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Parikh ND, Perl D, Lee MH, Chang SS, Polydorides AD, Moshier E, Godbold J, Zhou E, Mitcham J, Richards-Kortum R, Anandasabapathy S. In vivo classification of colorectal neoplasia using high-resolution microendoscopy: Improvement with experience. J Gastroenterol Hepatol 2015; 30:1155-60. [PMID: 25753782 PMCID: PMC4504008 DOI: 10.1111/jgh.12937] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/21/2015] [Indexed: 01/27/2023]
Abstract
BACKGROUND AND AIMS High-resolution microendoscopy (HRME) is a novel, low-cost "optical biopsy" technology that allows for subcellular imaging. The study aim was to evaluate the learning curve of HRME for the differentiation of neoplastic from non-neoplastic colorectal polyps. METHODS In a prospective cohort fashion, a total of 162 polyps from 97 patients at a single tertiary care center were imaged by HRME and classified in real time as neoplastic (adenomatous, cancer) or non-neoplastic (normal, hyperplastic, inflammatory). Histopathology was the gold standard for comparison. Diagnostic accuracy was examined at three intervals over time throughout the study; the initial interval included the first 40 polyps, the middle interval included the next 40 polyps examined, and the final interval included the last 82 polyps examined. RESULTS Sensitivity increased significantly from the initial interval (50%) to the middle interval (94%, P = 0.02) and the last interval (97%, P = 0.01). Similarly, specificity was 69% for the initial interval but increased to 92% (P = 0.07) in the middle interval and 96% (P = 0.02) in the last interval. Overall accuracy was 63% for the initial interval and then improved to 93% (P = 0.003) in the middle interval and 96% (P = 0.0007) in the last interval. CONCLUSIONS In conclusion, this in vivo study demonstrates that an endoscopist without prior colon HRME experience can achieve greater than 90% accuracy for identifying neoplastic colorectal polyps after 40 polyps imaged. HRME is a promising modality to complement white light endoscopy in differentiating neoplastic from non-neoplastic colorectal polyps.
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Affiliation(s)
- Neil D. Parikh
- Division of Digestive Diseases, Yale New Haven Hospital, New Haven, CT, U.S.A
| | - Daniel Perl
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
| | - Michelle H. Lee
- Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
| | - Shannon S Chang
- Division of Gastroenterology, New York University Langone Medical Center, New York, NY, U.S.A
| | | | - Erin Moshier
- Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - James Godbold
- Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - Elinor Zhou
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
| | - Josephine Mitcham
- Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
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Thekkek N, Lee MH, Polydorides AD, Rosen DG, Anandasabapathy S, Richards-Kortum R. Quantitative evaluation of in vivo vital-dye fluorescence endoscopic imaging for the detection of Barrett's-associated neoplasia. J Biomed Opt 2015; 20:56002. [PMID: 25950645 PMCID: PMC4423850 DOI: 10.1117/1.jbo.20.5.056002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Accepted: 04/20/2015] [Indexed: 05/21/2023]
Abstract
Current imaging tools are associated with inconsistent sensitivity and specificity for detection of Barrett's-associated neoplasia. Optical imaging has shown promise in improving the classification of neoplasia in vivo. The goal of this pilot study was to evaluate whether in vivo vital dye fluorescence imaging (VFI) has the potential to improve the accuracy of early-detection of Barrett's-associated neoplasia. In vivo endoscopic VFI images were collected from 65 sites in 14 patients with confirmed Barrett's esophagus (BE), dysplasia, oresophageal adenocarcinoma using a modular video endoscope and a high-resolution microendoscope(HRME). Qualitative image features were compared to histology; VFI and HRME images show changes in glandular structure associated with neoplastic progression. Quantitative image features in VFI images were identified for objective image classification of metaplasia and neoplasia, and a diagnostic algorithm was developed using leave-one-out cross validation. Three image features extracted from VFI images were used to classify tissue as neoplastic or not with a sensitivity of 87.8% and a specificity of 77.6% (AUC = 0.878). A multimodal approach incorporating VFI and HRME imaging can delineate epithelial changes present in Barrett's-associated neoplasia. Quantitative analysis of VFI images may provide a means for objective interpretation of BE during surveillance.
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Affiliation(s)
- Nadhi Thekkek
- Rice University, Department of Bioengineering, MS-142, Box 1892, Houston, Texas 77251-1892, United States
- Address all correspondence to: Nadhi Thekkek, E-mail:
| | - Michelle H. Lee
- Icahn School of Medicine, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1069, New York, New York 10029-6574, United States
| | - Alexandros D. Polydorides
- Icahn School of Medicine, Mount Sinai Medical Center, Department of Pathology, One Gustave L. Levy Place, Box 1194, New York, New York 10029-6574, United States
| | - Daniel G. Rosen
- Baylor College of Medicine, Department of Pathology, One Baylor Plaza, Cullen 271A, Houston, Texas 77030, United States
| | - Sharmila Anandasabapathy
- Baylor College of Medicine, Department of Medicine, One Baylor Plaza, Cullen 271A, Houston, Texas 77030, United States
| | - Rebecca Richards-Kortum
- Rice University, Department of Bioengineering, MS-142, Box 1892, Houston, Texas 77251-1892, United States
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Ye CJ, Feng T, Kwon HK, Raj T, Wilson MT, Asinovski N, McCabe C, Lee MH, Frohlich I, Paik HI, Zaitlen N, Hacohen N, Stranger B, De Jager P, Mathis D, Regev A, Benoist C. Intersection of population variation and autoimmunity genetics in human T cell activation. Science 2014; 345:1254665. [PMID: 25214635 DOI: 10.1126/science.1254665] [Citation(s) in RCA: 166] [Impact Index Per Article: 16.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
T lymphocyte activation by antigen conditions adaptive immune responses and immunopathologies, but we know little about its variation in humans and its genetic or environmental roots. We analyzed gene expression in CD4(+) T cells during unbiased activation or in T helper 17 (T(H)17) conditions from 348 healthy participants representing European, Asian, and African ancestries. We observed interindividual variability, most marked for cytokine transcripts, with clear biases on the basis of ancestry, and following patterns more complex than simple T(H)1/2/17 partitions. We identified 39 genetic loci specifically associated in cis with activated gene expression. We further fine-mapped and validated a single-base variant that modulates YY1 binding and the activity of an enhancer element controlling the autoimmune-associated IL2RA gene, affecting its activity in activated but not regulatory T cells. Thus, interindividual variability affects the fundamental immunologic process of T helper activation, with important connections to autoimmune disease.
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Affiliation(s)
- Chun Jimmie Ye
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA
| | - Ting Feng
- Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA
| | - Ho-Keun Kwon
- Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA
| | - Towfique Raj
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA. Program in Translational NeuroPsychiatric Genomics, Institute for the Neurosciences, Departments of Neurology and Psychiatry, Brigham and Women's Hospital, Boston, MA 02115, USA
| | - Michael T Wilson
- Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA
| | - Natasha Asinovski
- Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA
| | - Cristin McCabe
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA. Program in Translational NeuroPsychiatric Genomics, Institute for the Neurosciences, Departments of Neurology and Psychiatry, Brigham and Women's Hospital, Boston, MA 02115, USA
| | - Michelle H Lee
- Program in Translational NeuroPsychiatric Genomics, Institute for the Neurosciences, Departments of Neurology and Psychiatry, Brigham and Women's Hospital, Boston, MA 02115, USA
| | - Irene Frohlich
- Program in Translational NeuroPsychiatric Genomics, Institute for the Neurosciences, Departments of Neurology and Psychiatry, Brigham and Women's Hospital, Boston, MA 02115, USA
| | - Hyun-il Paik
- Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA
| | - Noah Zaitlen
- Department of Medicine Lung Biology Center, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Nir Hacohen
- Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA
| | - Barbara Stranger
- Section of Genetic Medicine, University of Chicago, Chicago, IL 60637, USA
| | - Philip De Jager
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA. Program in Translational NeuroPsychiatric Genomics, Institute for the Neurosciences, Departments of Neurology and Psychiatry, Brigham and Women's Hospital, Boston, MA 02115, USA
| | - Diane Mathis
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA. Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA
| | - Aviv Regev
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA. Howard Hughes Medical Institute, Department of Biology, MIT, Cambridge, MA 02139, USA.
| | - Christophe Benoist
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA. Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, MA 02115, USA.
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Ahammed M, Chae BJ, Lohakare J, Keohavong B, Lee MH, Lee SJ, Kim DM, Lee JY, Ohh SJ. Comparison of aviary, barn and conventional cage raising of chickens on laying performance and egg quality. Asian-Australas J Anim Sci 2014; 27:1196-203. [PMID: 25083115 PMCID: PMC4109877 DOI: 10.5713/ajas.2013.13394] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/05/2013] [Revised: 11/21/2013] [Accepted: 09/16/2013] [Indexed: 11/27/2022]
Abstract
This study intended to compare the productive performance of three different layer raising systems; conventional cage (CC), barn (BR) and aviary (AV). The AV is welfare bestowed housing that allows free locomotion for birds within the BR. The BR allows bird's free locomotion inside BR but without multilevel structures. Both pullets and cockerels were housed together in both AV and BR, but only pullets in CC. Seventeen weeks old Lohmann Brown Lite (n = 800) pullets were housed in AV during this study. The same age layer pullets were simultaneously assigned to either at CC or BR to compare egg production performance with AV. The duration of experiment was 40 weeks (from 21st to 60th week). There were no remarkable differences in egg production, hen day egg production (HDEP) and average egg weight among three rearing systems. First 20 weeks (phase-1) average HDEP (%) of AV, CC, and BR were 85.9, 88.8, 87.1 and average egg weights (g) were 57.5, 59.9, and 56.9 respectively. Those of the remaining 20 weeks (phase-2) were 87.1, 87.9, 85.5 and 64.2, 63.0 62.1, respectively. Daily feed intakes (122 g, 110 g, 125 g); feed conversion ratio (2.4, 2.1, 2.5) and daily egg mass (53.9 g, 54.4 g, 52.8 g) data from AV, CC, and BR were not influenced significantly by the respective raising systems. Daily feed intake of layers in both AV (124 g) and BR (127 g) tended to be higher than that in CC (113 g) during phase-2. Overall, exterior egg quality (dirty and cracked eggs) in both phases was superior in BR compared with AV and CC, whereas CC generated intermediate results. This study indicated that the HDEP per se in AV and BR were not significantly different from that in CC. The study implied that the facility depreciation cost for AV and cost for increased feed intake in AV compared to CC are believed to be critical to evaluate the cost effectiveness of egg production in AV.
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Affiliation(s)
- M Ahammed
- National Institute of Animal Science, Suwon, Korea
| | - B J Chae
- National Institute of Animal Science, Suwon, Korea
| | - J Lohakare
- National Institute of Animal Science, Suwon, Korea
| | - B Keohavong
- National Institute of Animal Science, Suwon, Korea
| | - M H Lee
- National Institute of Animal Science, Suwon, Korea
| | - S J Lee
- National Institute of Animal Science, Suwon, Korea
| | - D M Kim
- National Institute of Animal Science, Suwon, Korea
| | - J Y Lee
- National Institute of Animal Science, Suwon, Korea
| | - S J Ohh
- National Institute of Animal Science, Suwon, Korea
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105
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Perl DP, Parikh N, Chang S, Peng P, Thekkek N, Lee MH, Polydorides AD, Mitcham J, Richards-Kortum R, Anandasabapathy S. Diagnosis of neoplasia in Barrett's esophagus using vital-dye enhanced fluorescence imaging. J Vis Exp 2014. [PMID: 24893592 DOI: 10.3791/50992] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
The ability to differentiate benign metaplasia in Barrett's Esophagus (BE) from neoplasia in vivo remains difficult as both tissue types can be flat and indistinguishable with white light imaging alone. As a result, a modality that highlights glandular architecture would be useful to discriminate neoplasia from benign epithelium in the distal esophagus. VFI is a novel technique that uses an exogenous topical fluorescent contrast agent to delineate high grade dysplasia and cancer from benign epithelium. Specifically, the fluorescent images provide spatial resolution of 50 to 100 μm and a field of view up to 2.5 cm, allowing endoscopists to visualize glandular morphology. Upon excitation, classic Barrett's metaplasia appears as continuous, evenly-spaced glands and an overall homogenous morphology; in contrast, neoplastic tissue appears crowded with complete obliteration of the glandular framework. Here we provide an overview of the instrumentation and enumerate the protocol of this new technique. While VFI affords a gastroenterologist with the glandular architecture of suspicious tissue, cellular dysplasia cannot be resolved with this modality. As such, one cannot morphologically distinguish Barrett's metaplasia from BE with Low-Grade Dysplasia via this imaging modality. By trading off a decrease in resolution with a greater field of view, this imaging system can be used at the very least as a red-flag imaging device to target and biopsy suspicious lesions; yet, if the accuracy measures are promising, VFI may become the standard imaging technique for the diagnosis of neoplasia (defined as either high grade dysplasia or cancer) in the distal esophagus.
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Affiliation(s)
- Daniel P Perl
- Department of Gastroenterology, Icahn School of Medicine at Mount Sinai
| | - Neil Parikh
- Department of Gastroenterology, Icahn School of Medicine at Mount Sinai
| | - Shannon Chang
- Department of Gastroenterology, Icahn School of Medicine at Mount Sinai
| | - Paul Peng
- Department of Gastroenterology, Icahn School of Medicine at Mount Sinai
| | | | - Michelle H Lee
- Department of Gastroenterology, Icahn School of Medicine at Mount Sinai
| | | | - Josephine Mitcham
- Department of Gastroenterology, Icahn School of Medicine at Mount Sinai
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106
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Lee MN, Ye C, Villani AC, Raj T, Li W, Eisenhaure TM, Imboywa SH, Chipendo PI, Ran FA, Slowikowski K, Ward LD, Raddassi K, McCabe C, Lee MH, Frohlich IY, Hafler DA, Kellis M, Raychaudhuri S, Zhang F, Stranger BE, Benoist CO, De Jager PL, Regev A, Hacohen N. Common genetic variants modulate pathogen-sensing responses in human dendritic cells. Science 2014; 343:1246980. [PMID: 24604203 DOI: 10.1126/science.1246980] [Citation(s) in RCA: 317] [Impact Index Per Article: 31.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Little is known about how human genetic variation affects the responses to environmental stimuli in the context of complex diseases. Experimental and computational approaches were applied to determine the effects of genetic variation on the induction of pathogen-responsive genes in human dendritic cells. We identified 121 common genetic variants associated in cis with variation in expression responses to Escherichia coli lipopolysaccharide, influenza, or interferon-β (IFN-β). We localized and validated causal variants to binding sites of pathogen-activated STAT (signal transducer and activator of transcription) and IRF (IFN-regulatory factor) transcription factors. We also identified a common variant in IRF7 that is associated in trans with type I IFN induction in response to influenza infection. Our results reveal common alleles that explain interindividual variation in pathogen sensing and provide functional annotation for genetic variants that alter susceptibility to inflammatory diseases.
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Affiliation(s)
- Mark N Lee
- Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard, Cambridge, MA 02142, USA
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Patel S, Menéndez PB, Hossain FS, Colaço HB, Lee MH, Sorene ED, Taylor EJ. Does the DVR(®) plate restore bony anatomy following distal radius fractures? Ann R Coll Surg Engl 2014; 96:49-54. [PMID: 24417831 PMCID: PMC5137656 DOI: 10.1308/003588414x13824511650254] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Fractures of the distal radius are common. Malreduced fractures are associated with residual functional deficiency. There has been a trend over the last few years for using fixed angle volar locking plates to surgically stabilise this injury. Our unit uses the DVR® plate (DePuy, Warsaw, IN, US). Nevertheless, it is unknown whether the normal bony anatomy is recreated or merely restored to acceptable limits with its usage. The aim of this study was to evaluate the reduction achieved compared with an uninjured population and pre-existing quoted ‘normal’ values. Furthermore, we wanted to identify the percentage of cases that were reduced to acceptable limits, and determine whether the grade of the surgeon and fracture type was a confounding influence on this reduction. METHODS A retrospective review of the 3-month postoperative radiography of 48 eligible patients who underwent open reduction and internal fixation of a distal radius fracture with a DVR® plate was undertaken. RESULTS Volar tilt, radial length and inclination were different to quoted normal values (p<0.01). Despite this, these parameters fell within acceptable limits in 46 cases; this was not influenced by fracture type or grade of operating surgeon. CONCLUSIONS The DVR® plate restores the bony anatomy to within acceptable limits in the majority of patients who have sustained a fracture of the distal radius although of all parameters investigated, the widest variability is seen in volar tilt.
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Affiliation(s)
- S Patel
- University College London Hospitals NHS Foundation Trust, UK.
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108
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Parikh N, Perl D, Lee MH, Shah B, Young Y, Chang SS, Shukla R, Polydorides AD, Moshier E, Godbold J, Zhou E, Mitchaml J, Richards-Kortum R, Anandasabapathy S. In vivo diagnostic accuracy of high-resolution microendoscopy in differentiating neoplastic from non-neoplastic colorectal polyps: a prospective study. Am J Gastroenterol 2014; 109:68-75. [PMID: 24296752 PMCID: PMC3947255 DOI: 10.1038/ajg.2013.387] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2013] [Accepted: 10/01/2013] [Indexed: 12/11/2022]
Abstract
OBJECTIVES High-resolution microendoscopy (HRME) is a low-cost, "optical biopsy" technology that allows for subcellular imaging. The purpose of this study was to determine the in vivo diagnostic accuracy of the HRME for the differentiation of neoplastic from non-neoplastic colorectal polyps and compare it to that of high-definition white-light endoscopy (WLE) with histopathology as the gold standard. METHODS Three endoscopists prospectively detected a total of 171 polyps from 94 patients that were then imaged by HRME and classified in real-time as neoplastic (adenomatous, cancer) or non-neoplastic (normal, hyperplastic, inflammatory). RESULTS HRME had a significantly higher accuracy (94%), specificity (95%), and positive predictive value (PPV, 87%) for the determination of neoplastic colorectal polyps compared with WLE (65%, 39%, and 55%, respectively). When looking at small colorectal polyps (less than 10 mm), HRME continued to significantly outperform WLE in terms of accuracy (95% vs. 64%), specificity (98% vs. 40%) and PPV (92% vs. 55%). These trends continued when evaluating diminutive polyps (less than 5 mm) as HRME's accuracy (95%), specificity (98%), and PPV (93%) were all significantly greater than their WLE counterparts (62%, 41%, and 53%, respectively). CONCLUSIONS In conclusion, this in vivo study demonstrates that HRME can be a very effective modality in the differentiation of neoplastic and non-neoplastic colorectal polyps. A combination of standard white-light colonoscopy for polyp detection and HRME for polyp classification has the potential to truly allow the endoscopist to selectively determine which lesions can be left in situ, which lesions can simply be discarded, and which lesions need formal histopathologic analysis.
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Affiliation(s)
- Neil Parikh
- Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - Daniel Perl
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
| | - Michelle H. Lee
- Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - Brijen Shah
- Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - Yuki Young
- Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - Shannon S. Chang
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
| | - Richa Shukla
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
| | | | - Erin Moshier
- Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - James Godbold
- Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
| | - Elinor Zhou
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, U.S.A
| | - Josephine Mitchaml
- Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, NY, NY, U.S.A
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You JY, Song EJ, Lee MH, Jung SY, Lee SY, Kang HS, Lee ES. Abstract P1-01-19: Role of axillary clearance with tumor positive sentinel node in mastectomy group: Is the results of ACOSOG Z0011 trial adaptable to mastectomy patient? Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-p1-01-19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Recent data from ACOSOG Z0011 trial or AMAROS trial suggest that axillary lymph node dissection(ALND) may be unnecessary for patients with positive sentinel lymph node biopsy(SLNB) receiving breast conserving surgery(BCS) with irradiation. However, consensus statements and guidelines until recently recommended that patients with mastectomy and tumor positive sentinel node undergo completion ALND. In this preliminary study, we compared these patients who did not undergo ALND with the patients who received BCS with SLNB only and irradiation and we analyzed the locoregional recurrence rate to show no differences of outcomes between two groups.
Method: We identified 6,163 women with invasive breast cancer who underwent surgical resection at the National Cancer Center (Goyang,Gyeonggi-do,Korea) between January 2000 to December 2011. Clinico-pathological data obtained from prospective collecting medical database of our institution were analyzed retrospectively. The mastectomy with positive SLNB group was 47 patients and BCS with positive SLNB and irradiation group was 172 patients. The primary end point was loco-regional recurrence rate.
Result : Clinical and tumor characteristics were similar between two groups except T stage and receptor status. The mean tumor size was 5.5cm with mastectomy group and 3.5cm with BCS group. The median number of nodes removed was three. There was not a single case of locoregional recurrence in both groups. At a median follow-up of 53.5 months (last follow-up, May 2013), 5-year overall survival was 85.7% with mastectomy and 97.3% with BCS group.
Conclusion : In our study, there was no case of locoregional recurrence as above. This results lend weight to the argument that SLNB without ALND may be reasonable management for selected patients with appropriate surgery and adjuvant systemic therapy. This study can be regarded as a preliminary study with a sufficient value despite of the prognosis showed some statistical differences between two groups. It resides in the difference of initial stage of patients of two groups. We will present additional data compared with the mastectomy with axillary clearance group at the meeting.
Acknowledgement This work was supported by grant from the National Cancer Center Korea (1210331-2).
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P1-01-19.
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Affiliation(s)
- JY You
- Center for Breast Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea
| | - EJ Song
- Center for Breast Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea
| | - MH Lee
- Center for Breast Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea
| | - SY Jung
- Center for Breast Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea
| | - SY Lee
- Center for Breast Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea
| | - HS Kang
- Center for Breast Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea
| | - ES Lee
- Center for Breast Cancer, National Cancer Center, Goyang, Gyeonggi-do, Korea
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Park IH, Lee KS, Im SA, Jung KH, Park KH, Im YH, Lee S, Kim YJ, Kim HJ, Lee S, Lee MH, Kim TY, Lee KH, Kim SB, Ahn JH, Nam BH, Ro J. Abstract OT3-1-08: The PROCEED trial KCSG BR11-01: Phase III multicenter randomized open label study of irinotecan plus capecitabine versus capecitabine in patients previously treated with anthracycline and taxane for HER2 negative metastatic breast cancer. Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-ot3-1-08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Most patients with metastatic breast cancer (MBC) experience disease progression after being treated with an anthracycline or taxane. Irinotecan, a semisynthetic agent derived from the natural alkaloid camptothecin is metabolized to the active metabolite SN-38 which targets topoisomerase I leading to single and double strand DNA breaks. Irinotecan as a single agent demonstrated tumor activity with an objective response rate ranging from 5 to 23% in patients with MBC refractory to taxane and anthracycline. Irinotecan increased the activity of 5-FU, the active metabolite of capecitabine, and overcomes the negative effect of thymidylate synthase overexpression, which is the main target of an active metabolite of 5-FU. A phase II study that evaluated the efficacy and safety of irinotecan and capecitabin combination (IX) showed that the median progression free survival (PFS) was 7.6 months (95% CI, 5.0-10.2months), and the median OS was 22.6 months (95% CI, 15.4 – 29.8 months) with good tolerability in anthracycline and taxane pretreated MBC patients. Based on these results, we planned to conduct a multicenter, randomized phase III study which assesses the efficacy of irinotecan and capecitabine combination therapy compared with capecitabine alone in patients with anthracycline and taxane resistant MBC.
Methods: In this trial, patients with HER2 normal tumor who previously received anthracycline and taxane based chemotherapies are enrolled. Eligible patients are randomly assigned in a 1:1 ratio to receive irinotecan plus capecitabine or capecitabine alone. The primary end point of this trial is PFS and a total number of accrual patients will be 222. Randomization is done using a random block size permutation method and stratified by hormone receptor status (negative vs. positive), first line vs. ≥second lines, visceral metastasis (negative vs. positive). Patients receive irinotecan at 80 mg/m2 on day 1 and 8 every 3 weeks and capecitabine 1000mg/m2 bid from day 1 to day 14 every 3 weeks. In control arm, patients receive capecitabine 1250mg/m2 bid from day 1 to day 14 every 3 weeks. Response will be assessed using RECIST1.1 criteria and toxicity will be graded according to NCI-CTCAE 4.0 criteria. Study Status: A total of 107 patients consented for the study since June 2011, and accrual is ongoing. Clinical trial information: NCT01501669.
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr OT3-1-08.
