Professor Hu Zhibin, President of Nanjing Medical University, studied under
Shen Hongbing, an academician of the Chinese Academy of Engineering, and has
long been deeply involved in the field of molecular epidemiology of complex
diseases. He is a valid candidate for the 2025 academician election. Recently,
his team has published major research in two authoritative international
journals, Signal Transduction and Targeted Therapy and Cell Death &
Differentiation, respectively focusing on the prevention and control of
congenital heart disease during pregnancy and the pathogenesis of male
infertility, providing new ideas for the precise prevention and treatment of
related diseases.

1. Signal Transduction and Targeted Therapy (IF=38.1): Revealing the causes
of congenital heart disease during pregnancy, dietary intervention provides new
prevention and control strategies
Thesis title: Maternal cholesterol deficiency predisposes congenital heart
defect risk
Core Highlights: Congenital heart disease (CHD) is the most common birth
defect in newborns in the world and one of the leading causes of infant and
child death. However, the cause of more than half of the cases is unknown.
Cholesterol is an important component of cell membranes and a key signaling
molecule in embryonic development, but there has been a lack of conclusive
evidence for its direct relationship with CHD. By integrating large-scale birth
cohort data and animal experiments, Hu Zhibin's team has determined for the
first time that low maternal cholesterol levels during pregnancy will
significantly increase the risk of CHD in offspring. Mechanistically, maternal
cholesterol deficiency will interfere with key signaling pathways in embryonic
heart development (such as the sonic hedgehog pathway), leading to abnormal
heart structure formation. What is more clinically valuable is that the team
confirmed through mouse models that supplementing a high-cholesterol diet during
pregnancy can effectively reverse this risk, providing a simple and feasible
intervention plan for precise prevention and control of CHD during pregnancy,
and filling the dual gaps in etiology research and prevention and control
strategies in this field.
Author information: Professor Hu Zhibin is the corresponding author, and
the School of Public Health and the State Key Laboratory of Reproductive
Medicine of Nanjing Medical University are the core completing units.

2. Cell Death & Differentiation (IF=15.8): Unlocking the “double-sided”
regulatory mechanism of male infertility, lncRNA becomes a new diagnostic and
therapeutic target
Thesis title: Male specific conserved LncRNA TSCL1 regulated target mRNA
translation by interaction with PIWIL1
Core Highlights: Long non-coding RNA (lncRNA) plays a key role in mammalian
physiological processes, but its function in spermatogenesis has not been fully
explored. The Hu Zhibin/Gu Yayun team discovered for the first time that the
male-specific conserved lncRNA TSCL1 plays a "double-sided" regulatory role in
male infertility: on the one hand, TSCL1 can accurately regulate the translation
process of spermatogenesis-related target mRNAs by forming a complex with PIWIL1
and HuR proteins; on the other hand, it can also encode a small peptide of 53
amino acids, which can maintain the stability of the sperm mitochondrial sheath
structure and ensure sperm motility. Animal experiments have confirmed that
TSCL1 knockout mice will suffer from male infertility, which is manifested by a
significant decrease in sperm motility and disordered mitochondrial sheath
structure. More importantly, the team found that rare variants in the binding
region of human TSCL1 and PIWIL1 significantly increase the risk of
non-obstructive azoospermia. This study is the first to incorporate
lncRNA-protein interaction defects into the core cause of male infertility. It
not only expands the understanding of the versatility of lncRNA, but also
provides new molecular targets for precise diagnosis and targeted treatment of
non-obstructive azoospermia.
Author information: Professor Hu Zhibin and Professor Gu Yayun are the
co-corresponding authors, and the team from the School of Public Health of
Nanjing Medical University and the State Key Laboratory of Reproductive Medicine
are the core completion units

Hu Zhibin's team has always focused on clinical pain points in the field of complex diseases and reproductive health, and continues to produce original results with clinical translation value through the multi-dimensional research model of "population cohort + animal model + molecular mechanism". The publication of the series of top-level research not only demonstrates my country's scientific research strength in the fields of molecular epidemiology and reproductive health, but also provides solid scientific support for the improvement of the prevention and control system of related diseases, helping to further advance the Healthy China strategy in the fields of maternal and child health and reproductive health.
Introduction to Professor Hu Zhibin: