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20 January 2026, Volume 57 Issue 1
    

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    Robotics and Surgical Navigation Column
  • CHEN Hua ZHOU Jian-jun
    Acta Anatomica Sinica. 2026, 57(1): 4-9. https://doi.org/10.16098/j.issn.0529-1356.2026.01.001
    Abstract ( ) Download PDF ( )   Knowledge map   Save
    Cranio-maxillofacial surgery, as a field of plastic surgery that integrates functional restoration and aesthetic remodeling, is undergoing a transformation from experience-based to digital and intelligent. With the deep integration of augmented reality (AR), artificial intelligence (AI), and robotic technology, modern cranio-maxillofacial plastic surgery has broken through the limitations of traditional techniques and entered the area of precise digital medicine. In this article, we systematically expounds the application prospects of intelligent navigation and surgical robots in the field of cranio-maxillofacial plastic surgery, from preoperative three-dimensional planning, intraoperative Real-time navigation to postoperative intelligent effect evaluation, revealing how core technologies such as multimodal data fusion, virtual-real registration, and force feedback control work together to enhance the precision and safety of surgery. By analyzing the latest research progress at home and abroad and comparing the advantages and challenges of different technical routes, it looks forward to future development directions such as remote surgery and autonomous decision-making. This review aims to provide a panoramic view of technological development for clinical practice and promote the standardized application and innovative breakthroughs of intelligent surgical systems in the field of cranio-maxillofacial plastic surgery.
  • CHEN Hua ZHOU Jian-jun
    Acta Anatomica Sinica. 2026, 57(1): 10-16. https://doi.org/10.16098/j.issn.0529-1356.2026.01.002
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    Objective  To construct a three-dimensional data model of the craniofacial region of Mongolian adults, analyze its morphological characteristics, and explore its application value in craniofacial plastic and reconstructive surgery. MethodsThree-dimensional digital models of the soft tissues of the craniofacial region of 300 Mongolian adults(150 males and 150 females) were obtained using three-dimensional laser scanning technology (3D laser scanning), and compared with the results of traditional manual measurements for statistical analysis. ResultsThere was no significant statistical difference between the result of three-dimensional laser scanning technology and manual measurements (P>0.05). The obtained data had high accuracy and good repeatability, and could comprehensively reflect the morphological characteristics of the craniofacial region of Mongolian adults. ConclusionThree-dimensional laser scanning technology provides an efficient and accurate method for the reconstruction and measurement of craniofacial soft tissues, offering reliable quantitative indicators for preoperative design, postoperative effect evaluation, and aesthetic analysis, and providing important morphological basis for craniofacial plastic and reconstructive surgery in Mongolian adults.
  • HUANG Shun-fa, SU Zhi-hong, LIN Chong, LI Xiao-xia, LI Qi-hong, YAO Wei-gen
    Acta Anatomica Sinica. 2026, 57(1): 17-21. https://doi.org/10.16098/j.issn.0529-1356.2026.01.003
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    ObjectiveTo evaluate the accuracy, efficiency, and clinical application potential of artificial intelligence (AI) technology in the imaging assessment of osteoporotic vertebral fractures (OVF), providing objective evidence for optimizing early fracture diagnosis and grading. MethodsA retrospective analysis was conducted on chest CT imaging data from 100 OVF patients and 300 normal controls. An AI-assisted diagnostic system and radiologists independently evaluated the thoracic 1(T1) to lumbar 1(L1) vertebrae in a double-blind manner. The consensus of three senior radiologists served as the gold standard. Agreement analysis and efficiency comparison were performed between the two methods. ResultsThe AI system demonstrated high agreement with radiologists in vertebral fracture detection (κ=0.83, 95% CI: 0.76-0.90). The AI system achieved a sensitivity of 94.2%, significantly higher than that of the radiologist group (86.7%, P<0.05). The AI system completed single-case whole-spine CT analysis in (16.6± 3.2) seconds, significantly faster than the radiologist group (89.7±21.4) seconds (P<0.001). When AI pre-screening was combined with targeted radiologist review, the average interpretation time was reduced by 81.5%. ConclusionThe conventional Genant semi-quantitative visual assessment method suffers from poor reproducibility. Integrating AI software (e.g., uAI Spine Analyzer) into vertebral fracture evaluation can enhance radiologists’ efficiency and significantly improve diagnostic accuracy, particularly in detecting early mild fractures. This AI-assisted approach serves as an effective clinical diagnostic tool, facilitating close monitoring of bone health and contributing to the strategic goal of “healthy aging.”