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Affiliation(s)
- IH Park
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - KS Lee
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - S-A Im
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - KH Jung
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - KH Park
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - Y-H Im
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - S Lee
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - YJ Kim
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - H-J Kim
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - S Lee
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - MH Lee
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - T-Y Kim
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - K-H Lee
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - S-B Kim
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - J-H Ahn
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - B-H Nam
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
| | - J Ro
- National Cancer Center, Korea; Seoul National University Hospital, Seoul National University College of Medicine; Asan Medical Center, University of Ulsan College of Medicine; Korea University Anam Hospital; Samsung Medical Center, Sungkyunkwan University School of Medicine; Yonsei University College of Medicine; Seoul National University Bundang Hospital, Seoul National University College of Medicine; Chung-Ang University College of Medicine; Dong-A University College of Medicine; Inha University College of Medicine
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Jung SY, Song EJ, You JY, Lee MH, Kwon Y, Ko KL, Park IH, Lee KS, Ro J, Lee S, Kang HS, Lee E, Shin KH. Abstract P3-08-14: Could the preoperative systemic therapy be a risk factor for breast cancer-related lymphedema in stage II/III breast cancer? Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-p3-08-14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: The breast cancer-related lymphedema (LE) has been known to be closely related to axillary lymph nodes dissection (ALND), chemotherapy, and radiation therapy. In this study, we evaluated whether the sequence of systemic chemotherapy and surgery could be a predictive factor in stage II/III breast cancer.
Methods and Materials: A total of 867 patients with stage II/III breast cancer, who underwent curative surgery with adequate systemic therapy from 2004 to 2009, were retrospectively analyzed. Adjuvant chemotherapy (ACT) was performed in 571 patients (65.9%) and preoperative systemic chemotherapy (PSC) in 296 (34.1%). We evaluated the incidence of LE by clinicopathologic factors and treatments.
Results: At a median follow-up of 5.1 years (range, 3.0-8.3 years), 360 patients (41.5%) had experienced LE, 244 patients have retained LE (permanent LE), and 116 patents were normalized. The overall 5-year cumulative incidence of LE was 17%. LE occurred in 188 patients (32.9%) in patients with ACT, 172 patients (58.1%) with PSC (P<0.001), permanent LE in 121 (21.2%) with ACT, 123 (41.6%) with PSC (P<0.001), respectively. Multivariate analysis showed that PSC (hazard ratio [HR], 1.65; P<.001), radiotherapy (HR, 2.24; P<0.01), ALND (HR, 1.41; P = 0.04), and nodal stage (HR, 1.93; P = 0.04) were independent risk factors for LE occurrence. For the permanent LE, PSC (HR, 1.44; P = 0.05), radiotherapy (HR, 2.79; P<0.01), ALND (HR, 1.77; P<0.01), and nodal stage (HR, 3.01; P = 0.02) showed the associations.
Conclusions: The risk factors associated with LE were advanced stage, ALND and radiotherapy. PSC was one of predictors for transients LE. However, further evaluation should be done whether it is a risk factor for permanent LE.
This research was supported by National Cancer Center Grant NCC-1210181-2 by the National Cancer Center, Republic of Korea.
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P3-08-14.
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Affiliation(s)
- SY Jung
- National Cancer Center, Goyang, Republic of Korea
| | - EJ Song
- National Cancer Center, Goyang, Republic of Korea
| | - JY You
- National Cancer Center, Goyang, Republic of Korea
| | - MH Lee
- National Cancer Center, Goyang, Republic of Korea
| | - Y Kwon
- National Cancer Center, Goyang, Republic of Korea
| | - KL Ko
- National Cancer Center, Goyang, Republic of Korea
| | - IH Park
- National Cancer Center, Goyang, Republic of Korea
| | - KS Lee
- National Cancer Center, Goyang, Republic of Korea
| | - J Ro
- National Cancer Center, Goyang, Republic of Korea
| | - S Lee
- National Cancer Center, Goyang, Republic of Korea
| | - H-S Kang
- National Cancer Center, Goyang, Republic of Korea
| | - E Lee
- National Cancer Center, Goyang, Republic of Korea
| | - KH Shin
- National Cancer Center, Goyang, Republic of Korea
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Beecham AH, Patsopoulos NA, Xifara DK, Davis MF, Kemppinen A, Cotsapas C, Shah TS, Spencer C, Booth D, Goris A, Oturai A, Saarela J, Fontaine B, Hemmer B, Martin C, Zipp F, D'Alfonso S, Martinelli-Boneschi F, Taylor B, Harbo HF, Kockum I, Hillert J, Olsson T, Ban M, Oksenberg JR, Hintzen R, Barcellos LF, Agliardi C, Alfredsson L, Alizadeh M, Anderson C, Andrews R, Søndergaard HB, Baker A, Band G, Baranzini SE, Barizzone N, Barrett J, Bellenguez C, Bergamaschi L, Bernardinelli L, Berthele A, Biberacher V, Binder TMC, Blackburn H, Bomfim IL, Brambilla P, Broadley S, Brochet B, Brundin L, Buck D, Butzkueven H, Caillier SJ, Camu W, Carpentier W, Cavalla P, Celius EG, Coman I, Comi G, Corrado L, Cosemans L, Cournu-Rebeix I, Cree BAC, Cusi D, Damotte V, Defer G, Delgado SR, Deloukas P, di Sapio A, Dilthey AT, Donnelly P, Dubois B, Duddy M, Edkins S, Elovaara I, Esposito F, Evangelou N, Fiddes B, Field J, Franke A, Freeman C, Frohlich IY, Galimberti D, Gieger C, Gourraud PA, Graetz C, Graham A, Grummel V, Guaschino C, Hadjixenofontos A, Hakonarson H, Halfpenny C, Hall G, Hall P, Hamsten A, Harley J, Harrower T, Hawkins C, Hellenthal G, Hillier C, Hobart J, Hoshi M, Hunt SE, Jagodic M, Jelčić I, Jochim A, Kendall B, Kermode A, Kilpatrick T, Koivisto K, Konidari I, Korn T, Kronsbein H, Langford C, Larsson M, Lathrop M, Lebrun-Frenay C, Lechner-Scott J, Lee MH, Leone MA, Leppä V, Liberatore G, Lie BA, Lill CM, Lindén M, Link J, Luessi F, Lycke J, Macciardi F, Männistö S, Manrique CP, Martin R, Martinelli V, Mason D, Mazibrada G, McCabe C, Mero IL, Mescheriakova J, Moutsianas L, Myhr KM, Nagels G, Nicholas R, Nilsson P, Piehl F, Pirinen M, Price SE, Quach H, Reunanen M, Robberecht W, Robertson NP, Rodegher M, Rog D, Salvetti M, Schnetz-Boutaud NC, Sellebjerg F, Selter RC, Schaefer C, Shaunak S, Shen L, Shields S, Siffrin V, Slee M, Sorensen PS, Sorosina M, Sospedra M, Spurkland A, Strange A, Sundqvist E, Thijs V, Thorpe J, Ticca A, Tienari P, van Duijn C, Visser EM, Vucic S, Westerlind H, Wiley JS, Wilkins A, Wilson JF, Winkelmann J, Zajicek J, Zindler E, Haines JL, Pericak-Vance MA, Ivinson AJ, Stewart G, Hafler D, Hauser SL, Compston A, McVean G, De Jager P, Sawcer SJ, McCauley JL. Analysis of immune-related loci identifies 48 new susceptibility variants for multiple sclerosis. Nat Genet 2013; 45:1353-60. [PMID: 24076602 PMCID: PMC3832895 DOI: 10.1038/ng.2770] [Citation(s) in RCA: 980] [Impact Index Per Article: 89.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2013] [Accepted: 09/03/2013] [Indexed: 12/13/2022]
Abstract
Using the ImmunoChip custom genotyping array, we analyzed 14,498 subjects with multiple sclerosis and 24,091 healthy controls for 161,311 autosomal variants and identified 135 potentially associated regions (P < 1.0 × 10(-4)). In a replication phase, we combined these data with previous genome-wide association study (GWAS) data from an independent 14,802 subjects with multiple sclerosis and 26,703 healthy controls. In these 80,094 individuals of European ancestry, we identified 48 new susceptibility variants (P < 5.0 × 10(-8)), 3 of which we found after conditioning on previously identified variants. Thus, there are now 110 established multiple sclerosis risk variants at 103 discrete loci outside of the major histocompatibility complex. With high-resolution Bayesian fine mapping, we identified five regions where one variant accounted for more than 50% of the posterior probability of association. This study enhances the catalog of multiple sclerosis risk variants and illustrates the value of fine mapping in the resolution of GWAS signals.
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Kim HW, Lee JE, Cha JJ, Hyun YY, Kim JE, Lee MH, Song HK, Nam DH, Han JY, Han SY, Han KH, Kang YS, Cha DR. Fibroblast growth factor 21 improves insulin resistance and ameliorates renal injury in db/db mice. Endocrinology 2013; 154:3366-76. [PMID: 23825123 DOI: 10.1210/en.2012-2276] [Citation(s) in RCA: 96] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Despite the emerging importance of fibroblast growth factor 21 (FGF21) as a metabolic hormone regulating energy balance, its direct effects on renal function remain unexplored. FGF21 was injected ip daily for 12 weeks into db/db mice. Compared with control vehicle injection, FGF21 treatment significantly improved lipid profiles and insulin resistance and resulted in significantly higher serum adiponectin levels. In contrast, serum insulin and 8-isoprostane levels were significantly decreased. Interestingly, FGF21 and its receptor components in the kidneys were found to be significantly up-regulated in db/db mice, which suggests an FGF21-resistant state. FGF21 treatment significantly down-regulated FGF21 receptor components and activated ERK phosphorylation. FGF21 administration also markedly decreased urinary albumin excretion and mesangial expansion and suppressed profibrotic molecule synthesis. Furthermore, FGF21 improved renal lipid metabolism and oxidative stress injury. In cultured renal cells, FGF21 was mainly expressed in mesangial cells, and knockdown of FGF21 expression by stealth small interfering RNA further aggravated high-glucose-induced profibrotic cytokine synthesis in mesangial cells. Our results suggest that FGF21 improves insulin resistance and protects against renal injury through both improvement of systemic metabolic alterations and antifibrotic effects in type 2 diabetic nephropathy. Targeting FGF21 could therefore provide a potential candidate approach for a therapeutic strategy in type 2 diabetic nephropathy.
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MESH Headings
- Adiponectin/blood
- Adiponectin/metabolism
- Adipose Tissue, White/drug effects
- Adipose Tissue, White/metabolism
- Animals
- Crosses, Genetic
- Diabetes Mellitus, Type 2/complications
- Diabetes Mellitus, Type 2/drug therapy
- Diabetes Mellitus, Type 2/metabolism
- Diabetes Mellitus, Type 2/pathology
- Diabetic Retinopathy/prevention & control
- Fibroblast Growth Factors/genetics
- Fibroblast Growth Factors/metabolism
- Fibroblast Growth Factors/pharmacology
- Fibroblast Growth Factors/therapeutic use
- Gene Expression Regulation/drug effects
- Hyperlipidemias/complications
- Hyperlipidemias/prevention & control
- Hypoglycemic Agents/administration & dosage
- Hypoglycemic Agents/metabolism
- Hypoglycemic Agents/pharmacology
- Hypoglycemic Agents/therapeutic use
- Insulin Resistance
- Kidney/cytology
- Kidney/drug effects
- Kidney/metabolism
- Kidney/pathology
- Lipid Peroxidation/drug effects
- MAP Kinase Signaling System/drug effects
- Male
- Mesangial Cells/cytology
- Mesangial Cells/drug effects
- Mesangial Cells/metabolism
- Mesangial Cells/pathology
- Mice
- Mice, Inbred C57BL
- Mice, Mutant Strains
- Oxidative Stress/drug effects
- Receptors, Fibroblast Growth Factor/biosynthesis
- Receptors, Fibroblast Growth Factor/metabolism
- Recombinant Proteins/metabolism
- Recombinant Proteins/pharmacology
- Recombinant Proteins/therapeutic use
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Affiliation(s)
- H W Kim
- Department of Internal Medicine, Wonkwang University, Gunpo 570–479, South Korea
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114
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Kim JH, Lee MH, Doo SW, Yang WJ, Song YS, Yoo BW, Kwon SS. Re-categorisation of male lower urinary tract symptoms based on the international prostate symptom score questionnaire. Int J Clin Pract 2013; 67:789-94. [PMID: 23668808 DOI: 10.1111/ijcp.12091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2012] [Accepted: 11/06/2012] [Indexed: 11/30/2022] Open
Abstract
AIMS The purpose of this study was to develop a new sub-classification system for male lower urinary tract symptoms (LUTS)-mild, moderate and severe-using the conventional International Prostate Symptoms Score (I-PSS). METHODS From October 2007 to March 2012, a total of 2234 male patients (≥ 50 years old) presenting with LUTS were enrolled in this study. Patients were sorted according to their I-PSS (ranging from 1 to 35 points) and divided into three groups based on their quality of life (QoL) score. A chi-square automatic interaction detection (CHAID) algorithm, based on adjusted significance testing, was used. The Kappa coefficient was calculated for the agreement of original and new categorisation. RESULTS Mean total I-PSS and QoL scores were 11.0 and 2.9 respectively. According to the original classification, 838 patients (38.6%) had mild, 1053 (48.5%) had moderate and 282 (13.0%) had severe symptoms. After the CHAID algorithm was applied, the scores were re-categorised as 'mild' (1-6 points), 'moderate' (7-21 points) and 'severe' (22-35 points). The overall model was able to correctly predict whether an I-PSS was associated with mild, moderate or severe symptoms, with 70.1% accuracy. According to this new classification, 704 patients (32.4%) were shown to have mild, 1255 (57.8%) to have moderate and 214 (9.8%) to have severe LUTS. The agreement of conventional and new categorisation is very strong (Kappa coefficient = 0.84). CONCLUSIONS Conventional categorisation of LUTS by I-PSS needs to be updated and the category of moderate LUTS should be broadened.
