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Hu H, Tong K, Tsang JY, Ko CW, Tam F, Loong TC, Tse GM. Subtyping of triple-negative breast cancers: its prognostication and implications in diagnosis of breast origin. ESMO Open 2024; 9:102993. [PMID: 38613910 PMCID: PMC11024544 DOI: 10.1016/j.esmoop.2024.102993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 03/06/2024] [Accepted: 03/12/2024] [Indexed: 04/15/2024] Open
Abstract
BACKGROUND Triple-negative breast cancer (TNBC) subtyping by gene profiling has provided valuable clinical information. Here, we aimed to evaluate the relevance of TNBC subtyping using immunohistochemistry (IHC), which could be a more clinically practical approach, for prognostication and applications in patient management. METHODS A total of 123 TNBC cases were classified using androgen receptor (AR), CD8, Forkhead box C1 protein (FOXC1), and doublecortin-like kinase 1 (DCLK1) into luminal androgen receptor (LAR), basal-like immunosuppressive (BLIS), mesenchymal-like (MES), and immunomodulatory (IM) subtypes. The IM cases were further divided into the IM-excluded and IM-inflamed categories by CD8 spatial distribution. Their clinicopathological and biomarker profiles and prognoses were evaluated. RESULTS LAR (28.6%) and MES (11.2%) were the most and least frequent subtypes. The IHC-TNBC subtypes demonstrated distinct clinicopathological features and biomarker profiles, corresponding to the reported features in gene profiling studies. IM-inflamed subtype had the best outcome, while BLIS had a significantly poorer survival. Differential breast-specific marker expressions were found. Trichorhinophalangeal syndrome type 1 (TRPS1) was more sensitive for IM-inflamed and BLIS, GATA-binding protein 3 (GATA3) for IM-excluded and MES, and gross cystic disease fluid protein 15 (GCDFP15) for LAR subtypes. CONCLUSIONS Our findings demonstrated the feasibility of IHC surrogates to stratify TNBC subtypes with distinct features and prognoses. The IM subtype can be refined by its CD8 spatial pattern. Breast-specific marker expression varied among the subtypes. Marker selection should be tailored accordingly.
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Affiliation(s)
- H Hu
- Division of Breast Surgery, Department of General Surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, China
| | - K Tong
- Department of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
| | - J Y Tsang
- Department of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
| | - C W Ko
- Department of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
| | - F Tam
- Department of Pathology, Kwong Wah Hospital, Hong Kong
| | - T C Loong
- Department of Pathology, Tuen Mun Hospital, Hong Kong
| | - G M Tse
- Department of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
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Xie B, Cheng LC, Yin GL, Liu BA, Hu ZL, Tong K. [Clinicopathological features of low-grade oncocytic renal tumor (CD117-negative, cytokeratin 7-positive): report of seven cases]. Zhonghua Bing Li Xue Za Zhi 2022; 51:719-725. [PMID: 35922161 DOI: 10.3760/cma.j.cn112151-20220410-00263] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To explore clinicopathological features of low-grade oncocytic tumor (LOT) of the kidney and to analyze its relationship to hybrid oncocytic/chromophobe tumor (HOCT) of the kidney, renal oncocytoma (RO), and chromophobe renal cell carcinoma (chRCC). Methods: Seven LOTs were identified from the pathologic archives of two hospitals, including Xiangya Hospital (5 cases) and the Second Xiangya Hospital (2 cases) of Central South University between 2012 and 2019. Clinical data of the LOTs were collected. The tumor morphology was analyzed and immunohistochemistry was performed. Results: All LOTs occurred in adults, aged from 49 to 72 years (median 56.0 years, mean 60.7 years). The tumor size ranged from 2.5 to 6.0 cm (median 4.3 cm, mean 4.3 cm). There were three male and four female patients. Three cases occurred in the left kidney and four in the right. All the tumors were solitary lesions without the clinicopathologic background of Birt-Hogg-Dubé (BHD) syndrome or oncocytosis. Five patients had available follow-up data (follow-up period 23-95 months, median 69.0 months, mean 64.6 months) and all were alive