  • CHEN Jin-cheng, ZHANG Xiao-qin, LIU Jie, LI Tong-xin, HE Ping, WU Wei, WU Yi
    Acta Anatomica Sinica. 2026, 57(1): 22-29. https://doi.org/10.16098/j.issn.0529-1356.2026.01.004
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    Objective  To investigate how these tumor characteristics influence the response to chemotherapy combined with immunotherapy in patients with mid to late stage esophageal squamous cell carcinoma. MethodsPre-treatment CT scans and clinical information from 174 patients diagnosed with esophageal squamous cell carcinoma were collected retrospectively. The patients were categorized into two groups: a responsive group and a non-responsive group, based on the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. The esophageal tumors and their surrounding structures were manually segmented on the CT images and then reconstructed in three dimensions. The morphological features of both the tumors and the neighboring structures were measured. Subsequently, the differences in three-dimensional morphological characteristics between the two response groups were analyzed. ResultsAmong the 174 patients, the responsive group comprised 103 individuals (69.6%), while the non-responsive group included 45 individuals (30.4%). There were no statistically significant differences in the pre-treatment clinical characteristics between the two groups (P>0.05). However, several measurements related to tumors were significantly higher in the responsive group compared to the non-responsive group, tumor surface area (5369.66 mm2 vs 4262.40 mm2), volume (26 781.21 mm3 vs 20 146.84 mm3), long axis (55.52 mm vs 47.19 mm), tumor volume/normal esophageal volume (0.40 vs 0.33), and tumor long axis/normal esophageal length (0.23 vs 0.20) (P<0.05). Although the lymph node volume and surface area were also higher in the responsive group, the differences were not statistically significant (P>0.05). Additionally, the receiver operating characteristic curve (ROC) analysis indicated that the area under the curve (AUC) values for tumor surface area, volume, long axis, tumor volume/normal esophageal volume, and tumor long axis/normal esophageal length were 0.636, 0.630, 0.617, 0.606, and 0.629, respectively, with the corresponding cutoff values being 4074.50 mm2, 20 215 mm3, 49.21 mm, 0.20, and 0.34. ConclusionThe three-dimensional morphological features of the tumor and its surrounding structures, as observed in pre-treatment CT scans, can serve as a potential non-invasive marker for predicting the effectiveness of chemotherapy combined with immunotherapy in patients with intermediate and advanced esophageal squamous carcinoma. This information could aid in clinical decision-making.
  • FAN Chan-yuan, MIN Xiang-de, SUN Kai-lun
    Acta Anatomica Sinica. 2026, 57(1): 30-35. https://doi.org/10.16098/j.issn.0529-1356.2026.01.005
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    Robot-assisted kidney transplantation (RAKT) is an emerging minimally invasive surgical technique that utilizes robotic systems to perform kidney transplantation. Compared with the conventional open kidney transplantation(OKT), RAKT is associated with a lower incidence of postoperative complications and faster postoperative recovery, while maintaining comparable outcomes with open surgery in graft function and graft survival. Despite these advantages, the widespread adoption of RAKT remains limited due to high equipment costs, a steep learning curve, and the lack of high-quality evidence from randomized controlled trials. With the accumulation of clinical experience and continued technological innovation, RAKT is expected to be further optimized and gradually extended to broader clinical settings. It holds promise as a valuable advancement in the field of kidney transplantation, offering a balance between surgical precision and minimally invasive benefits.
  • YUAN Hai-yan, LÜ Yang, LU Jian-mei, GU Feng
    Acta Anatomica Sinica. 2026, 57(1): 36-41. https://doi.org/10.16098/j.issn.0529-1356.2026.01.006
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    Transrectal ultrasound (TRUS)-guided biopsy is currently recognized as one of the main methods for prostate cancer diagnosis, however, it has shortcomings such as missing clinically significant prostate cancer and overdetecting clinically insignificant prostate cancer. Multiparametric magnetic resonance imaging (mpMRI) is an important imaging method for diagnosing prostate diseases, which can detect and localize prostate cancer lesions, thus being applicable for guiding targeted biopsy. At present, there are mainly three commonly used techniques for mpMRI-guided targeted biopsy, cognitive fusion, MRI-TRUS image fusion, and MRI-directly guided biopsy. This article elaborates on the application value of MRI and TRUS fusion navigation in guiding prostate targeted biopsy from the aspects of the value of MRI in prostate cancer diagnosis, the application of MRI-TRUS fusion navigation technology in prostate biopsy, and the current problems of fusion navigation and future prospects.