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Affiliation(s)
- J H Kim
- Department of Urology, College of Medicine, Soonchunhyang University, Seoul Hospital, Seoul, Korea
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115
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Lee SE, Lee JU, Lee MH, Ryu MJ, Kim SJ, Kim YK, Choi MJ, Kim KS, Kim JM, Kim JW, Koh YW, Lim DS, Jo YS, Shong M. RAF kinase inhibitor-independent constitutive activation of Yes-associated protein 1 promotes tumor progression in thyroid cancer. Oncogenesis 2013; 2:e55. [PMID: 23857250 PMCID: PMC3740284 DOI: 10.1038/oncsis.2013.12] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2012] [Revised: 04/20/2013] [Accepted: 04/26/2013] [Indexed: 12/16/2022] Open
Abstract
The transcription coactivator Yes-associated protein 1 (YAP1) is regulated by the Hippo tumor suppressor pathway. However, the role of YAP1 in thyroid cancer, which is frequently associated with the BRAFV600E mutation, remains unknown. This study aimed to investigate the role of YAP1 in thyroid cancer. YAP1 was overexpressed in papillary (PTC) and anaplastic thyroid cancer, and nuclear YAP1 was more frequently detected in BRAFV600E (+) PTC. In the thyroid cancer cell lines TPC-1 and HTH7, which do not have the BRAFV600E mutation, YAP1 was cytosolic and inactive at high cell densities. In contrast, YAP1 was retained in the nucleus and its target genes were expressed in the thyroid cancer cells 8505C and K1, which harbor the BRAFV600E mutation, regardless of cell density. Furthermore, the nuclear activation of YAP1 in 8505C was not inhibited by RAF or MEK inhibitor. In vitro experiments, YAP1 silencing or overexpression affected migratory capacities of 8505C and TPC-1 cells. YAP1 knockdown resulted in marked decrease of tumor volume, invasion and distant metastasis in orthotopic tumor xenograft mouse models using the 8505C thyroid cancer cell line. Taken together, YAP1 is involved in the tumor progression of thyroid cancer and YAP1-mediated effects might not be affected by the currently used RAF kinase inhibitors.
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Affiliation(s)
- S E Lee
- Department of Internal Medicine, Research Center for Endocrine and Metabolic Disease, Chungnam National University School of Medicine, Daejeon, Korea
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116
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Abstract
Bone regeneration around titanium (Ti) implants is a relatively slow process. The c-myb transcription factor has been associated with high proliferation and differentiation rates in bone. This study analyzed whether c-myb can enhance new bone surrounding the implant. In vitro overexpressed chitosan-gold nanoparticles conjugated with plasmid DNA/c-myb (Ch-GNPs/c-myb)-coated Ti surfaces were associated with enhanced expression of the osteogenic molecules osteopontin (OPN), runt-related transcription factor 2 (RUNX-2), and bone morphogenetic proteins (BMP2/7) in MC-3T3E1 osteoblast cells. Further, to determine its in vivo effect, we inserted Ch-GNPs/c-myb-coated Ti implants into rat mandibles. One and 4 wks post-implantation, mandibles were examined by microcomputed tomography, immunohistochemistry, and hematoxylin & eosin staining. The microcomputed tomography analysis demonstrated that c-myb overexpression increased the density and volume of newly formed bone surrounding the implants, compared with those in controls (p < .05). Further, c-myb increased the number of cells expressing BMP2/7 and aided in the increase of new bone (p < .05). These results support the view that c-myb overexpression accelerates new bone surrounding implants and can serve as a potent molecule in promoting tissue regeneration around dental implants. The recipient rat used in this system provides an excellent in vivo model for studies of bone regeneration.
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Affiliation(s)
- G Bhattarai
- Department of Oral Biochemistry, BK21 program, School of Dentistry, Chonbuk National University, Jeonju, Korea
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117
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Cha JJ, Hyun YY, Lee MH, Kim JE, Nam DH, Song HK, Kang YS, Lee JE, Kim HW, Han JY, Cha DR. Renal protective effects of toll-like receptor 4 signaling blockade in type 2 diabetic mice. Endocrinology 2013; 154:2144-55. [PMID: 23568555 DOI: 10.1210/en.2012-2080] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Chronic inflammation caused by high glucose and high free fatty acid (FFA) concentrations is a major contributor to the pathogenesis of type 2 diabetes. Recent evidence suggests that activation of Toll-like receptor (TLR) signaling induces peripheral insulin resistance and mediates central insulin and leptin resistance. In this study, we investigated the renal effects of TLR4 signaling blockade in type 2 diabetic mice. Eight-week-old db/db mice were treated for 12 weeks with (S,R)-3-phenyl-4,5-dihydro-5-isoxasole acetic acid (GIT27), which targets macrophages through the inhibition of TLR4- and TLR2/6-mediated signaling pathways. Although GIT27 treatment improved glycemic control and insulin tolerance, which is associated with a lower lipid profile, it did not impact body weight or food consumption. GIT27 treatment also markedly decreased urinary albumin excretion, decreased proinflammatory cytokine synthesis, improved tissue lipid metabolism, induced oxidative stress, and improved glomerulosclerosis compared with the control db/db group. In cultured podocytes and adipocytes, high glucose levels with FFA stimulation increased TLR4 expression and proinflammatory cytokine synthesis, but the effects were abolished by GIT27 treatment. In addition, knockdown of TLR4 expression by stealth small interfering RNA abolished FFA-induced proinflammatory cytokine synthesis in cultured podocytes. In conclusion, our results suggest that GIT27 treatment improves insulin resistance and protects against the renal injury that occurs in type 2 diabetic nephropathy through both metabolic and antiglomerulosclerotic mechanisms. These results suggest that TLR pathway inhibition might play a direct protective role in diabetic kidney disease.
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Affiliation(s)
- J J Cha
- Department of Internal Medicine, Korea University Ansan-Hospital, 516 Kojan-Dong, Ansan City, Kyungki-Do, 425-020, Korea
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Zhu Y, Das K, Wu J, Lee MH, Tan P. RNH1 regulation of reactive oxygen species contributes to histone deacetylase inhibitor resistance in gastric cancer cells. Oncogene 2013; 33:1527-37. [PMID: 23584480 DOI: 10.1038/onc.2013.104] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2012] [Revised: 01/31/2013] [Accepted: 02/07/2013] [Indexed: 12/16/2022]
Abstract
Histone deacetylase inhibitors (HDACis) are a promising class of anticancer epigenetic drugs, however, molecular factors influencing the responses of individual tumors to HDACi therapies remain obscure. Here, we sought to identify genes associated with HDACi resistance in gastric cancer. Treating a panel of 17 gastric cancer cell lines with multiple HDACi compounds (trichostatin A, SAHA and MS275), we identified two distinct classes of lines exhibiting either HDACi sensitivity or resistance. Genomic comparisons between the sensitive and resistant classes using two independent microarray platforms identified RNH1, encoding a ribonuclease inhibitor, as a gene highly expressed in HDACi-resistant lines. Using genetic knockdown and overexpression assays, we show that RNH1 is both necessary and sufficient to induce HDACi resistance, and that RNH1 is likely to mediate this resistance through the dampening of HDACi-induced reactive oxygen species (ROS) in cancer cells. The discovery of RNH1 as a regulator of HDACi resistance in gastric cancer highlights a functional role for ROS induction in the cellular effects of this important drug class.
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Affiliation(s)
- Y Zhu
- 1] Cancer and Stem Cell and Biology, Duke-NUS Graduate Medical School, Singapore [2] Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - K Das
- Cancer and Stem Cell and Biology, Duke-NUS Graduate Medical School, Singapore
| | - J Wu
- Cellular and Molecular Research, National Cancer Centre, Singapore
| | - M H Lee
- Cellular and Molecular Research, National Cancer Centre, Singapore
| | - P Tan
- 1] Cancer and Stem Cell and Biology, Duke-NUS Graduate Medical School, Singapore [2] Cellular and Molecular Research, National Cancer Centre, Singapore [3] Cancer Science Institute of Singapore, Yong Loo Lin School of Medicine, National University of Singapore, Singapore [4] Genome Institute of Singapore, Singapore
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Affiliation(s)
- H R Kim
- Departments of Radiology, Soonchunhyang University, Bucheon Hospital, Bucheon-si, Gyeonggi-do, South Korea
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Thekkek N, Pierce MC, Lee MH, Polydorides AD, Flores RM, Anandasabapathy S, Richards-Kortum RR. Modular video endoscopy for in vivo cross-polarized and vital-dye fluorescence imaging of Barrett's-associated neoplasia. J Biomed Opt 2013; 18:26007. [PMID: 23370452 PMCID: PMC3561596 DOI: 10.1117/1.jbo.18.2.026007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
A modular video endoscope is developed and tested to allow imaging in different modalities. This system incorporates white light imaging (WLI), cross-polarized imaging (CPI), and vital-dye fluorescence imaging (VFI), using interchangeable filter modules. CPI and VFI are novel endoscopic modalities that probe mucosal features associated with Barrett's neoplasia. CPI enhances vasculature, while VFI enhances glandular architecture. In this pilot study, we demonstrate the integration of these modalities by imaging areas of Barrett's metaplasia and neoplasia in an esophagectomy specimen. We verify that those key image features are also observed during an in vivo surveillance procedure. CPI images demonstrate improved visualization of branching blood vessels associated with neoplasia. VFI images show glandular architecture with increased glandular effacement associated with neoplasia. Results suggests that important pathologic features seen in CPI and VFI are not visible during standard endoscopic white light imaging, and thus the modalities may be useful in future in vivo studies for discriminating neoplasia from Barrett's metaplasia. We further demonstrate that the integrated WLI/CPI/VFI endoscope is compatible with complementary high-resolution endomicroscopy techniques such as the high-resolution microendoscope, potentially enabling two-step ("red-flag" widefield plus confirmatory high-resolution imaging) protocols to be enhanced.
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Affiliation(s)
- Nadhi Thekkek
- Rice University, Department of Bioengineering, 6100 Main Street, MS 142, Houston, TX 77005, USA.
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Im SA, Oh DY, Keam B, Lee KS, Ahn JH, Sohn J, Ahn JS, Kim JH, Lee MH, Lee KE, Kim HJ, Lee KH, Han SW, Kim SY, Kim SB, Im YH, Ro J, Park HS. Abstract PD09-05: Single nucleotide polymorphism of XRCC1 which participates in DNA repair mechanism predicts clinical outcome in relapsed or metastatic breast cancer patients treated with S1 and oxaliplatin chemotherapy: Results from multicenter prospective study (TORCH_KCSG BR07-03). Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-pd09-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: S1 and oxaliplatin (SOX) combination chemotherapy is an effective regimen in anthracycline and taxane pretreated metastatic breast cancer (MBC) patients with manageable toxicities (KCSG BR07-03, SABCS 2011 #Abst P3-16-06). The aim of this study was to investigate the association of the single nucleotide polymorphisms (SNPs) and clinical outcome in MBC treated with SOX chemotherapy.
Patients and Methods: A total of 87 MBC patients previously treated with or resistant to anthracycline and taxane chemotherapy were enrolled in this prospective multicenter trial. The patients received S-1 80mg/m2/day (day 1–14) and oxaliplatin 130 mg/m2 (day 1) every 3 weeks till progression. Among the 87 patients, 77 patients were available for SNP analysis. Germline DNA from peripheral blood (PB) mononuclear cells was extracted. SNPs in 4 genes from pathways that may influence cellular sensitivity to S1 and oxaliplatin (TS, ERCC, XPD, and XRCC) were genotyped from PB sample using PCR-restriction fragment length polymorphism.