without disease. Microscopically, all LOTs were well-circumscribed (7/7). Three LOTs were partly encapsulated. The tumors demonstrated a predominant growth pattern comprising prominently compact small nests surrounded by delicately branching thin-walled blood vessels, imparting an organoid architecture (7/7), but variable numbers of glandular or gland-like structures were often seen among the small nests (7/7). There were frequently areas with loose, edematous stroma, and the tumor cells exhibited reticular, trabecular, or single cell arrangements (6/7). Focal hemorrhage was also commonly present in both compact and loose areas (5/7). In addition, focally cystic formation and ossification occurred in the compact area of one case and in the loose area of another case. The tumor cells in LOT showed intermediate cytologic characteristics between RO and chRCC, including abundantly eosinophilic granular cytoplasm, ovoid to round nuclei with mostly smooth contours, discernable small nucleoli (RO features), frequently delicate perinuclear halos, and occasional binucleation (chRCC features). The tumors were typically CK7-positive and CD117-negative (7/7), and variable staining for PAX8 (5/7), P504s (2/7), and vimentin (1/7). They were negative for CK20, CD10 and FOXI1. All tumors retained SDHB immunostaining. Conclusions: LOT is a rare and indolent oncocytic renal tumor with homogeneously intermediate cytologic features between RO and chRCC. There are some clinicopathologic overlaps between LOT and sporadic HOCT. The distinctive morphology and immunophenotype of LOT suggest that it is potentially a distinct tumor entity.
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Affiliation(s)
- B Xie
- Department of Pathology, Xiangya Hospital, Central South University, Changsha 410078, China
| | - L C Cheng
- Department of Pathology, Xiangya Hospital, Central South University, Changsha 410078, China
| | - G L Yin
- Department of Pathology, Xiangya Hospital, Central South University, Changsha 410078, China
| | - B A Liu
- Department of Pathology, Xiangya Hospital, Central South University, Changsha 410078, China
| | - Z L Hu
- Department of Pathology, Xiangya Hospital, Central South University, Changsha 410078, China
| | - K Tong
- Department of Pathology, Bishan Hospital of Chongqing Medical University, Chongqing 402760, China
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Tong K, Har C, Kennedy H, Davoren M. Decision-making capacity regarding healthcare, welfare and finances in a secure forensic setting. Eur Psychiatry 2022. [PMCID: PMC9564983 DOI: 10.1192/j.eurpsy.2022.888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Introduction Impairment in decision-making capacity is a serious consequence of executive dysfunction secondary to serious mental disorders like schizophrenia. Functional mental capacity (FMC) refers to an individual’s ability to make and communicate legally competent decisions autonomously. Studies have shown that FMC is dependent on severity of psychosis and can improve with treatment. Objectives To ascertain the correlation between the scores on a structured judgement tool, namely the Dundrum Capacity Ladders (DCL) with level of acuity of treatment setting and length of stay in a secure forensic hospital. Methods Sixty-two patients were interviewed using the DCL across three domains – healthcare, welfare and finances. Correlation between DCL scores, length of hospital stay and level of acuity of treatment setting was assessed. Results As patients moved from higher to lower dependency wards, mean DCL score increased, indicating a higher level of capacity. Patients in high dependency wards were most impaired while those in the low dependency wards performed significantly better (rs=0.472, p<0.001). The longer the patients stayed in the hospital, up until five years, the higher the mean welfare domain score (rs=0.402, p=0.011) and mean DCL score (rs=0.376, p=0.018). Beyond five years of hospital stay, those who had lower DCL scores and did not improve had longer length of stay. Conclusions Patients’ FMC improve as they progress from high to low level of acuity of treatment setting. However, this is dependent on the length of hospital stay. FMC may be a measure of recovery in the forensic setting. Disclosure No significant relationships.