  • MAO Li-hua, YAO Wei-gen, LU Peng-cong, XIE Qing, ZHOU Bin
    Acta Anatomica Sinica. 2026, 57(1): 42-47. https://doi.org/10.16098/j.issn.0529-1356.2026.01.007
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    Objective  To investigate the application value of dynamic enhanced magnetic resonance imaging (DCE-MRI) and quantitative parameters in the prediction of lymph node metastasis before operation for prostate cancer. MethodsRetrospective analysis of clinical data of 102 patients with prostate cancer admitted to Yangming Hospital affiliated to Ningbo University (Yuyao People’s Hospital) from January 2019 to May 2023 was reviewed. All patients received imaging examination before surgery and postoperative histopathological examination.Lymph node metastasis of patients was statistically analyzed, and patients were divided into lymph node metastasis group (LMG,15 cases) and non-lymph node metastasis group (LNMG,87 cases). The DCE-MRI features and quantitative parameters of the two groups were compared, and the relationship between them and lymph node metastasis of prostate cancer patients was analyzed by Logistic regression. Receiver operating characteristic curve (ROC) was drawn to analyze the predictive value of preoperative DCE-MRI features and quantitative parameters for lymph node metastasis. Results The tumor diameter >2cm and the percentage of blurred edges were higher in the LMG group than in the LNMG group, and the Ktrans and Kep values were higher in the LMG group than those in the LNMG group (P<0.05). Logistic regression analysis showed that tumor diameter >2cm, blurred tumor margins, large Ktrans value and large Kep value were risk factors for lymph node metastasis in prostate cancer patients (OR>1, P<0.05). ROC curve was drawn, and the result showed that tumor diameter, tumor margin, Ktrans value and Kep value had certain predictive value for the occurrence of lymph node metastasis in prostate cancer patients, area under the curve(AUC) was 0.715, 0.740, 0.935 and 0.821 respectively(P<0.05). Conclusion The DCE-MRI characteristics and quantitative parameters of the primary lesion of prostate cancer are of great value in predicting lymph node metastasis before surgery. The comprehensive clinical evaluation of these indicators can help evaluate the status of lymph node metastasis in prostate cancer patients and provide objective imaging basis for the formulation of individualized treatment plans.
  • ZHOU Xiao-rui, ZHANG Jin-song, YANG Jian, SHANG Feng
    Acta Anatomica Sinica. 2026, 57(1): 48-57. https://doi.org/10.16098/j.issn.0529-1356.2026.01.008
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    Objective  To analyze the clinical efficacy of orthopedic robot-guided percutaneous cannulated screw internal fixation on patients with pelvic fractures retrospectively. MethodsTotally 182 patients with pelvic fractures who were treated in Department of Traumatic Orthopedics of Taihe Hospital, Affiliated Hospital of Hubei University of Medicine from January 2023 to December 2024, were divided into observation group (n=91) and control group (n=91) by random number table method. Both groups were treated with percutaneous cannulated screw internal fixation, and the observation group was combined with orthopedic robot guidance. The pelvic reduction status, serological indicators [serum peroxisome proliferator-activated receptor γ coactivator-1α (PGC-1α), alkaline phosphatase (ALP), D-dimer (D-D)], surgery-related indicators, pain score, pelvic function and incidence rates of long-term complications were compared between the two groups of patients. ResultsAfter 6 months of surgery, the total excellent and good rate of pelvic reduction of patients in observation group was higher than that in control group (P<0.05). Before discharge, the levels of PGC-1α and ALP in the two groups increased, and the levels in observation group were higher than those in the control group (P<0.05), and D-D level decreased, and the level in observation group was lower (P<0.05). The surgical screw placement time, screw placement time, surgical time, incision length, hospitalization time and fracture healing time in observation group were shorter compared to the control group (P<0.05), and the intraoperative fluoroscopy frequency and intraoperative blood loss volume were less (P<0.05), and the accuracy rate of screw placement was higher than that in the control group (P<0.05). On 12 hours, 3 days and 7 days after surgery, the visual analogue scale(VAS) scores in the two groups of patients were reduced compared with that before surgery, and the score was lower in the observation group (P<0.05). The recovery of pelvic function in observation group after 6 months of surgery was better than that in the control group (P<0.05). The observation group had lower incidence rates of long-term complications than the control group (P<0.05). Conclusion Orthopedic robot-guided percutaneous cannulated screw internal fixation can promote the pelvic reduction in patients with pelvic fractures, while also promoting the fracture healing and pelvic function recovery, improving the accuracy rate of screw placement, regulating the bone metabolism, improving the body’s hypercoagulable state, reducing pain, and minimizing the occurrence of long-term complications.
