Rationale: Transjugular intrahepatic portosystemic shunt (TIPS) is mainly used to treat acute and chronic esophageal, gastric, and intestinal variceal bleeding and refractory ascites caused by portal hypertension. The most common complication of TIPS is the development of hepatic encephalopathy (HE). Fecal microbiota transplantation (FMT) is an emerging method for treating diseases by altering the intestinal flora. We present 2 cases of FMT that ameliorated liver function and HE after TIPS.Patient concerns: In this report, 2 patients with liver cirrhosis secondary to hepatitis B had recurrent Grade 2-3 HE after TIPS.Diagnosis: Two patients were diagnosed as having HE. Interventions:The 2 patients separately received 3 times of FMT.Outcomes: The liver function of both patients improved, the clinical symptoms were relieved, and the number of HE attacks decreased significantly after FMT.Lessons: FMT may be another effective way to treat HE, and is worthy of further research.

Tibetans are one of the oldest ethnic groups in China and South Asia. Based on the analysis of 1,059 Tibetans in the Minjiang River basin at an altitude of 500–4,001 m, we found that the dominant phyla of the Tibetan population were Bacteroidota and Firmicutes, and the main genera were Prevotella and Bacteroides, which were mostly in consistent with other nationalities. We further evaluated in total 115 parameters of seven categories, and results showed that altitude was the most important factor affecting the variation in the microbial community. In the process of emigration from high altitudes to the plain, the gut microbial composition of late emigrants was similar to that of plateau aborigines. In addition, regarding immigration from low altitude to high altitude, the microbial community became more similar to that of high altitude population with the increase of immigration time. Changes in these microbes are related to the metabolism, disease incidence and cell functions of the Tibetan population. The results of other two cohorts (AGP and Z208) also showed the impact of altitude on the microbial community. Our study demonstrated that altitude of habitation is an important factor affecting the enterotype of the microflora in the Tibetan population and the study also provided a basis to explore the interaction of impact parameters with gut microbiome for host health and diseases.

Background Endomucin (EMCN) is a type I transmembrane glycoprotein and a mucin‐like component of the endothelial cell glycocalyx. The mechanism of EMCN action in colorectal cancer (CRC) remains unclear. Aims Our aim was to explore the role of EMCN in the progression of CRC. Materials & Methods We examined EMCN expression in CRC tissues and normal para‐carcinoma tissues. The function and mechanisms of EMCN were checked in CRC cell lines and in mouse xenograft. Additionally, we used co‐immunoprecipitation and mass spectrometry to identify the potential EMCN‐binding proteins. Functional annotation analysis showed where these genes were enriched. Results We found that EMCN was overexpressed in tumor tissues compared with that in normal para‐carcinoma tissues. We also found that overexpression of EMCN induced CRC proliferation and metastasis both in vitro and in vivo. EMCN knockdown prevents epithelial‐mesenchymal transition in vitro. We identified 178 potential EMCN‐binding partners. Furthermore, functional annotation analysis indicated that these genes were considerably enriched in carcinogenic‐related functions and pathways. Collectively, the identification of EMCN‐binding partners enhanced our understanding of the mechanism of EMCN‐mediated malignant phenotypes, and this research may provide valuable insights into the molecular mechanisms underlying CRC. Conclusion Tumor‐derived endomucin promotes colorectal cancer proliferation and metastasis. We identified 178 EMCN‐binding proteins and initially screened three potential EMCN‐interacting proteins: NALCN, and TPM2, ANKK1. Our study provides valuable insights into the molecular mechanisms underlying CRC development.

Background: Tibetans are one of the oldest ethnic groups in China and South Asia. Tibetans have a unique lifestyle and a long history, which leads to the particularity of the composition and function of their gut microflora. Tibetans in the Minjiang River basin have gradually increased their migration to the Chengdu Plain in recent years. Based on the analysis of 1059 Tibetans in the Minjiang River basin at an altitude of 500-4001 m, we analyzed the characteristics of the gut microbiome and further elaborated the main factors affecting the succession of the gut microbiome in the Tibetan population.Results: Our study found that the dominant phyla of the Tibetan population were Bacteroidetes and Firmicutes, and the main genera were Prevotella and Bacteroides. To further study the factors affecting the gut microbial composition of the Tibetan population, 115 total parameters of 7 categories were evaluated. The results showed that altitude was the most important factor affecting the variation in the microbial community in the Tibetan population, and the change in altitude promoted the succession of the gut microbial community. In the process of migration from high altitudes to the plain, the gut microbial composition of late immigrants was similar to that of plateau aborigines, while that of early immigrants was similar to that of plain aborigines. Migration to Tibet is related to the loss of indigenous gut microbial community species. In addition, from low altitude to high altitude, the similarity of the microbial community with the high-altitude population increased with the reproduction of offspring after marriage. Changes in these microbials will affect the metabolism, disease incidence and cell function of the Tibetan population. The other two sets (AGP and Z208) of altitude data also showed the impact of altitude on the microbial community.Conclusions: This is the first large-scale study on the factors influencing the gut microflora in a Tibetan population. Our study confirmed that altitude change is the most important factor affecting the distribution of the microflora in the Tibetan population and provided abundant and unique data to explore the interaction of impact parameter-gut microbiome-host function and disease.