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Tong K, Gibbons A, Byrne O, Conlon T, Kennedy H, Davoren M. Zero violence or zero seclusion. Which is more acceptable in our hospitals? Eur Psychiatry 2022. [PMCID: PMC9568153 DOI: 10.1192/j.eurpsy.2022.1539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction There is an established association between serious mental illness and violence. Secure forensic psychiatric services provide care and treatment to mentally disordered offenders. The majority of patients in forensic services suffer from severe mental illnesses such as schizophrenia, with co-morbid polysubstance abuse and maladaptive personality traits. Psychiatric services are under significant pressure to reduce the use of seclusion and restrictive practices, whilst mandated to provide safe environments for patients and staff. Objectives To determine the number and characteristics of violent incidents in a secure forensic hospital in Ireland. Methods A retrospective review of all incidents in Central Mental Hospital, Ireland between 1st March 2019 and 31st August 2021 was completed. Incidents were categorised into physical assaults and other violent incidents. Demographic measures and measures of violence risk (HCR-20), functioning (GAF), programme completion and recovery (DUNDRUM tool) were collated. Results A total of 321 incidents took place during the period examined, of which 47 (14.6%) involved physical assaults perpetrated by patients. Between March 2020 and August 2021, numbers of assaults increased by 50% and 78% compared to the preceding six-month period respectively. The majority of assaults were committed by a relatively small group of patients. Victims of assaults were more likely to be patients (n=27, 57.4%) and more likely to be males (n=43, 91.9%). Conclusions Physical assaults and other violent incidents happen in forensic and general psychiatric units. Restrictive practices, used in accordance with the law, are necessary at times to prevent serious harm to patients and staff in psychiatric hospitals. Disclosure No significant relationships.
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Wang C, Tang J, Tong K, Huang D, Tu H, Li Q, Zhu J. Expanding the application of non-invasive prenatal testing in the detection of foetal chromosomal copy number variations. BMC Med Genomics 2021; 14:292. [PMID: 34895207 PMCID: PMC8666043 DOI: 10.1186/s12920-021-01131-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 11/16/2021] [Indexed: 11/13/2022] Open
Abstract
Purpose The aim of this study was to assess the detection efficiency and clinical application value of non-invasive prenatal testing (NIPT) for foetal copy number variants (CNVs) in clinical samples from 39,002 prospective cases. Methods A total of 39,002 pregnant women who received NIPT by next-generation sequencing (NGS) with a sequencing depth of 6 M reads in our centre from January 2018 to April 2020 were enrolled. Chromosomal microarray analysis (CMA) was further used to diagnose suspected chromosomal aneuploidies and chromosomal microdeletion/microduplication for consistency assessment. Results A total of 473 pregnancies (1.213%) were positive for clinically significant foetal chromosome abnormalities by NIPT. This group comprised 99 trisomy 21 (T21, 0.254%), 30 trisomy 18 (T18, 0.077%), 25 trisomy 13 (T13, 0.064%), 155 sex chromosome aneuploidy (SCA, 0.398%), 69 rare trisomy (0.177%), and 95 microdeletion/microduplication syndrome (MMS, 0.244%) cases. Based on follow-up tests, the positive predictive values (PPVs) for the T21, T18, T13, SCA, rare trisomy, and MMS cases were calculated to be 88.89%, 53.33%, 20.00%, 40.22%, 4.88%, and 49.02%, respectively. In addition, the PPVs of CNVs of < 5 Mb, 5–10 Mb, and > 10 Mb were 54.55%, 38.46%, and 40.00%, respectively. Among the 95 cases with suspected CNVs, 25 were diagnosed as true positive and 26 cases as false positive; follow-up prenatal diagnosis by CMA was not performed for 44 cases. Moreover, among the 25 true positive cases, 10 were pathogenic, 3 were likely pathogenic, and 12 were of uncertain significance. Conclusion NIPT is not only suitable for screening T21, T18, T13, and SCA but also has potential significance for CNV detection. As combined with ultrasound, extended NIPT is effective for screening MMS. However, NIPT should not be recommended for whole-chromosome aneuploidy screening.
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Affiliation(s)
- Chaohong Wang
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Junxiang Tang
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Keting Tong
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Daoqi Huang
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Huayu Tu
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Qingnan Li
- Beijing Genomics Institute, Beijing, China
| | - Jiansheng Zhu
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Maternity and Child Health Hospital of Anhui Province, Hefei, China.