  • SU Zhi-hong, HUANG Shu, CHEN Li-xuan, YANG Ming, JIANG Yu-yan, LI Qi-hong
    Acta Anatomica Sinica. 2026, 57(1): 58-63. https://doi.org/10.16098/j.issn.0529-1356.2026.01.009
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    Objective To investigate the diagnostic efficacy of ultrasound and magnetic resonance imaging (MRI) in Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, while exploring the potential applications of artificial intelligence (AI) in disease diagnosis and surgical planning. MethodsA retrospective analysis was conducted on 28 patients diagnosed with MRKH syndrome via ultrasound and MRI at 73rd Group Army hospital of the People’s Liberation Army of China from July 2018 to May 2025. Clinical and imaging data were collected, with surgical confirmation as the gold standard. Imaging characteristics of MRKH syndrome on ultrasound and MRI were analyzed, and detection rates between modalities were compared. ResultsThe result showed that all 28 cases of MRKH had no vagina. Among them, 26 cases presented with a spindle-shaped primordial uterus on both sides of the pelvis. Only one case had a uterine cavity shadow in both primordial uteri as shown by MRI, while the remaining 25 cases had no endometrium or cervix. The lower margins of the primordial uteri on both sides were connected by a cord-like band behind the bladder. Two cases presented with only one primordial uterus in the pelvis, without endometrium or cervix. One case had a unilateral primordial uterus combined with a huge myoma, and both primordial uteri were still visible after surgery. The ovaries were in normal positions in both sides in all 28 cases of MRKH, and one ovary was combined with a teratoma. The cord-like band showed uniform echo in 27 cases and a worm-like echo in one case, with rich blood flow and varicose vein-like appearance. In abdominal or transrectal ultrasound examination, 46 primordial uteri were detected, with 8 missed, and the detection rate was 85.2%. In MRI examination, 49 primordial uteri were detected, with 5 missed, and the detection rate was 90.7%. In the combined ultrasound and MRI examination, 53 primordial uteri were detected, with 1 missed, and the detection rate was 98.1%. There was no significant difference in the detection rate of MRKH between ultrasound and MRI (P>0.05), while the detection rate and diagnostic accuracy of MRKH syndrome by the combined ultrasound and MRI were significantly higher than those by single ultrasound examination (P<0.05). ConclusionBoth ultrasound and MRI exhibit high sensitivity for MRKH syndrome, yet their combined use provides superior diagnostic value through multi-dimensional visualization of anatomical anomalies, offering critical guidance for clinical management.
  • SU Zhi-hong, HUANG Shu, YANG Xiao-cen, LI Qi-hong, HUANG Shun-fa
    Acta Anatomica Sinica. 2026, 57(1): 64-70. https://doi.org/10.16098/j.issn.0529-1356.2026.01.010
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    Objective To evaluate the diagnostic value of echocardiography for right heart occupying lesions (RHOL). MethodsA retrospective analysis was conducted on echocardiographic data from 76 patients with pathologically confirmed RHOL. The echocardiographic diagnoses were compared with pathological findings to calculate the diagnostic accuracy. ResultsAmong the 76 RHOL cases, malignant tumors were the most common (40/76, 52.6%), with an echocardiographic diagnostic accuracy of 92.5% (37/40). Other identified lesions included myxomas (14/76) and thrombi (12/76). Echocardiography demonstrated high diagnostic accuracy for myxomas, thrombi, and residual calcification of the eustachian valve (83.3%-100%). In contrast, the diagnostic accuracy was lower for lipomas and intravenous leiomyomatosis (33.3% and 50%, respectively). Furthermore, pericardial effusion was present in 62.5% (25/40) of the malignant cases. ConclusionEchocardiography is an effective tool for diagnosing RHOL, showing high diagnostic value for malignant tumors, thrombi, and myxomas. The presence of concurrent pericardial effusion serves as a significant indicator of malignant lesions.
  • WANG Li, ZHANG Fu-han, LIN Chong, ZHU Liu-hong, WANG Fu-nan
    Acta Anatomica Sinica. 2026, 57(1): 71-76. https://doi.org/10.16098/j.issn.0529-1356.2026.01.011
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    ObjectiveTo conduct a comprehensive investigation and analysis of the magnetic resonance imaging(MRI)characteristics of anterior mediastinal thymic epithelial tumors and lymphomas, and to assess their significance in the differential diagnosis between the two. MethodsFifty patients who were initially diagnosed with anterior mediastinal thymoma or lymphoma and were admitted to Xiamen Hospital affiliated with Zhongshan Hospital of Fudan University from January 2018 to April 2023 were selected as the research subjects. Upon admission, all patients underwent MRI examinations. The pathological findings, diagnostic efficacy of MRI examinations, qualitative outcomes of MRI examinations, and the incidence of collagen fiber pattern (CFP) in thymoma and lymphoma were evaluated and analyzed in this group of 50 patients. ResultsPathological examinations of the 50 patients in this group revealed 38 cases of thymoma and 12 cases of lymphoma. The concordance rate between the diagnosis of anterior mediastinal thymoma and lymphoma was 86.00%. The specificity in thymoma diagnosis was 58.33%, and the sensitivity was 94.73%. There were significant differences in the proportions of septa, scars, and enlarged lymph nodes between thymoma and lymphoma. The proportions of septa and scars in thymoma were higher than those in lymphoma, while the proportion of enlarged lymph nodes was lower than that in lymphoma, with statistical significance (P<0.05). There were no statistically significant differences in the comparison of other characteristics such as calcification, cystic necrosis, organ invasion, and pleural effusion (P>0.05). The incidence of CFP in thymoma patients with septa, patchy, and mixed types was higher than that in lymphoma, while the incidence of CFP in patients without septa was lower than that in lymphoma, and the difference was statistically significant (P<0.05). ConclusionThere are significant differences in the incidences of septa, scars, enlarged lymph nodes, and CFP between anterior mediastinal thymoma and lymphoma on MRI, which can offer robust evidence for disease differentiation. MRI exhibits high diagnostic accuracy, specificity, and sensitivity in the differential diagnosis of these two types of lesions.
  • LIU Yu-ying, XIAO Meng, WANG Fang, WANG Yao-zhen, LIU Peng
    Acta Anatomica Sinica. 2026, 57(1): 77-83. https://doi.org/10.16098/j.issn.0529-1356.2026.01.012
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    Objective To investigate the effect of breviscapine (BRE) on oxygen-glucose deprivation/reoxygenation (OGD/R)-induced necroptosis of neural cells by regulating the receptor-interacting protein (RIP) 1/RIP3/mixed-lineage kinase-like protein (MLKL) signaling pathway. Methods HT22 cells were randomly grouped into control (Ctrl) group, model (Mod) group, BRE group (20 μmol/L BRE), RIP1/RIP3/MLKL signaling pathway inhibitor Necrostatin-1 (Nec-1) group, RIP1/RIP3/MLKL signaling pathway activator Z-VAD-FMK group, and BRE+Z-VAD-FMK group. Except for the Ctrl group, the remaining groups were subjected to OGD/R induced cell models. Cell counting kit-8 and colony formation assay were applied to detect the proliferation. ELISA was applied to detect the levels of interleukin (IL)-1β and tumor necrosis factor (TNF)-α. Flow cytometry was applied to detect the programmed cell death rate. Immunocytochemical staining was used to detect the expression of p-MLKL. Western blotting was applied to detect the expression of p-RIP1/RIP1, p-RIP3/RIP3, p-MLKL/MLKL and Caspase-8. Results Compared with the Ctrl group, the survival rate and colony number of cells, and the expression of Caspase-8 in the Mod group were lower, while the programmed necrosis, IL-1β, TNF-α, p-RIP1/RIP1, p-RIP3/RIP3, and p-MLKL/MLKL were higher (P<0.05), and the p-MLKL positive signal was aggregated in punctate or clumped form on the cell membrane/cytoplasm, and the percentage of p-MLKL+ cells increased (P<0.05). Compared with the Mod group, the survival rate and colony number, and the expression of Caspase-8 of cells in the BRE group and Nec-1 group were higher, while the programmed cell death rate, IL-1β, TNF-α, p-RIP1/RIP1, p-RIP3/RIP3, and p-MLKL/MLKL were lower (P<0.05), the positive signal of p-MLKL weakened, and the percentage of p-MLKL+ cells decreased (P<0.05); while in the Z-VAD-FMK group, all the indicators were opposite (P<0.05). Compared with the BRE group, the cell survival rate, the number of colony, and the expression of Caspase-8 in the BRE+Z-VAD-FMK group decreased, while the rates of programmed necrosis cells, IL-1β, TNF-α, p-RIP1/RIP1, p-RIP3/RIP3, and p-MLKL/MLKL increased (P<0.05), and the positive signal of p-MLKL was enhanced, and the percentage of p-MLKL+ cells increased (P<0.05). However, compared with the Z-VAD-FMK group, the survival rate and colony number, and the expression of Caspase-8 of cells in the BRE+Z-VAD-FMK group were higher, while the programmed cell death rate, IL-1β, TNF-α, p-RIP1/RIP1, p-RIP3/RIP3, and p-MLKL/MLKL were lower (P<0.05), and the positive signal of p-MLKL was weakened, and the percentage of p-MLKL+ cells decreased (P<0.05). Conclusion BRE may protect against OGD/R-induced necroptosis of neural cells by blocking the RIP1/RIP3/MLKL signaling pathway.