Results: Overall response rate (RR) was 38.5% (95% CI: 27.7–49.3) and disease control rate was 67.9% (95% CI:57.5–78.3) to SOX. Median time-to-progression (TTP) and overall survival (OS) were 6.0 mo (95% CI: 5.1–6.9 mo) and 19.4 mo (95% CI: not estimated), respectively. XRCC1 Arg194Trp SNP which participates in DNA repair mechanism showed correlation with the clinical outcome. RR was tend to higher in XRCC1 Arg194Trp CC genotype compared with CT or TT genotype (50.0 % vs 35.1% or 12.5%, P = 0.121). TTP of patients with CC genotype in XRCC1 Arg194Trp was significantly longer than the TTP of patients with CT or TT genotype (median TTP: 6.4 mo in CC, 5.9 mo in CT, 3.0 mo in TT, P = 0.007) as well as overall survival (OS) (median OS: not reached in CC, 13.9 mo in CT, 7.1 mo in TT, P = 0.006). After adjusting for hormone receptor status, performance status, and visceral involvement, prognostic value of XRCC1 Arg194Trp SNP remained significant (Hazard Ratio=1.322 and 4.484, P = 0.016). Other SNPs were not significantly associated with survival or toxicities.
Conclusion: XRCC1 Arg194Trp SNP is associated with clinical outcome of MBC patients treated with SOX chemotherapy. Further studies of the relationship between germline polymorphisms in XRCC1 and functional mechanism researches are warranted.
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr PD09-05.
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Affiliation(s)
- S-A Im
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - D-Y Oh
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - B Keam
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - KS Lee
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - J-H Ahn
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - J Sohn
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - JS Ahn
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - JH Kim
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - MH Lee
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - KE Lee
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - HJ Kim
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - K-H Lee
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - SW Han
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - S-Y Kim
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - SB Kim
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - Y-H Im
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - J Ro
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
| | - H-S Park
- Seoul National University Hospital, Seoul, Korea; National Cancer Center, Goyang, Korea; Asan Medical Center, Seoul, Korea; Yonsei University College of Medicine, Severance Hospital, Seoul, Korea; Samsung Medical Center, Seoul, Korea; Seoul National University Bundang Hospital, Seongnam, Korea; Inha University Hospital, Incheon, Korea; Ewha Womans University Medical Center, Seoul, Korea; Hallym University Sacred Heart Hospital, Anyang, Korea; Kyung-Hee University Hospital, Seoul, Korea; Soon Chun Hyang University Hospital, Seoul, Korea
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Lee MH, Brancolini G, Gutiérrez R, Di Felice R, Cuniberti G. Probing charge transport in oxidatively damaged DNA sequences under the influence of structural fluctuations. J Phys Chem B 2012; 116:10977-85. [PMID: 22679932 DOI: 10.1021/jp2091544] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
We present a detailed study of the charge transport characteristics of double-stranded DNA oligomers including the oxidative damage 7,8-dihydro-8-oxoguanine (8-oxoG). The problem is treated by a hybrid methodology combining classical molecular dynamics simulations and semiempirical electronic structure calculations to formulate a coarse-grained charge transport model. The influence of solvent- and DNA-mediated structural fluctuations is encoded in the obtained time series of the electronic charge transfer parameters. Within the Landauer approach to charge transport, we perform a detailed analysis of the conductance and current time series obtained by sampling the electronic structure along the molecular dynamics trajectory, and find that the inclusion of 8-oxoG damages into the DNA sequence can induce a change in the electrical response of the system. However, solvent-induced fluctuations tend to mask the effect, so that a detection of such sequence modifications via electrical transport measurements in a liquid environment seems to be difficult to achieve.
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Affiliation(s)
- M H Lee
- Institute for Materials Science and Max Bergmann Center of Biomaterials, Dresden University of Technology, 01062 Dresden, Germany
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Abstract
SUMMARY Resting-state fMRI measures spontaneous low-frequency fluctuations in the BOLD signal to investigate the functional architecture of the brain. Application of this technique has allowed the identification of various RSNs, or spatially distinct areas of the brain that demonstrate synchronous BOLD fluctuations at rest. Various methods exist for analyzing resting-state data, including seed-based approaches, independent component analysis, graph methods, clustering algorithms, neural networks, and pattern classifiers. Clinical applications of resting-state fMRI are at an early stage of development. However, its use in presurgical planning for patients with brain tumor and epilepsy demonstrates early promise, and the technique may have a future role in providing diagnostic and prognostic information for neurologic and psychiatric diseases.
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Affiliation(s)
- M H Lee
- Mallinckrodt Institute of Radiology
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124
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Lee MH, Buterbaugh K, Richards-Kortum R, Anandasabapathy S. Advanced endoscopic imaging for Barrett's Esophagus: current options and future directions. Curr Gastroenterol Rep 2012; 14:216-25. [PMID: 22453701 DOI: 10.1007/s11894-012-0259-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Barrett's esophagus is the precursor to esophageal adenocarcinoma, one of the most rapidly increasing cancers in the United States. Given the poor prognosis of late-stage adenocarcinoma, endoscopic surveillance is recommended for subjects with Barrett's esophagus to detect early neoplasia. Current guidelines recommend "random" four-quadrant biopsies taken every 1-2 cm throughout the Barrett's segment. However, this only samples a minority of epithelium and has been shown to miss areas of endoscopically- inapparent neoplasia (high grade dysplasia or cancer). Recent efforts have focused on developing novel diagnostic imaging technologies to detect the subtle epithelial changes associated with dysplasia and neoplasia in Barrett's esophagus. Some of these modalities serve as "red flag" technologies designed to detect areas of abnormality within large surface areas. Other technologies serve to characterize areas of visible abnormality, offering a higher spatial resolution to confirm/exclude the presence of neoplasia. This review summarizes several available and evolving imaging technologies used in the endoscopic diagnosis and surveillance of Barrett's associated neoplasia.
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Affiliation(s)
- Michelle H Lee
- Division of Gastroenterology, The Mount Sinai Medical Center, New York, NY 10029, USA
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125
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Chung WJ, Chung HW, Shin MJ, Lee SH, Lee MH, Lee JS, Kim MJ, Lee WK. MRI to differentiate benign from malignant soft-tissue tumours of the extremities: a simplified systematic imaging approach using depth, size and heterogeneity of signal intensity. Br J Radiol 2012; 85:e831-6. [PMID: 22553293 DOI: 10.1259/bjr/27487871] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
OBJECTIVE Differentiating between malignant and benign lesions on the basis of MR images depends on the experience of the radiologist. For non-experts, we aimed to develop a simplified systematic MRI approach that uses depth, size and heterogeneity on T(2) weighted MR images (T(2)WI) to differentiate between malignant and benign lesions, and evaluated its diagnostic accuracy. METHODS MR images of 266 patients with histologically proven soft-tissue tumours of the extremities (102 malignant, 164 benign) were analysed according to depth (superficial or deep), size (<50, ≥50 mm) and signal intensity (homogeneous or heterogeneous) on T(2)WI, to determine the ability of each to predict benign and malignant tumours. These three parameters were categorised into systematic combinations of different orders of application, and each combination was assessed for its ability to differentiate between benign and malignant lesions. RESULTS Univariate analysis showed that depth, size and heterogeneity on T(2)WI differed significantly between benign and malignant masses (p<0.0001 each). Multiple logistic regression analysis, however, showed that depth was not helpful in distinguishing benign from malignant lesions. The systematic combination of signal intensity, size and depth, in that order, was superior to other combinations, resulting in higher diagnostic values for malignancy, with a sensitivity of 64%, a specificity of 85%, a positive predictive value of 32%, a negative predictive value of 59% and an accuracy of 77%. CONCLUSION A simplified systematic imaging approach, in the order signal intensity, size and depth, would be a reference to distinguish between benign and malignant soft-tissue tumours for non-experts.
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Affiliation(s)
- W J Chung
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
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Abe K, Fuke H, Haino S, Hams T, Hasegawa M, Horikoshi A, Itazaki A, Kim KC, Kumazawa T, Kusumoto A, Lee MH, Makida Y, Matsuda S, Matsukawa Y, Matsumoto K, Mitchell JW, Myers Z, Nishimura J, Nozaki M, Orito R, Ormes JF, Sakai K, Sasaki M, Seo ES, Shikaze Y, Shinoda R, Streitmatter RE, Suzuki J, Takasugi Y, Takeuchi K, Tanaka K, Thakur N, Yamagami T, Yamamoto A, Yoshida T, Yoshimura K. Search for antihelium with the BESS-Polar spectrometer. Phys Rev Lett 2012; 108:131301. [PMID: 22540691 DOI: 10.1103/physrevlett.108.131301] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2012] [Indexed: 05/31/2023]
Abstract
In two long-duration balloon flights over Antarctica, the Balloon-borne Experiment with a Superconducting Spectrometer (BESS) collaboration has searched for antihelium in the cosmic radiation with the highest sensitivity reported. BESS-Polar I flew in 2004, observing for 8.5 days. BESS-Polar II flew in 2007-2008, observing for 24.5 days. No antihelium candidate was found in BESS-Polar I data among 8.4×10(6) |Z|=2 nuclei from 1.0 to 20 GV or in BESS-Polar II data among 4.0×10(7) |Z|=2 nuclei from 1.0 to 14 GV. Assuming antihelium to have the same spectral shape as helium, a 95% confidence upper limit to the possible abundance of antihelium relative to helium of 6.9×10(-8)} was determined combining all BESS data, including the two BESS-Polar flights. With no assumed antihelium spectrum and a weighted average of the lowest antihelium efficiencies for each flight, an upper limit of 1.0×10(-7) from 1.6 to 14 GV was determined for the combined BESS-Polar data. Under both antihelium spectral assumptions, these are the lowest limits obtained to date.
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Affiliation(s)
- K Abe
- Kobe University, Kobe, Hyogo 657-8501, Japan
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Nam DH, Lee MH, Kim JE, Song HK, Kang YS, Lee JE, Kim HW, Cha JJ, Hyun YY, Kim SH, Han SY, Han KH, Han JY, Cha DR. Blockade of cannabinoid receptor 1 improves insulin resistance, lipid metabolism, and diabetic nephropathy in db/db mice. Endocrinology 2012; 153:1387-96. [PMID: 22234468 DOI: 10.1210/en.2011-1423] [Citation(s) in RCA: 87] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
The endocannabinoid system is important in the pathogenesis of obesity-related metabolic disorders. However, the effect of inhibiting the endocannabinoid system in type 2 diabetic nephropathy is unclear. Therefore, we examined the effect of the cannabinoid (CB)1 receptor antagonist, SR141716, on insulin resistance and diabetic nephropathy in db/db mice. Six-week-old db/db mice were treated with the CB1-specific antagonist SR141716 (10 mg/kg · d) for 3 months. Treatment with SR141716 significantly improved insulin resistance and lipid abnormalities. Concomitantly, CB1 antagonism improved cardiac functional and morphological abnormality, hepatic steatosis, and phenotypic changes of adipocytes into small differentiated forms, associated with increased adiponectin expression and decreased lipid hydroperoxide levels. CB1 receptor was overexpressed in diabetic kidneys, especially in podocytes. Treatment with the SR141716 markedly decreased urinary albumin excretion and mesangial expansion and suppressed profibrotic and proinflammatory cytokine synthesis. Furthermore, SR141716 improved renal lipid metabolism and decreased urinary 8-isoprostane levels, renal lipid hydroperoxide content, and renal lipid content. In cultured podocytes, high-glucose stimulation increased CB1 receptor expression, and SR141716 treatment abolished high-glucose-induced up-regulation of collagen and plasminogen activator inhibitor-1 synthesis. Additionally, knockdown of CB1 receptor expression by stealth small interfering RNA abolished high-glucose-induced sterol-regulatory element-binding protein-1 expression in podocytes. These findings suggest that CB1 blockade improves insulin resistance and protect against renal injury through both metabolic and antifibrotic effects in type 2 diabetic nephropathy. Targeting CB1 blockade could therefore provide a new therapeutic target to prevent type 2 diabetic nephropathy.
