce complications associated with traditional localization methods. ...

Reference:

Non-Palpable Breast Cancer: A Targeting Challenge–Comparison of Radio-Guided vs. Wire-Guided Localization Techniques
Targeted axillary dissection using carbon marking for patients with node-positive breast cancer following neoadjuvant therapy (TADCOM): study protocol for a prospective, multicenter, randomized controlled trial

BMC Cancer

... Previous studies have demonstrated a significant increase in b-actin, CAPG, and CAPZB expression around the lesion site 14 days post-spinal cord injury [60]. Furthermore, CAPZB has been implicated in pathological processes associated with various diseases such as high-grade squamous epithelial lesions [61] and atherosclerosis [62]. SLC3A2 is a member of the solute carrier family and encodes a cell surface transmembrane protein. ...

CAPZB mRNA is a novel biomarker for cervical high-grade squamous lesions

... The anti-inflammatory activities of trifolirhizin may contribute to other pharmacological effects, including its anticancer activity [11,12]. The anti-inflammatory activities of trifolirhizin were also found to protect different organs such as the liver, bone, colon, and kidney [13][14][15][16] (Figure 1). In view of the multiple pharmacological potentials of trifolirhizin, reliable methods have been developed to study the pharmacokinetics of trifolirhizin. ...

Trifolirhizin reduces osteoclast formation and prevents inflammatory osteolysis by inhibiting RANKL-induced activation of NF-κB and MAPK signaling pathways and ROS
  • Citing Article
  • August 2024

Phytotherapy Research

... Similarly, Th17 cells expressing CCR6 were found to significantly increase in HCC tumor tissue, and the density of CCR6+ Th17 cells was associated with overall survival and disease-free survival of HCC patients. The accumulation of CCR6+ Th17 cells may also promote the progression of HCC by inducing angiogenesis [36]. In addition, a study by Wang et al. [37] demonstrated the function of the HOXD3-CREBBP/Med15-CCL20-CCR6 axis in regulating invasion and migration in HCC. ...

Interleukin-17A educated hepatic stellate cells promote hepatocellular carcinoma occurrence through fibroblast activation protein expression
  • Citing Article
  • June 2024

The Journal of Gene Medicine

... Similarly, Ni 0.05 CTO also demonstrates a higher ratio ( Figure S4b). This finding suggests that the incorporation of Ni into the CoTiO 3 lattice may lead to an enhancement in oxygen vacancy concentration, which is beneficial for improving electronic conductivity, as previously reported [26]. Moreover, the C 1s spectrum can be deconvoluted into peaks centered at 288. [27]. ...

Engineering of Cerium Modified TiNb2O7 Nanoparticles For Low‐Temperature Lithium‐Ion Battery

... This imaging modality has become instrumental in diagnosing and managing various retinal pathologies, including age-related macular degeneration, diabetic retinopathy, and glaucoma [1,2]. While OCT's diagnostic value is well-established, the increasing volume and complexity of image data necessitate automated processing solutions. ...

SASAN: Spectrum-Axial Spatial Approach Networks for Medical Image Segmentation
  • Citing Article
  • April 2024

IEEE Transactions on Medical Imaging

... GMinduced renal injury is associated with a substantial reduction in creatinine clearance and renal function capacity [4]. Acute exposure to GM results in its accumulation in renal tissues, producing progressive renal injury characterized by azotemia, polyuria, and proteinuria, along with the presence of various renal histopathological lesions, glomerulonephritis, and tubular degeneration [13,35,36]. Several authors have reported nephrotoxic effects and altered renal function test results after treatment with GM in pediatric and adult populations and experimental animals [34,37,38]. ...

Baicalin-2-ethoxyethyl ester alleviates gentamicin-induced acute kidney injury via NF-κB signaling pathway
  • Citing Article
  • February 2024

Biomedicine & Pharmacotherapy

... Furthermore, TRAP staining confirmed a pronounced reduction in the number of OCs ( Fig. 8d and f), OC surfaces (Fig. 8e), and eroded surfaces (Fig. 8g) in the AuNDs-sCT group compared to the LPS group. The results were in line with the effects on bone resorption observed with other effective compounds reported in the literature [1,42,43]. Collectively, these findings strongly support the conclusion that AuNDs-sCT effectively prevented LPS-induced inflammatory osteolysis by inhibiting OC differentiation and bone resorptive activity. ...

Periplogenin attenuates LPS-mediated inflammatory osteolysis through the suppression of osteoclastogenesis via reducing the NF-κB and MAPK signaling pathways

Cell Death Discovery

... The incidence of grade 3 or higher adverse events was low, including grade 3 rash, diarrhea, and thrombocytopenia (all <1.5%). Rare cardiovascular events, such as atrial fibrillation or stroke (in individual cases) (16,17), were also reported. In our case, the patient responded rapidly and completely to flumatinib, with no severe side effects. ...

Comparison of the Efficacy Among Nilotinib, Dasatinib, Flumatinib and Imatinib in Newly Diagnosed Chronic-Phase Chronic Myeloid Leukemia Patients: A Real-World Multi-Center Retrospective Study
  • Citing Article
  • February 2024

Clinical Lymphoma, Myeloma and Leukemia

... It has been observed that TBK1 is upregulated in various tumors, with its expression inversely correlated with immune cells other than CD4 T cells in the tumor microenvironment (21). For instance, TBK1 phosphorylates AGO2, which functions with double-stranded miRNA, to generate carcinogenic miRISC via the S417 site, a process related to the resistance of gefitinib targeted therapy in non-small cell lung cancer (22). In-depth research into this mechanism has shown that TBK1 inhibitors can provide a solution to gefitinib resistance, thereby expanding the scope of clinical applications. ...

Phosphorylation of AGO2 by TBK1 Promotes the Formation of Oncogenic miRISC in NSCLC