  • Cell and Molecules Biology
  • ZHEN Zi-yi, ZHANG Jia-ying, GONG Ze, YANG Wei-gang, LI Qi, YANG Xiao-yao, CHEN Chang
    Acta Anatomica Sinica. 2026, 57(1): 84-91. https://doi.org/10.16098/j.issn.0529-1356.2026.01.013
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    Objective To investigate the role of leflunomide (Lef) in promoting the migration and repair of damaged rat aortic endothelial cells (RAECs).Methods Male SD rats were randomly divided into 4 groups: normal group, normal administration group (leflunomide, intraperitoneal injection 5 mg/kg for 14 days), intimal hyperplasia model group and intimal hyperplasia model administration group (leflunomide, 5 mg/kg for 14 days). HE staining was used to observe vascular architecture; immunofluorescence staining and real-time PCR were used to detect platelet endothelial cell adhesion molecule-1 (PECAM-1/CD31) expression. After isolating and culturing RAECs in vitro, the cells were incubated with leflunomide, H₂O₂ and superoxide dismutase 1 small interfering RNA (SOD-1 siRNA); CCK-8 and 5-ethynyl-2′-deoxyuridine (EdU) were used to detect RAECs viability and proliferation; dihydroethidium (DHE) staining was used to detect reactive oxygen species (ROS); Western blotting was used to detect the expression of SOD-1 in RAECs. Transwell assays were used for cell migration; immunofluorescence staining was used to detect fibrous actin (F-actin).Results Compared to the model group, leflunomide administration significantly inhibited mechanical vascular injury-induced intimal hyperplasia; leflunomide promoted CD31 expression in injured vessels; leflunomide counteracted H₂O₂-induced inhibition of RAECs migration; leflunomide antagonized H₂O₂-induced ROS generation in RAECs via SOD-1; leflunomide reversed H₂O₂-mediated suppression of F-actin cytoskeletal protein formation in RAECs.Conclusion Leflunomide inhibits vascular intimal hyperplasia by regulating the formation of F-actin in the cytoskeleton of injured vascular endothelial cells through the SOD-1/ROS pathway.
