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Xinyu Zhang

5 papers in the library · 2 citations · publishing 2025-2026

Papers

Combining DNA methylation features and clinical characteristics predicts ketamine treatment response for PTSD.

iScience January 16, 2026 Amir Valizadeh, John D Roache, Xinyu Zhang et al. 2 citations

Post-traumatic stress disorder varies greatly in its clinical and biological features, making treatment difficult. The largest randomized trial of ketamine for PTSD found no overall benefit over placebo, highlighting the need to identify which patients might respond. Using pre-treatment blood DNA methylation profiles and clinical data from that trial, machine learning models predicted treatment response. A model based on 1,208 methylation sites outperformed models using only clinical variables, and combining both data types improved accuracy further. The methylation-derived score identified responders with 92.9% accuracy. Predictive methylation sites were near genes involved in glutamatergic signaling, immune regulation, and known PTSD risk loci, suggesting peripheral DNA methylation patterns can guide precision pharmacotherapy for PTSD.

Understanding the role of rhythm: Effects of VR-based breathing meditation on anxiety, stress, and mindfulness

Computers in Human Behavior Reports June 16, 2026 Peng Tan, Yanpin Song, Xinyu Zhang et al.

Breathing meditation delivered through virtual reality (VR) can reduce anxiety and stress while enhancing mindfulness. A new VR system, BreathMe, tested four breathing rhythms (4-2-4 G, 4-7-8 G, 5-0-5 G, 5-0-5 A) and three interaction modes (natural, guided, adaptive) in 40 college students. The 5-0-5 A rhythm consistently improved mindfulness and reduced both stress and anxiety; 4-2-4 G moderately reduced stress and anxiety; 5-0-5 G and 4-7-8 G mainly reduced stress. Adaptive interaction produced the largest gains in mindfulness and the greatest stress and anxiety reductions, guided showed moderate benefits, and natural had the least effect. Both rhythm and mode independently and jointly shape responses, guiding personalized VR meditation design.

Pleiotropic modulation of the gut-brain-lung axis by ketamine and its enantiomers.

Molecular Psychiatry April 13, 2026 Xin Zhao, Xinyu Zhang, Shiying Yuan et al.

Ketamine, a drug used for anesthesia and rapid antidepressant effects, also modulates systemic immunity and protects organs through interactions with the gut microbiota, microbial metabolites, and immune-cell trafficking. Along the gut-brain axis, ketamine restores microbial balance, normalizes short-chain fatty acid levels, and reduces migration of gut-derived immune cells to the central nervous system, correlating with reduced neuroinflammation and depressive-like behaviors. Through the gut-lung axis, ketamine limits bacterial translocation and reduces pulmonary infiltration of pro-inflammatory cells, suggesting potential relevance in acute lung injury. Arketamine appears to provide more sustained neuroprotection with fewer adverse effects than esketamine. The findings suggest broad therapeutic potential for neuropsychiatric and inflammatory diseases, but causal studies are needed.

Intestinal γδ T17-IL-17A signaling disrupts hippocampal mitophagy in stress-induced depression and is restored by arketamine.

Journal of Neuroinflammation December 18, 2025 Mengqi Han, Bing Xie, Yuan Yu et al.

Chronic stress triggers depression by activating a gut-immune-brain pathway. In mice exposed to chronic restraint stress, gut microbiota changes caused small intestinal γδ T cells to migrate to the brain, where they released interleukin-17A (IL-17A). This IL-17A impaired a mitochondrial cleanup process called mitophagy in the hippocampus, leading to reduced energy production, damaged synapses, and depression-like behavior. Blocking γδ T cell migration, removing a key receptor on these cells, or giving the antidepressant arketamine all restored mitophagy and improved behavior. The findings identify a specific chain from gut microbes to immune cells to brain mitochondria that drives stress-induced depression, and point to arketamine as a potential treatment targeting this pathway.

Imageless imagery in aphantasia revealed by early visual cortex decoding.

Current biology : CB February 3, 2025 Shuai Chang, Xinyu Zhang, Yangjianyi Cao et al.

Activity in the primary visual cortex is thought to be closely linked to conscious visual experience, including mental imagery. In people with aphantasia, who lack visual imagery entirely, researchers examined brain activity during attempts to imagine. Neural patterns representing imagined content could be decoded equally well in both groups, but in aphantasia the signals were located on the same side of the brain as the stimulus and could not be matched to perceptual brain patterns. Additionally, the brain response to actual visual input was weaker in aphantasia. These findings suggest that imagery-related representations exist in primary visual cortex even without conscious visual experience, challenging the assumption that such activity necessarily produces sensory qualia.