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Lu X, Wang C, Sun Y, Tang J, Tong K, Zhu J. Noninvasive prenatal testing for assessing foetal sex chromosome aneuploidy: a retrospective study of 45,773 cases. Mol Cytogenet 2021; 14:1. [PMID: 33407708 PMCID: PMC7786464 DOI: 10.1186/s13039-020-00521-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 12/09/2020] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVE To assess the positive predictive value (PPV) of noninvasive prenatal testing (NIPT) as a screening test for sex chromosome aneuploidy (SCA) with different maternal characteristics and prenatal decisions in positive cases. MATERIALS AND METHODS We retrospectively analysed 45,773 singleton pregnancies with different characteristics that were subjected to NIPT in the Maternity and Child Health Hospital of Anhui Province. The results were validated by karyotyping. Clinical data, diagnostic results, and data on pregnancy outcomes were collected. RESULTS In total, 314 cases were SCA positive by NIPT; among those, 143 underwent invasive prenatal diagnostic testing, and 58 were true-positive. Overall, the PPVs for 45,X, 47,XXX, 47,XXY and 47,XYY were 12.5%, 51.72%, 66.67% and 83.33%, respectively. Interestingly, when only pregnant women of advanced maternal age (AMA) were screened, the PPVs for 45,X, 47,XXX, 47,XXY and 47,XYY were 23.81%, 53.33%, 78.95%, and 66.67%, respectively. The frequency of SCA was significantly higher in the AMA group than in the non-AMA group. The frequencies of 47,XXX and 47,XXY were significantly correlated with maternal age. CONCLUSION NIPT performed better in predicting sex chromosome trisomies than monosomy X, and patients with 45,X positive foetuses were more eager to terminate pregnancy than those with 47,XXX and 47,XYY. AMA may be a risk factor of having a foetus with SCA. Our findings may assist in genetic counselling of AMA pregnant women. Our pre- and posttest counselling are essential for familiarizing pregnant women with the benefits and limitations of NIPT, which may ease their anxiety and enable them to make informed choices for further diagnosis and pregnancy decisions.
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Affiliation(s)
- Xinran Lu
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Hefei, China.,Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Chaohong Wang
- Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Yuxiu Sun
- Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Junxiang Tang
- Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Keting Tong
- Maternity and Child Health Hospital of Anhui Province, Hefei, China
| | - Jiansheng Zhu
- Affiliated Maternity and Child Health Hospital of Anhui Medical University, Hefei, China. .,Maternity and Child Health Hospital of Anhui Province, Hefei, China.
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Huang D, Tu H, Wang C, Wang Y, Tong K, Zhu J. [Application of in situ amniocyte culture for prenatal diagnosis]. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 2020; 37:1117-1119. [PMID: 32924114 DOI: 10.3760/cma.j.cn511374-20191108-00566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To explore the value of in situ amniocyte culture for prenatal diagnosis. METHODS 2716 amniotic fluid samples were cultured in situ on slides. After the culture, the slides were stained, photographed and analyzed. RESULTS All samples were successfully analyzed, with the success rates for primary culture and subculture being 98.42% and 1.58%, respectively. 224 samples (8.25%) were detected with chromosomal aberrations, which included 125 cases with trisomy 21, 31 with trisomy 18, 3 with trisomy 13, 4 with 45,X, 17 with 47,XXY, 5 with 47,XYY, 1 with 48,XXY,+18, 1 with 48,XXYY, 26 with structural chromosomal aberrations, and 11 with mosaicisms for aneuploidies. CONCLUSION In situ amniocyte culture is stable and has a high success rate, and is capable of identifying true and false mosaicisms, which can improve the accuracy of prenatal diagnosis.
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Affiliation(s)
- Daoqi Huang
- Center for Genetic Medicine, Anhui Maternal and Child Health Care Hospital Affiliated to Anhui Medical University, Hefei, Anhui 230011, China.