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Affiliation(s)
- D H Nam
- Department of Internal Medicine, Korea University, Ansan City, Kyungki-Do, 425-020, Korea
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Kim WK, Ke K, Sul OJ, Kim HJ, Kim SH, Lee MH, Kim HJ, Kim SY, Chung HT, Choi HS. Curcumin protects against ovariectomy-induced bone loss and decreases osteoclastogenesis. J Cell Biochem 2012; 112:3159-66. [PMID: 21732406 DOI: 10.1002/jcb.23242] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Curcumin has anti-oxidative activity. In view of the increasing evidence for a biochemical link between increased oxidative stress and reduced bone density we hypothesized that curcumin might increase bone density by elevating antioxidant activity in some target cell type. We measured bone density by Micro-CT, enzyme expression levels by quantitative PCR or enzyme activity, and osteoclast (OC) formation by tartrate-resistant acid phosphatase staining. The bone mineral density of the femurs of curcumin-administered mice was significantly higher than that of vehicle-treated mice after ovariectomy (OVX) and this was accompanied by reduced amounts of serum collagen-type I fragments, which are markers of bone resorption. Curcumin suppressed OC formation by increasing receptor activator of nuclear factor-κB ligand (RANKL)-induced glutathione peroxidase-1, and reversed the stimulatory effect of homocysteine, a known H(2) O(2) generator, on OC formation by restoring Gpx activity. Curcumin generated an aberrant RANKL signal characterized by reduced expression of nuclear factor of activated T cells 2 (NFAT2) and attenuated activation of mitogen-activated protein kinases (ERK, JNK, and p38). Curcumin thus inhibited OVX-induced bone loss, at least in part by reducing osteoclastogenesis as a result of increased antioxidant activity and impaired RANKL signaling. These findings suggest that bone loss associated with estrogen deficiency could be attenuated by curcumin administration.
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Affiliation(s)
- W K Kim
- Department of Biological Sciences (BK21 Program), University of Ulsan, Ulsan 680-749, Korea
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Shin JH, Lee MH, Kim YH, Kim SW, Kim SW, Cho JH, Park YJ. Wedge resection and modified mattress suture for correcting anterior septal deviation: how we do it. Clin Otolaryngol 2012; 36:504-9. [PMID: 22032452 DOI: 10.1111/j.1749-4486.2011.02346.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- J H Shin
- Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Abe K, Fuke H, Haino S, Hams T, Hasegawa M, Horikoshi A, Kim KC, Kusumoto A, Lee MH, Makida Y, Matsuda S, Matsukawa Y, Mitchell JW, Nishimura J, Nozaki M, Orito R, Ormes JF, Sakai K, Sasaki M, Seo ES, Shinoda R, Streitmatter RE, Suzuki J, Tanaka K, Thakur N, Yamagami T, Yamamoto A, Yoshida T, Yoshimura K. Measurement of the cosmic-ray antiproton spectrum at solar minimum with a long-duration balloon flight over antarctica. Phys Rev Lett 2012; 108:051102. [PMID: 22400920 DOI: 10.1103/physrevlett.108.051102] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2011] [Revised: 10/21/2011] [Indexed: 05/31/2023]
Abstract
The energy spectrum of cosmic-ray antiprotons (p's) from 0.17 to 3.5 GeV has been measured using 7886 p's detected by BESS-Polar II during a long-duration flight over Antarctica near solar minimum in December 2007 and January 2008. This shows good consistency with secondary p calculations. Cosmologically primary p's have been investigated by comparing measured and calculated p spectra. BESS-Polar II data show no evidence of primary p's from the evaporation of primordial black holes.
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Affiliation(s)
- K Abe
- Kobe University, Kobe, Hyogo 657-8501, Japan
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Im SA, Oh DY, Lee KS, Ahn JH, Shon J, Ahn JS, Kim JH, Han SW, Lee MH, Lee KE, Lee K, Kim HJ, Keam B, Kim SY, Kim SB, Im YH, Ro J, Park HS. P3-16-06: Phase II Trial of TS-1 in Combination with Oxaliplatin (SOX) in Patients with Metastatic Breast Cancer (MBC) Previously Treated with Anthracycline and Taxane Chemotherapy [TORCH] [Korean Cancer Study Group (KCSG) BR07-03]. Cancer Res 2011. [DOI: 10.1158/0008-5472.sabcs11-p3-16-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background
Oxaliplatin, a platinum analogue, is an active drug in advanced anthracycline and taxane-pretreated breast cancer patients as a single agent and with 5-fluorouracil (5-FU) combination. TS-1 was developed by the scientific theory of both potentiating antitumor activity of 5-FU and reducing gastrointestinal toxicity. This trial was performed to evaluate the efficacy and safety of TS-1 in combination with oxaliplatin in metastatic breast cancer (MBC) patients previously treated with anthracycline and taxane chemotherapy.
Methods: Between October 2007 and October 2009, MBC patients were enrolled in this prospective multicenter trial. Eligible criteria included age ≥18 years, at least one measurable lesion, prior treatment with anthracycline and taxane chemotherapy, and ECOG Performance Status 0–2. TS-1 40 mg/m2 b.i.d. on days 1–14 with oxaliplatin 130 mg/m2 on day 1 were administered every 3 weeks till disease progression. Primary end-point was response rate, and secondary end-points were time-to-progression (TTP), overall survival (OS), duration of response (DOR) and toxicities. Response was evaluated every 6 weeks according to the RECIST criteria v. 1.0 and toxicity was assessed with NCICTCAE v.3.0.(ClinicalTrials.gov identifier NCT00527930).
Results: A total of 87 patients were enrolled. Median age was 48 years (range 30–71 years). Nineteen patients (21.8%) had de novo stage IV and 68 patients (78.2%) had recurrent disease. Thirty-five patients (40.2%) received two-lines of prior chemotherapy in palliative setting. Forty-eight patients (55.2%) had ≥ 3 disease sites. Fifty-four patients (62.1%) were hormone receptor positive, and 25 patients (28.7%) were triple negative. Five patients received prior anti-HER2 therapy. A total of 525 cycles were administered (median 6 cycles, range: 1 ∼ 22+ cycle). In per-protocol analysis, overall response rate was 38.5% (95% CI: 27.7−49.3) (CR 0%, PR 38.5%) and disease control rate (CR, PR, and SD) was 67.9% (95% CI: 57.5−78.3). Median TTP, OS, and DOR were 6.0 months (95% CI: 5.1−6.9 months), 19.4 months (95% CI: not estimated), 6.6 months (95% CI: 3.7−9.6 months), respectively. RR was not different by triple negativity (39.1% in TNBC vs. 38.2% in non-TNBC, P=0.361). TTP was not different according to the number of prior chemotherapy regimens. Reported grade 3 or 4 toxicities (per cycle) were neutropenia (10.3%), thrombocytopenia (5.5%), diarrhea (1.9%), vomiting (1.9%), and stomatitis (0.2%). There was no treatment-related death.
Conclusions: SOX is an effective regimen in anthracycline and taxane pretreated MBC patients with manageable toxicities.
Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P3-16-06.
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Affiliation(s)
- S-A Im
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - D-Y Oh
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - KS Lee
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - J-H Ahn
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - J Shon
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - JS Ahn
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - JH Kim
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - SW Han
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - MH Lee
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - KE Lee
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - K Lee
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - HJ Kim
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - B Keam
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - S-Y Kim
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - SB Kim
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - YH Im
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - J Ro
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
| | - H-S Park
- 1Seoul National University Hospital, Seoul, Republic of Korea; National Cancer Center, Republic of Korea; Asan Medical Center, Seoul, Republic of Korea; Yonsei University College of Medicine, Severance Hospital, Seoul; Samsung Medical Center, Seoul, Republic of Korea; Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Inha University Hopsital, Incheon, Republic of Korea; Ewha Womans University Medical Center, Seoul, Republic of Korea; Hanlim University Pyungchon Hospital, Pyungchon, Republic of Korea; Kyung Hee University Hopital, Seoul, Republic of Korea; Soon Chun Hyang University Hospital, Seoul, Republic of Korea
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Kim Z, Kang SG, Lee J, Kim SY, Lim CW, Lee MH. P2-16-14: Skin Sparing Mastectomy and Immediate Latissimus Dorsi Flap Reconstruction: Patient Reported Outcome and Factors Affecting the Highest Patient Satisfaction. Cancer Res 2011. [DOI: 10.1158/0008-5472.sabcs11-p2-16-14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Skin sparing mastectomy (SSM) and immediate breast reconstruction (IBR) with latissimus dorsi (LD) flap is a tailored surgical procedure for breast cancer patients. In this study the oncologic safety, morbidities, and aesthetic results of SSM and LD IBR, as regards to patient satisfaction, were assessed.
Material and Methods: Between March 2000 and February 2011, single surgeon performed SSM and IBR for 145 patients. Eighty-five patients completed the patient satisfaction survey, and 65 patients with SSM and LD IBR were included. The patients were divided into 2 groups according to their degree of satisfaction, and a stratified analysis was performed.
Results: The mean age of the patients was 48.4 years (range, 21–74), and the pathologic results were infiltrating ductal carcinoma (n=48, 73.8%), ductal carcinoma in situ (n=15, 23.1%), and others (n=2, 3.1%). After a mean follow-up of 34 months (range, 1.6−89.9) no local recurrence occurred, and there were no skin necrosis or LD flap loss. Donor site morbidities were seroma (n=8, 12.3%), scarring (n=8, 12.3%), and back pain (n=6, 9.2%).
Fifty patients (76.9%) were satisfied with their surgical outcomes, and 40% reported their degree of satisfaction as excellent. Breast symmetry (P<0.001), nipple cosmesis (P<0.001), surgeon assessment (P<0.001), observer assessment (P<0.001), and visual difference of bilateral breasts (P=0.021) were factors that affected the highest patient satisfaction.
Conclusion: The present study demonstrated that our SSM and LD IBR was oncologically safe, and was associated with low morbidity rates. LD flap per se, without a prosthetic implant, could sufficiently produce a high level of patient satisfaction. Accurate surgical techniuqes and careful consideration for breast symmetry and nipple cosmesis would be the key to meet the patient's expectations and enhanced quality of life.
Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P2-16-14.
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Affiliation(s)
- Z Kim
- 1Soonchunhyang University Hospital, Seoul, Korea
| | - S-G Kang
- 1Soonchunhyang University Hospital, Seoul, Korea
| | - J Lee
- 1Soonchunhyang University Hospital, Seoul, Korea
| | - SY Kim
- 1Soonchunhyang University Hospital, Seoul, Korea
| | - CW Lim
- 1Soonchunhyang University Hospital, Seoul, Korea
| | - MH Lee
- 1Soonchunhyang University Hospital, Seoul, Korea
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Lee MH, Chang ST, Hsieh BF, Huang JJ, Lee CC. Analysis and modeling of nano-crystalline silicon TFTs on flexible substrate with mechanical strain. J Nanosci Nanotechnol 2011; 11:10485-10488. [PMID: 22408931 DOI: 10.1166/jnn.2011.3990] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The gap state density of nano-crystalline silicon active layers on a flexible substrate was redistributed with mechanical bending. The weak or broken bonds may contribute to the redistribution of trap states. During mechanical strain, the deep states redistributed in a Gaussian distribution, and are dissimilar to ordinary acceptor-like deep states, which manifest with exponential distributions. We conclude that the gap state density with TCAD modeling under mechanical strain is the fundamental reliability issue for the development of flexible electronics.
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Affiliation(s)
- M H Lee
- Institute of Electro-Optical Science and Technology, National Taiwan Normal University, Taipei 116, Taiwan
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Chung HC, Lee MH, Chang CP, Lin MF. Exploration of edge-dependent optical selection rules for graphene nanoribbons. Opt Express 2011; 19:23350-23363. [PMID: 22109212 DOI: 10.1364/oe.19.023350] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Optical selection rules for one-dimensional graphene nanoribbons are explored based on the tight-binding model. A theoretical explanation, through analyzing the velocity matrix elements and the features of the wavefunctions, can account for the selection rules, which depend on the edge structure of the nanoribbon, i.e., armchair or zigzag edges. The selection rule of armchair nanoribbons is ΔJ = Jc - Jv = 0, and the optical transitions occur from the conduction to the valence subbands of the same index. Such a selection rule originates in the relationships between two sublattices and between the conduction and valence subbands. On the other hand, zigzag nanoribbons exhibit the selection rule |ΔJ| = odd, which results from the alternatively changing symmetry property as the subband index increases. Furthermore, an efficient theoretical prediction on transition energies is obtained by the application of selection rules, and the energies of the band-edge states become experimentally attainable via optical measurements.