  • WANG Jun , KONG Wei-dong , ZHANG Ji-hong , ZHANG Chun-bo, WANG Zi-hui, XUE Qi-jie , XU Cun-shuan , GUO Jian-lin , WANG Gai-ping
    Acta Anatomica Sinica. 2026, 57(1): 92-99. https://doi.org/10.16098/j.issn.0529-1356.2026.01.014
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    Objective To elucidate the association between changes in mRNA and microRNA(miRNA) expression and reveal the regulatory patterns in hepatocyte proliferation during rat liver regeneration. MethodsA two-thirds partial hepatectomy (PH) model was established in rats using the Higgins method. Liver right lobe samples were collected at 10 time points (0, 2, 6, 12, 24, 30, 36, 72, 120, and 168 hours) after PH. Except for 0 time point, there were 6 rats in each of the other 9 time points, with 6 rats in the control group. mRNA and miRNA signal values in the liver tissue at each time point were quantitatively detected using microarrays. The signal values of mRNA and miRNA on 0 hour post-PH (three replicates) served as controls. The ratio values of mRNA and miRNA at other time points were calculated by dividing their signal values by the corresponding controls. The element accumulation method was employed to screen biologically significant, differentially expressed, related, and key mRNAs and miRNAs during specific phases of liver regeneration, the hepatocyte G0/G1 transition phase (including 2 and 6 hours post-PH), the proliferation phase (including 2, 6, 12, 24, 30, and 36 hours post-PH), and the G1/G0 transition phase (including 72, 120, and 168 hours post-PH). Bioinformatics method were used to analyze the functions, interactions, and expression correlations of the identified key mRNAs and miRNAs. ResultsA total of 13 927 mRNAs and 1166 miRNAs were detected across 10 time points during rat liver regeneration using biochip technology. By applying the element accumulation method, 946 key mRNAs and two key miRNAs novel701_mature and rattus morvegicus(rno)-miR-196a-5p were identified. Bioinformatics analysis revealed that novel701_mature interacted with TNFRSF12A mRNA, and rno-miR-196a-5p interacted with mRNAs of aquaporin 4(AQP4), BTB damin and CNC domain and CNC homolog 1(BACH1), CD244, homeo box B8(HOXB8), neurexin 1(NRXN1), periplacin(PPL), and TSC complex subunit 1(TSC1). Furthermore, the expression levels of these two miRNAs were up-regulated during the G0/G1 transition and proliferation phases, but down-regulated during the G1/G0 transition in hepatocytes. Conversely, the expression levels of the eight key mRNAs that interacted with these two miRNAs were up-regulated across all three phases (G0/G1 transition, proliferation, and G1/G0 transition) of hepatocyte proliferation. ConclusionThe two key miRNAs show expression correlation with identified eight target mRNAs and regulat hepatocyte proliferation and liver regeneration processes.
  • Anatomy
  • SHI Xian-zhong, LUAN Li-ju, LIU Yan-guo, CHEN Chun-hua, JIN Duo, LIU Sheng-yong, ZHOU Chang-man, ZHANG Wei-guang
    Acta Anatomica Sinica. 2026, 57(1): 100-104. https://doi.org/10.16098/j.issn.0529-1356.2026.01.015
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    Objective To clearly delineate the microanatomy of the upper thoracic sympathetic trunk and its syntopy in order to provide anatomical basis for the selection of precise clinical surgical approaches. Methods Totally 55 sympathetic trunks available in 28 Chinese adult cadavers (18 males and 10 females) were investigated in this study. The thoracic cavity was thoroughly exposed and then sympathetic ganglia and its affiliated rami were observed and measured with microscopic instruments. Results Rami from thoracic nerve 1 (T1) intercostal nerve entered the stellate ganglion above the upper border of the second rib in all specimens. The distance between the rami and the upper border of the second rib was (5.1 ± 1.4) mm. The incidence that T2-T5 ganglions located at the corresponding intercostal space was 92.7%, 85.5%, 40.0% and 36.4%, respectively. The rami communicantes were classified into 3 types (type a, b and c) according to the anatomical relationship between the thoracic sympathetic ganglia and the intercostal nerves. The distance from 3 types of rami communicantes to lateral sympathetic trunk at the middle point of relative rib was (10.2 ± 3.4) mm (type a), (9.5 ± 2.6) mm (type b) and (8.4 ± 2.0) mm (type c), respectively. We found that 74.5% superior intercostal artery crossed the neck of the first rib. The distance between the superior intercostal artery and the lateral sympathetic trunk was (3.4 ± 1.3) mm. Conclusion Sympathectomy performed at rib level should be the ideal choice for clinical surgical treatment of palmar or craniofacial hyperhidrosis with less denervation scope to achieve more definite therapeutic effect.