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Turan O, Bielecki P, Perera V, Lorkowski M, Covarrubias G, Tong K, Yun A, Loutrianakis G, Raghunathan S, Park Y, Moon T, Cooley S, Dixit D, Griswold M, Ghaghada K, Peiris P, Rich J, Karathanasis E. Treatment of glioblastoma using multicomponent silica nanoparticles. Adv Ther (Weinh) 2019; 2:1900118. [PMID: 32953978 PMCID: PMC7500584 DOI: 10.1002/adtp.201900118] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Indexed: 01/12/2023]
Abstract
Glioblastomas (GBMs) remain highly lethal. This partially stems from the presence of brain tumor initiating cells (BTICs), a highly plastic cellular subpopulation that is resistant to current therapies. In addition to resistance, the blood-brain barrier limits the penetration of most drugs into GBMs. To effectively deliver a BTIC-specific inhibitor to brain tumors, we developed a multicomponent nanoparticle, termed Fe@MSN, which contains a mesoporous silica shell and an iron oxide core. Fibronectin-targeting ligands directed the nanoparticle to the near-perivascular areas of GBM. After Fe@MSN particles deposited in the tumor, an external low-power radiofrequency (RF) field triggered rapid drug release due to mechanical tumbling of the particle resulting in penetration of high amounts of drug across the blood-brain tumor interface and widespread drug delivery into the GBM. We loaded the nanoparticle with the drug 1400W, which is a potent inhibitor of the inducible nitric oxide synthase (iNOS). It has been shown that iNOS is preferentially expressed in BTICs and is required for their maintenance. Using the 1400W-loaded Fe@MSN and RF-triggered release, in vivo studies indicated that the treatment disrupted the BTIC population in hypoxic niches, suppressed tumor growth and significantly increased survival in BTIC-derived GBM xenografts.
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Affiliation(s)
- O. Turan
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - P.A. Bielecki
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - V. Perera
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - M. Lorkowski
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - G. Covarrubias
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - K. Tong
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - A. Yun
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - Georgia Loutrianakis
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - S. Raghunathan
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - Y. Park
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - T. Moon
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - S. Cooley
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - D. Dixit
- Department of Neurosciences, University of California, San Diego, California
| | - M.A. Griswold
- Department of Radiology, Case Western Reserve University, Cleveland, Ohio
- Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio
| | - K.B. Ghaghada
- Edward B. Singleton Department of Pediatric Radiology, Texas Children’s Hospital, Houston, Texas
| | - P.M. Peiris
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
| | - J.N. Rich
- Department of Neurosciences, University of California, San Diego, California
| | - E. Karathanasis
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio
- Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio
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Turan O, Bielecki P, Perera V, Lorkowski M, Covarrubias G, Tong K, Yun A, Rahmy A, Ouyang T, Raghunathan S, Gopalakrishnan R, Griswold MA, Ghaghada KB, Peiris PM, Karathanasis E. Delivery of drugs into brain tumors using multicomponent silica nanoparticles. Nanoscale 2019; 11:11910-11921. [PMID: 31187845 PMCID: PMC7776621 DOI: 10.1039/c9nr02876e] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Glioblastomas are highly lethal cancers defined by resistance to conventional therapies and rapid recurrence. While new brain tumor cell-specific drugs are continuously becoming available, efficient drug delivery to brain tumors remains a limiting factor. We developed a multicomponent nanoparticle, consisting of an iron oxide core and a mesoporous silica shell that can effectively deliver drugs across the blood-brain barrier into glioma cells. When exposed to alternating low-power radiofrequency (RF) fields, the nanoparticle's mechanical tumbling releases the entrapped drug molecules from the pores of the silica shell. After directing the nanoparticle to target the near-perivascular regions and altered endothelium of the brain tumor via fibronectin-targeting ligands, rapid drug release from the nanoparticles is triggered by RF facilitating wide distribution of drug delivery across the blood-brain tumor interface.
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Affiliation(s)
- O Turan
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
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Gatza ML, Angus SP, Khella CA, Tong K, Verzi M, Mehta GA. Abstract P2-03-03: BRG1-SOX4 mediates a novel and essential signaling network that activates PI3K/Akt signaling in TNBC. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p2-03-03] [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:
Triple negative (TNBC) breast cancer, which is largely synonymous with the basal-like molecular subtype, is an aggressive malignancy that accounts for nearly 1 in 4 breast cancer related deaths and disproportionately affects younger women and women of African American decent. Given the lack of drug-able targets expressed by TNBC tumors, few therapeutic options exist beyond currently utilized cytotoxic therapies, and the overall prognosis for these patients remains poor. While TNBC tumors are characterized by high PI3K signaling, clinical trials targeting this pathway have had limited success. Therefore, identifying mechanisms driving key oncogenic pathways, including PI3K, is paramount to understanding the transformation process and enabling the development of rational, personalized therapeutic regimens.
Methods:
We utilized a PI3K gene expression signature as a conceptual framework to analyze genome-wide mRNA expression and DNA copy number data from human breast tumors to identify genetic drivers of PI3K/Akt signaling. Kinome profiling was used to identify changes in the drug-able kinome regulated by these genes and in vitro studies were used to delineate mechanisms by which identified genes mediate oncogenic PI3K signaling in TNBC.
Results:
Integrative proteogenomic analyses of orthogonal genome-wide data from ˜3,000 human tumors from the TCGA and METABRIC studies identified amplification and overexpression of the oncogenic transcription factor SOX4 as well as the SWI/SNF ATPase BRG1 in tumors with high PI3K activity. These alterations were predominantly expressed in TNBC or basal-like breast tumors. Chromatin immunoprecipitation followed by DNA sequencing (ChIPseq) as well as shRNA-based studies confirmed that BRG1 regulates SOX4 expression in TNBC cell lines. Analyses of data from a genome-wide RNA interference (RNAi) screen in 27 breast cancer cell lines further indicated that SOX4 is essential in cell lines with high PI3K activity and this was confirmed by colony formation and cell proliferation assays. Importantly, in vitro analyses confirmed that both BRG1 and SOX4 regulate Akt phosphorylation and down-stream signaling. Profiling of the drug-able kinome in SOX4 depleted cell lines compared to control cells using Multiplexed kinase Inhibitor Beads couple with quantitative Mass Spectrometry (MIB/MS) identified 21 drug-able kinases regulated by SOX4 activity including TGFBR2 which has been previously shown to regulate PI3K activity. RNA sequencing (RNAseq) and RT-PCR analyses confirmed that SOX4 mediates TGFBR2 mRNA levels and co-immunoprecipitation experiments in conjunction with ChIP assays demonstrated that BRG1 and SOX4 form a complex at the TGFBR2 promoter and enhancer region to regulate TGFBR2 expression.
Conclusions:
In this study, we demonstrated that BRG1-SOX4 constitutes a novel and essential signaling pathway which promotes PI3K/Akt activity through TGFβ signaling in TNBC/basal-like breast cancer and leads to activation of additional, drug-able kinases. Given the essentiality of BRG1 and SOX4, our data suggest that targeting this interaction and/or the down-stream components of this pathway may represent a novel therapeutic strategy in TNBC.
Citation Format: Gatza ML, Angus SP, Khella CA, Tong K, Verzi M, Mehta GA. BRG1-SOX4 mediates a novel and essential signaling network that activates PI3K/Akt signaling in TNBC [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P2-03-03.
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Affiliation(s)
- ML Gatza
- Rutgers Cancer Institute, New Brunswick, NJ; Lineberger Comprehansive Cancer Center, University of North Carolina, Chapel Hill, NC
| | - SP Angus
- Rutgers Cancer Institute, New Brunswick, NJ; Lineberger Comprehansive Cancer Center, University of North Carolina, Chapel Hill, NC
| | - CA Khella
- Rutgers Cancer Institute, New Brunswick, NJ; Lineberger Comprehansive Cancer Center, University of North Carolina, Chapel Hill, NC
| | - K Tong
- Rutgers Cancer Institute, New Brunswick, NJ; Lineberger Comprehansive Cancer Center, University of North Carolina, Chapel Hill, NC
| | - M Verzi
- Rutgers Cancer Institute, New Brunswick, NJ; Lineberger Comprehansive Cancer Center, University of North Carolina, Chapel Hill, NC
| | - GA Mehta
- Rutgers Cancer Institute, New Brunswick, NJ; Lineberger Comprehansive Cancer Center, University of North Carolina, Chapel Hill, NC
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Krieger P, Menna M, Tong K, Goertz J, Kaban N, Irwin J, Heller M. 148 Long-Term Evaluation of a Brief Educational Intervention for Use of Inferior Vena Cava Ultrasound to Determine Intravascular Status: Cause for Concern. Ann Emerg Med 2015. [DOI: 10.1016/j.annemergmed.2015.07.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Ezeoke M, Tong K, Shi S. A Practical Approach For Modelling The Electromagnetic Radar Signature Of Barefaced Terrain For Remote Sensing. Int J CMEM 2014. [DOI: 10.2495/cmem-v2-n4-403-419] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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13