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Affiliation(s)
- H C Chung
- Department of Physics, National Cheng Kung University, Tainan 70101, Taiwan
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135
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Tsai WP, Chen MH, Lee MH, Yu KH, Wu MW, Liou LB. Cytomegalovirus infection causes morbidity and mortality in patients with autoimmune diseases, particularly systemic lupus: in a Chinese population in Taiwan. Rheumatol Int 2011; 32:2901-8. [PMID: 21898057 DOI: 10.1007/s00296-011-2131-4] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2011] [Accepted: 08/22/2011] [Indexed: 11/26/2022]
Abstract
To investigate the clinical outcome of cytomegalovirus (CMV) infection in febrile hospitalized patients with autoimmune diseases, mostly systemic lupus erythematosus (SLE). Fifty-four febrile patients were analyzed retrospectively. Half were diagnosed as CMV infection, by positive CMV pp65 antigenemia assay. Clinical and laboratory data between two groups were compared. Correlation between laboratory data and SELENA-SLEDAI scores/mortality were analyzed in the CMV infection group. Receiver operating characteristic analysis was performed to determine the cutoff points of different parameters for predicting mortality or morbidity. The CMV infection group received a higher corticosteroid dosage (mean 26.3 mg/day) and a higher percentage of azathioprine use before admission than the non-CMV infection group. In the former, the deceased subgroup had a significantly higher number of infected leukocytes for CMV (shortened as CMV counts, P = 0.013), more cases of bacterial infection (P = 0.090), and a higher SLE disease activity index score (P = 0.072) than the alive subgroup. The CMV infection group had lower lymphocyte count and more positive bacterial infection than the non-CMV infection group did (P = 0.013 and P = 0.027, respectively). A level of 25 CMV particles/5 × 10(5) polymorphonuclear neutrophils (PMN) was the best cutoff point for predicting CMV-associated mortality, with a sensitivity of 75.0% and specificity of 72.2%. Moderate dose (30 mg/day) of prednisolone or azathioprine use predisposes patients with autoimmune diseases to CMV infection with concurrent bacterial infection. In particular, peak CMV counts at 25/5 × 10(5) PMN or low lymphocyte counts predict mortality or morbidity, respectively.
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Affiliation(s)
- W P Tsai
- Chang Gung Memorial Hospital, Lin-kou, Tao-yuan, Taiwan
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136
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Kim DW, Kang JH, Lim YS, Lee MH, Seo WS, Park HH, Seo KH, Park MG. Pretreatment of polyethylene terephthalate substrate for the growth of Ga-doped ZnO thin film. J Nanosci Nanotechnol 2011; 11:1617-1620. [PMID: 21456250 DOI: 10.1166/jnn.2011.3355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The effect of the pretreatment of polyethylene terephthalate (PET) substrate on the growth of transparent conducting Ga-doped ZnO (GZO) thin film was investigated. Because of its high gas and moisture absorption and easy gas permeation, PET substrate was annealed at 100 degrees C in a vacuum chamber prior to the sputtering growth of GZO thin film for the outgassing of impurity gases. GZO thin film was deposited on the pretreated PET substrate by rf-magnetron sputtering and significantly improved electrical properties of GZO thin film was achieved. Electrical and structural characterizations of the GZO thin films were carried out by 4-point probe, Hall measurement, and scanning electron microscopy, and the effects of the pretreatment on the improved properties of GZO thin films were discussed. This result is not only useful to PET substrate, but also could be applicable to other plastic substrates which inevitably containing the moisture and impurity gases.
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Affiliation(s)
- D W Kim
- Green Ceramics Division, Korea Institute of Ceramic Engineering and Technology, Seoul 153-801, Korea
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Boo YK, Kim WC, Lee HY, Leem JH, Lee MH, Leem JS. Incidence trends in invasive uterine cervix cancer and carcinoma in situ in Incheon, South Korea. Asian Pac J Cancer Prev 2011; 12:1985-1988. [PMID: 22292638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
INTRODUCTION This study examined trends of invasive uterine cervix cancer and carcinoma in situ (CIS) in terms of the incidence and mortality in Incheon over a twelve year period. METHODS Uterine cervical cancer data were retrieved from the Incheon Cancer Registry (ICR) and Korea Central Cancer Registry (KCCR) from 1997 to 2008. The time trends in age-standardized incidence rates (ASR) of invasive uterine cervix cancer patients and CIS were calculated and compared with the nation-wide cancer registry data for each year. Mortality/incidence (M/I) ratios according to age and the incidence of the pathologic subtype in Incheon each year were also examined, along with an international comparison. RESULTS A total of 3,096 cases of invasive cervical cancer and 2,079 cases of carcinoma in situ were analyzed from 1997 to 2008. The time trend incidence of the total ASR in uterine cervical cancer decreased from 25.7 in 1997 to 13.4 in 2008, but the incidence of CIS increased from 7.6 to 15.8 in same period. In invasive cancers, the age-specific incidence rates were highest in those in their sixties while patients in their forties showed highest CIS values. The mortality rate in ICR was 3.7 from 1998 to 2002. Compared to the other countries which have high risk factors for cervix cancer, the peak incidence zone was different in Incheon. CONCLUSION The ICR showed a decrease in the incidence of invasive cervical cancer that was similar to the nation-wide data. An early increase zone is a characteristic pattern in the age specific incidence curve. Early screening and a vaccination program should be activated for prevention of young age cervical cancer.
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Affiliation(s)
- Yoo Kyung Boo
- Department of Healthcare Administration, College of Health Industry, Eulji University, Incheon, Korea
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Park HM, Lee MH, Nahm CH, Kim WC, Lee HB, Kim CS. A case of multiple myeloma possibly cured by autologous blood stem cell transplantation. Intern Med J 2010; 40:314-5. [PMID: 20529044 DOI: 10.1111/j.1445-5994.2009.02157.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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139
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Park SJ, Lee KS, Kim SR, Min KH, Moon H, Lee MH, Chung CR, Han HJ, Puri KD, Lee YC. Phosphoinositide 3-kinase δ inhibitor suppresses interleukin-17 expression in a murine asthma model. Eur Respir J 2010; 36:1448-59. [PMID: 20351038 DOI: 10.1183/09031936.00106609] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Phosphoinositide 3-kinases (PI3Ks) contribute to the pathogenesis of asthma by regulating the activation of inflammatory mediators, inflammatory cell recruitment and immune cell function. Recent findings have indicated that PI3Ks also regulate the expression of interleukin (IL)-17, which has been recognised as an important cytokine involved in airway inflammation. In the present study, we investigated a role of PI3Kδ in the regulation of IL-17 expression in allergic airway disease using a murine model of asthma. After ovalbumin inhalation, administration of a selective p110δ inhibitor, IC87114, significantly attenuated airway infiltration of total cells, lymphocytes, neutrophils and eosinophils, as well as airway hyperresponsiveness, and attenuated the increase in IL-17 protein and mRNA expression. Moreover, IC87114 reduced levels of IL-4, -5 and -13, expression of keratinocyte chemoattractant protein and mRNA, and nuclear factor (NF)-κB activity. In addition, a NF-κB inhibitor, BAY 11-7085 substantially reduced the increase in IL-17 protein levels. Our results also showed that inhibition of IL-17 activity with an anti-IL-17 antibody remarkably reduced airway inflammation and hyperresponsiveness. These findings suggest that inhibition of the p110δ signalling pathway suppresses IL-17 expression through regulation of NF-κB activity and, thus, has therapeutic potential in asthma.
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Affiliation(s)
- S J Park
- Dept of Internal Medicine, Chonbuk National University Medical School, Deokjin-gu, Jeonju, Jeonbuk 561-180, South Korea
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Kim JC, Kim DY, Jung SM, Lee MH, Kim KS, Lee CK, Nah JY, Lee SH, Kim JH, Choi WJ, Yoo SK. Implementation and performance evaluation of mobile ad hoc network for Emergency Telemedicine System in disaster areas. Annu Int Conf IEEE Eng Med Biol Soc 2010; 2009:1663-6. [PMID: 19964544 DOI: 10.1109/iembs.2009.5333889] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
So far we have developed Emergency Telemedicine System (ETS) which is a robust system using heterogeneous networks. In disaster areas, however, ETS cannot be used if the primary network channel is disabled due to damages on the network infrastructures. Thus we designed network management software for disaster communication network by combination of Mobile Ad hoc Network (MANET) and Wireless LAN (WLAN). This software maintains routes to a Backbone Gateway Node in dynamic network topologies. In this paper, we introduce the proposed disaster communication network with management software, and evaluate its performance using ETS between Medical Center and simulated disaster areas. We also present the results of network performance analysis which identifies the possibility of actual Telemedicine Service in disaster areas via MANET and mobile network (e.g. HSDPA, WiBro).
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Affiliation(s)
- J C Kim
- Graduate Programs of Biomedical Engineering, Univ. of Yonsei. Seoul. Korea.
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141
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Cho SW, Koh KH, Cheong JY, Lee MH, Hong SP, Yoo WD, Kim SO. Low efficacy of entecavir therapy in adefovir-refractory hepatitis B patients with prior lamivudine resistance. J Viral Hepat 2010; 17:171-7. [PMID: 19678894 DOI: 10.1111/j.1365-2893.2009.01161.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
We determined the virologic response, incidence of entecavir resistance, and evolution of lamivudine and adefovir-resistant mutants during entecavir (ETV) therapy in adefovir-refractory patients with prior lamivudine resistance. Forty adefovir-refractory chronic hepatitis B patients with prior lamivudine resistance who had received entecavir for > or = 6 months were included and monitored for virologic response and entecavir resistance. Ten per cent of patients achieved HBV DNA < 50 copies/mL by PCR after 24 weeks of ETV therapy, and an initial virologic response was observed in 12 of 40 patients (30%). Higher pretreatment ALT (P = 0.039) and the presence of the rtL180M mutation (P = 0.038) were associated with an initial virologic response. During a mean follow-up of 11.4 months, four patients (10%) experienced virologic breakthrough, while ETV-resistant mutants were detected in six patients (15%). YMDD and adefovir-resistant mutants were detected in 57 and 35% of patients at baseline, respectively. At 48 weeks of therapy, 96 and 4% of patients had YMDD and adefovir-resistant mutants, respectively. These data suggest an early development of ETV resistance and low antiviral response during ETV therapy in adefovir-refractory patients with prior lamivudine resistance.
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Affiliation(s)
- S W Cho
- Department of Gastroeneterlogy, Ajou University School of Medicine, San-5 Wonchon-Dong, Yountong-Ku, Suwon, 442-821, South Korea.
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142
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Thong MK, Fietz M, Nicholls C, Lee MH, Asma O. Congenital disorder of glycosylation type Ia in a Malaysian family: clinical outcome and description of a novel PMM2 mutation. J Inherit Metab Dis 2009; 32 Suppl 1:S41-4. [PMID: 19165618 DOI: 10.1007/s10545-009-1031-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2008] [Revised: 12/09/2008] [Accepted: 12/16/2008] [Indexed: 10/21/2022]
Abstract
There are few reports of congenital disorders of glycosylation (CDGs) in the Asian population, although they have been reported worldwide. We identified a Malaysian infant female at 2 days of life with CDG type Ia. The diagnosis was suspected on the basis of inverted nipples and abnormal fat distribution. She had cerebellar hypoplasia and developed coagulopathy, hypothyroidism and severe pericardial effusion and died at 7 months of life. The diagnosis was supported by abnormal serum transferrin isoform pattern that showed elevated levels of the disialotransferrin isoform and trace levels of the asialotransferrin isoform. Enzyme testing of peripheral leukocytes showed decreased level of phosphomannomutase (PMM) activity (0.6 nmol/min per mg protein, normal range 1.6-6.2) and a normal level of phosphomannose isomerase activity (19 nmol/min per mg protein, normal range 12-25), indicating a diagnosis of CDG type Ia. Mutation study of the PMM2 gene showed the patient was heterozygous for both the common p.R141H (c.422T>A) mutation and a novel sequence change in exon 7, c.618C>A. The latter change is predicted to result in the replacement of the highly conserved phenylalanine residue at position 206 with a leucine residue (p.F206L) and occurs in the same codon as the previously reported p.F206S mutation. Analysis of 100 control chromosomes has shown that the p.F206L sequence change is not present, making it highly likely that this change is functionally important. To the best of our knowledge, this is the first report of CDG in the Malay population. Prenatal diagnosis was successfully performed in a subsequent pregnancy for this family.