  • Histology and Embryology and Development Biology
  • ZHANG Wei, SHI Jing-jing, WANG Shan, WANG Ya-yun, WANG Song, LI Shuo, QIN Li-hua, ZHAO Lin-hua
    Acta Anatomica Sinica. 2026, 57(1): 105-115. https://doi.org/10.16098/j.issn.0529-1356.2026.01.016
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    Objective To establish a mouse model of perimenopausal fatty liver disease (PMFLD) using bilateral ovariectomy (OVX), and explore its pathogenesis by observing the effects of high-fat diet (HFD).Methods Twenty-four 12-week-old female C57BL/6J mice were randomly divided into 4 groups (n=6) on 2 weeks after OVX: sham operation (sham) + normal chow diet (ND) group, OVX + ND group, sham + HFD group and OVX + HFD group. All groups were evaluated at the 4th week of intervention.Results The body weight gain, visceral white adipose tissue (vWAT) weight, inguinal white adipose tissue (iWAT) weight and their proportion of body weight in the OVX + ND group were significantly higher than those in the sham + ND group; additionally, the liver Oil Red O staining ratio increased, AST and ALT level elevated, and the number of lipid droplets (LDs) in vWAT within the visual field decreased, indicating successful establishment of the PMFLD model. Liver-targeted lipidomics detection showed that only 3 phosphatidylcholines (PCs) were different across all groups, and the PC levels in the OVX + ND group and OVX + HFD group were higher than those in the sham + ND group (P<0.05). Compared with the sham + ND group, the areas under the curve (AUC) of OGTT in the OVX + ND group, sham + HFD group, and OVX + HFD group were significantly increased (P<0.05). The AUC of OGTT in the OVX + HFD group was higher than that in the OVX + ND group and sham + HFD group (P<0.05). The AUC of IRT in the sham + HFD group was higher than that in the sham + ND group, OVX + ND group, and OVX + HFD group (P<0.05). The AUC of IRT in the OVX + HFD group was higher than that in the OVX + ND group, but lower than that in the sham + HFD group (P<0.05). The expression level of FABP1 and PLTP in the OVX + ND group, sham + HFD group, and OVX + HFD group were higher than those in the sham + ND group, and the expression level of PPARα was lower than that in the sham + ND group (P<0.05). The expression level of FABP1 and PLTP in the OVX + HFD group were higher than those in the OVX + ND group and sham + HFD group, and PPARα was lower than those in the OVX + ND group and sham + HFD group (P<0.05).Conclusion Estrogen deficiency combined with ND induces hepatic lipid accumulation, thereby causing PMFLD, and the body remains insulin-sensitive at this stage. However, estrogen deficiency combined with HFD exacerbates PMFLD and induces insulin resistance. Abnormal FABP1-PPARα-PLTP signaling pathway associated with PC metabolism disorder may be an important mechanism underlying the development of PMFLD.
  • Anthropology
  • ZHANG Qiu-xi, HUANG Ting, ZHONG Hua, LIU Yu-shan, WEN You-feng, LI Xin
    Acta Anatomica Sinica. 2026, 57(1): 116-126. https://doi.org/10.16098/j.issn.0529-1356.2026.01.017
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    Objective To obtain the physical phenotypic characteristics of Tajik adults in Xinjiang Aketao, and enrich the physical anthropology research data of Tajik populations. MethodsUsing anthropometric method, 37 anthropometric indices, 17 physical calculated indices and subtypes of 317 Tajik adults (137 males and 180 females) in Xinjiang Aketao were investigated and analyzed. ResultsThe anthropometric study of Tajik adults in Xinjiang Aketao revealed significant gender differences in 31 body anthropometric indices (including stature and sitting height), with 12 physical calculated indices including the tibio-radial index and forearm length-girth index also demonstrating gender-related variations. Nine anthropometric indices (including stature and sitting height) and five physical calculated indices (including the forearm length-girth index and stature-chest circumference index) showed age-related differences in both males and females. The Tajik adults in Xinjiang Aketao were characterized by above-average stature, wide shoulders, wide pelvis, and middle trunk type. ConclusionThere are certain differences in physical phenotypic characteristics of the Tajik adults of Xinjiang Aketao, compared to the Tajik adults of Xinjiang Taxkorgan, while the differences are relatively small compared to the Altaic-speaking populations (Kirgiz, Kazak).
  • Review
  • PENG Ze-hao, MO Zhong-cheng, LIU Xin-sen, LI Jia-wen, LIU Long-fei
    Acta Anatomica Sinica. 2026, 57(1): 127-140. https://doi.org/10.16098/j.issn.0529-1356.2026.01.018
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    Rectal mucinous adenocarcinoma (RMAC) is a relatively rare but highly aggressive type of tumour, and its early diagnosis and accurate staging are highly important for disease prognosis. With the continuous development of medical imaging technology, MRI, a noninvasive imaging tool, is increasingly being used to diagnose rectal cancer. Although there have been several studies on the application of MRI in rectal cancer, there is still a lack of systematic summaries regarding the specific types, imaging characteristics, diagnostic challenges, and potential solutions for RMAC. In this review, we aim to summarize the MRI characteristics of RMAC, explore the current research status and application prospects of emerging technologies in this field, and provide references for clinical practice.