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Affiliation(s)
- M K Thong
- Department of Paediatrics, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
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143
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Cha HS, Kim TJ, Kim JY, Lee MH, Jeon CH, Kim J, Bae EK, Ahn KS, Koh EM. Autoantibodies to glucose‐6‐phosphate isomerase are elevated in the synovial fluid of rheumatoid arthritis patients. Scand J Rheumatol 2009; 33:179-84. [PMID: 15228189 DOI: 10.1080/03009740310004757] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
OBJECTIVE This study investigated whether anti-glucose-6-phosphate isomerase (GPI) antibody in the synovial fluid is specifically related to human rheumatoid arthritis (RA). METHODS Synovial fluid was collected from patients with RA, osteoarthritis (OA), gout, Behcet's disease, or ankylosing spondylitis. GPI-binding activity was measured in the synovial fluid using a surface plasmon resonance (SPR) biosensor. RESULTS The mean level of anti-GPI signal in the synovial fluid of RA patients was significantly elevated compared with that of OA patients (2.84 +/- 1.41 AU versus 1.19 +/- 0.42 AU, respectively; p < 0.0001). Anti-GPI signals in the synovial fluids of patients with non-rheumatoid arthritis, such as gout, Behcet's disease, or ankylosing spondylitis were significantly lower than in the synovial fluid of RA patients (p < 0.005), and were similar to those of OA patients. CONCLUSION Our study indicates that anti-GPI antibody in the synovial fluid is specifically related to RA, and suggests that GPI and its autoantibody might be important in the pathogenesis of human RA.
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Affiliation(s)
- H S Cha
- Department of Medicine, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Korea.
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144
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Park BB, Kim WS, Lee J, Park KW, Kang JH, Lee SH, Park JO, Kim K, Jung CW, Park YS, Im YH, Kang WK, Ko YH, Lee MH, Park K. IMVP-16/Pd followed by high-dose chemotherapy and autologous stem cell transplantation as a salvage therapy for refractory or relapsed peripheral T-cell lymphomas. Leuk Lymphoma 2009; 46:1743-8. [PMID: 16263576 DOI: 10.1080/10428190500178266] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The present study aimed to analyse the treatment outcome of IMVP-16/Pd (ifosfamide, methotrexate, etoposide and prednisone) followed by high-dose chemotherapy and autologous stem cell transplantation (HDC/ASCT) for patients with peripheral T-cell lymphomas (PTCLs) who were previously treated with CHOP. Since 1995, 32 PTCL patients were treated with IMPV-16/Pd. Nine of 32 patients achieved a response (5 demonstrating complete response (CR) and 4 partial response), with an overall response rate of 28.1% (95% onfidence interval 0.12-0.45). Considering histopathologic subtypes, 3 of 4 relapsed natural killer (NK)/T-cell lymphoma patients (75%) achieved CR, but only 1 of 6 in non-NK/T-cell lymphoma patients (16.7%) achieved CR (P = 0.19). Six of 9 IMVP-16/Pd sensitive patients underwent HDC/ASCT. Three of them relapsed after 3, 4 and 15 months, respectively, of HDC/ASCT. Estimated 3-year overall survival and progression-free survival rates were 14.2% and 12.2%, respectively. Multivariate analysis revealed that responsiveness to first-line CHOP was a significant prognostic factor (P < 0.05). These results indicate that IMVP-16/Pd followed by HDC/ASCT appears to be an effective salvage regimen, especially for NK/T-cell lymphoma.
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Affiliation(s)
- B-B Park
- Division of Hematology/Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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Haffty BG, Choi DH, Goyal S, Silber A, Ranieri K, Matloff E, Lee MH, Nissenblatt M, Toppmeyer D, Moran MS. Breast cancer in young women (YBC): prevalence of BRCA1/2 mutations and risk of secondary malignancies across diverse racial groups. Ann Oncol 2009; 20:1653-9. [PMID: 19491284 DOI: 10.1093/annonc/mdp051] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Despite significant differences in age of onset and incidence of breast cancer between Caucasian (CA), African-American (AA) and Korean (KO) women, little is known about differences in BRCA1/2 mutations in these populations. The purpose of this study is to evaluate the prevalence of BRCA1/2 mutations and the association between BRCA1/2 mutation status and secondary malignancies among young women with breast cancer in these three racially diverse groups. METHODS Patients presenting to our breast cancer follow-up clinics selected solely on having a known breast cancer diagnosis at a young age (YBC defined as age <45 years at diagnosis) were invited to participate in this study. A total of 333 eligible women, 166 CA, 66 AA and 101 KO underwent complete sequencing of BRCA1/2 genes. Family history (FH) was classified as negative, moderate or strong. BRCA1/2 status was classified as wild type (WT), variant of uncertain significance (VUS) or deleterious (DEL). RESULTS DEL across these three racially diverse populations of YBC were nearly identical: CA 17%, AA 14% and KO 14%. The type of DEL differed with AA having more frequent mutations in BRCA2, compared with CA and KO. VUS were predominantly in BRCA2 and AA had markedly higher frequency of VUS (38%) compared with CA (10%) and KO (12%). At 10-year follow-up from the time of initial diagnosis of breast cancer, the risk of secondary malignancies was similar among WT (14%) and VUS (16%), but markedly higher among DEL (39%). CONCLUSIONS In these YBC, the frequency of DEL in BRCA1/2 is remarkably similar among the racially diverse groups at 14%-17%. VUS is more common in AA, but aligns closely with WT in risk of second cancers, age of onset and FH.
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Affiliation(s)
- B G Haffty
- Department of Radiation Oncology, UMDNJ-RWJMS and Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA.
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Chen J, Kobayashi M, Darmanin S, Qiao Y, Gully C, Zhao R, Yeung SC, Lee MH. Pim-1 plays a pivotal role in hypoxia-induced chemoresistance. Oncogene 2009; 28:2581-92. [PMID: 19483729 DOI: 10.1038/onc.2009.124] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Hypoxia changes the responses of cancer cells to many chemotherapy agents, resulting in chemoresistance. The underlying molecular mechanism of hypoxia-induced drug resistance remains unclear. Pim-1 is a survival kinase, which phosphorylates Bad at serine 112 to antagonize drug-induced apoptosis. Here we show that hypoxia increases Pim-1 in a hypoxia-inducible factor-1alpha-independent manner. Inhibition of Pim-1 function by dominant-negative Pim-1 dramatically restores the drug sensitivity to apoptosis induced by chemotherapy under hypoxic conditions in both in vitro and in vivo tumor models. Introduction of siRNAs for Pim-1 also resensitizes cancer cells to chemotherapy drugs under hypoxic conditions, whereas forced overexpression of Pim-1 endows solid tumor cells with resistance to cisplatin, even under normoxia. Dominant-negative Pim-1 prevents a decrease in mitochondrial transmembrane potential in solid tumor cells, which is normally induced by cisplatin (CDDP), followed by the reduced activity of Caspase-3 and Caspase-9, indicating that Pim-1 participates in hypoxia-induced drug resistance through the stabilization of mitochondrial transmembrane potential. Our results demonstrate that Pim-1 is a pivotal regulator involved in hypoxia-induced chemoresistance. Targeting Pim-1 may improve the chemotherapeutic strategy for solid tumors.
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Affiliation(s)
- J Chen
- Division of Cancer-Related Genes, Institute for Genetic Medicine, Hokkaido University, Sapporo, Japan
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Gao H, McMahon JM, Lee MH, Henzie J, Gray SK, Schatz GC, Odom TW. Rayleigh anomaly-surface plasmon polariton resonances in palladium and gold subwavelength hole arrays. Opt Express 2009; 17:2334-2340. [PMID: 19219136 DOI: 10.1364/oe.17.002334] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Surface plasmon polaritons (SPPs) and Rayleigh anomalies (RAs) are two characteristic phenomena exhibited by periodic grating structures made of plasmonic materials. For Au subwavelength hole arrays, SPPs and RAs from opposite sides of the film can interact under certain conditions to produce highly intense, narrow spectral features called RA-SPP resonances. This paper reports how RA-SPP effects can be achieved in subwavelength hole arrays of Pd, a weak plasmonic material. Well-defined resonances are observed in measured and simulated optical transmission spectra with RASPP peaks as narrow as 45 nm (FWHM). Dispersion diagrams compiled from angle-resolved spectra show that RA-SPP resonances in Pd hole arrays shift in wavelength but do not decrease significantly in amplitude as the excitation angle is increased, in contrast with RA-SPP peaks in Au hole arrays. The apparent generality of the RA-SPP effect enables a novel route to optimize resonances in non-traditional plasmonic media.
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Affiliation(s)
- H Gao
- Department of Materials Science and Engineering, Northwestern University, Evanston, Illinois 60208, USA
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Affiliation(s)
- J W Ha
- Division of Cardiology, Yonsei University College of Medicine, Seoul, Korea
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Han SW, Oh DY, Im SA, Park SR, Lee KW, Song HS, Lee NS, Lee KH, Choi IS, Lee MH, Kim MA, Kim WH, Bang YJ, Kim TY. Phase II study and biomarker analysis of cetuximab combined with modified FOLFOX6 in advanced gastric cancer. Br J Cancer 2009; 100:298-304. [PMID: 19127259 PMCID: PMC2634707 DOI: 10.1038/sj.bjc.6604861] [Citation(s) in RCA: 126] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
This prospective study was conducted with the Korean Cancer Study Group to evaluate the efficacy and safety of cetuximab combined with modified FOLFOX6 (mFOLFOX6) as first-line treatment in recurrent or metastatic gastric cancer and to identify potential predictive biomarkers. Patients received cetuximab 400 mg m−2 at week 1 and 250 mg m−2 weekly thereafter until disease progression. Oxaliplatin (100 mg m−2) and leucovorin (100 mg m−2) were administered as a 2-h infusion followed by a 46-h continuous infusion of 5-fluorouracil (2400 mg m−2) every 2 weeks for a maximum of 12 cycles. Biomarkers potentially associated with efficacy were analysed. Among 38 evaluable patients, confirmed response rate (RR) was 50.0% (95% CI 34.1–65.9). Median time-to-progression (TTP) was 5.5 months (95% CI 4.5–6.5) and overall survival (OS) 9.9 months. Eleven patients having tumour EGFR expression by immunohistochemistry with low serum EGF and TGF-α levels showed a 100% RR compared to 37.0% in the remaining 27 patients (P<0.001). Moreover, ligand level increased when disease progressed in seven out of eight patients with EGFR expression and low baseline ligand level. No patient exhibited EGFR amplification or K-ras mutations. Gastric cancer patients with EGFR expression and low ligand levels had better outcomes with cetuximab/mFOLFOX6 treatment.
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Affiliation(s)
- S-W Han
- Department of Internal Medicine, Seoul National University Hospital, Chongno-Gu, Seoul, Korea
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Kim BM, Suh SH, Park SI, Shin YS, Chung EC, Lee MH, Kim EJ, Koh JS, Kang HS, Roh HG, Won YS, Chung PW, Kim YB, Suh BC. Management and clinical outcome of acute basilar artery dissection. AJNR Am J Neuroradiol 2008; 29:1937-41. [PMID: 18687744 DOI: 10.3174/ajnr.a1243] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND AND PURPOSE There have been inconsistencies on the prognosis and controversies as to the proper management of acute basilar artery dissection. The aim of this study was to evaluate acute basilar artery dissection and its outcome after management. MATERIALS AND METHODS A total of 21 patients (mean age, 53 years; range, 24-78 years) with acute basilar artery dissection were identified between January 2001 and October 2007. Clinical presentation, management, and outcomes were retrospectively evaluated. RESULTS The patients presented with subarachnoid hemorrhage (n = 10), brain stem ischemia (n = 10), or stem compression sign (n = 1). Ruptured basilar artery dissections were treated by stent placement with coiling (n = 4), single stent placement (n = 3), or conservatively (n = 3). Of the patients treated with endovascular technique, 6 had favorable outcome (modified Rankin scale [mRS], 0-2) and the remaining patient, who was treated by single stent placement, died from rebleeding. All 3 conservatively managed patients experienced rebleeding, of whom 2 died and the other was moderately disabled. Unruptured basilar artery dissections were treated conservatively (n = 7) or by stent placement (n = 4). Of the patients with unruptured basilar artery dissection, 9 had favorable outcome and the remaining 2 patients, both of whom were conservatively managed, had poor outcome because of infarct progression. The group with the ruptured basilar artery dissection revealed a higher mortality rate than the group with the unruptured dissection (30% vs 0%). The group treated with endovascular means revealed more favorable outcome than the group that was treated with conservative measures (90.9% vs 50%). CONCLUSION The ruptured basilar artery dissections were at high risk for rebleeding, resulting in a grave outcome. Stent placement with or without coiling may be considered to prevent rebleeding in ruptured basilar dissections and judiciously considered in unruptured dissections with signs of progressive brain stem ischemia.
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Affiliation(s)
- B M Kim
- Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea
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