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Tong K, Kissinger R, Soper H. A-02 * Frontal and Parietal Age-Related Cognitive Decline. Arch Clin Neuropsychol 2014. [DOI: 10.1093/arclin/acu038.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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14
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Al-Armaghany A, Tong K, Leung TS. Superficial heat reduction technique for a hybrid microwave-optical device. Annu Int Conf IEEE Eng Med Biol Soc 2013; 2013:3749-3752. [PMID: 24110546 DOI: 10.1109/embc.2013.6610359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Microwave applicator in the form of a circularly polarized microstrip patch antenna is proposed to provide localized deep heating in biological tissue, which causes blood vessels to dilate leading to changes in tissue oxygenation. These changes are monitored by an integrated optical system for studying thermoregulation in different parts of the human body. Using computer simulations, this paper compares circularly and linearly polarized antennas in terms of the efficiency of depositing electromagnetic (EM) energy and the heating patterns. The biological model composes of the skin, fat and muscle layers with appropriate dielectric and thermal properties. The results show that for the same specific absorption rate (SAR) in the muscle, the circularly polarized antenna results in a lower SAR in the skin-fat interface than the linearly polarized antenna. The thermal distribution is also presented based on the biological heat equation. The proposed circularly polarized antenna shows heat reduction in the superficial layers in comparison to the linearly polarized antenna.
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Tan V, Tan C, Chow J, Tan K, Lingamanaicker J, Lim V, Tong K, Leong G, Gan H, Goh Y, Lee S, Goh P. OP-016: FEASIBILITY OF STEP DOWN CARE UNIT IN PATIENTS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION WHO REMAINED IN KILLIP CLASS 2 VERSUS KILLIP CLASS 1 IMMEDIATE POST SUCCESSFUL PRIMARY PERCUTANEOUS INTERVENTION: SINGLE CENTRE EXPERIENCE. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70127-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Li M, Weng M, Tong K. Mechanism of regulating the expression of lambdaN gene by ribosomal protein at translational level. ACTA ACUST UNITED AC 2009; 41:29-36. [PMID: 18726268 DOI: 10.1007/bf02882703] [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] [Received: 07/17/1997] [Indexed: 10/22/2022]
Abstract
In ribosomal protein S12 mutant or L24 mutant the expression of lambdaN gene was depressed at translational level. To study its mechanism the lambdaN gene region of lambdaN -lacZ gene fusion was trimmed from its 5' end to 3' end with DNA exonuclease III (DNA exoIII) in order to alter the TIR (translational initiation region) and the coding region of lambdaN gene. After DNA sequencing 23 species of different lambdaN-lacZ fused genes were obtained. The beta-galactosidase activities of these deletants in ribosomal protein mutant were compared with that in wild type strain. The result indicated that (i) S12 mutant could affect 305 subunit's binding to the TIR of lambdaN gene messenger and cause the difficulty in forming 30s initiation complex and then decrease the efficiency of translational initiation; (ii) in S12 mutant the coding region of lambdaN gene also affected the expression lambdaN gene; (iii) in L24 mutant the inhibition of lambdaN gene expression was not related to translational initiation and the 5' end of the coding region of lambdaN gene, but related to the 3' end of lambdaN gene.
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Affiliation(s)
- M Li
- Institute or Genetics, Chinese Academy of Sciences, Beijing, China
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Masci P, Olencki T, Wood L, Rybicki L, Jacobs B, Williams B, Faber P, Bukowski R, Tong K, Borden EC. Gene modulatory effects, pharmacokinetics, and clinical tolerance of interferon-alpha1b: a second member of the interferon-alpha family. Clin Pharmacol Ther 2007; 81:354-61. [PMID: 17339865 DOI: 10.1038/sj.clpt.6100081] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Interferon-alpha1 (IFN-alpha1), which may have a primary role in innate immunity, differs significantly in amino-acid sequence from IFN-alpha2, the only recombinant IFN-alpha with substantial clinical evaluation. Patients with metastatic malignancies received daily subcutaneous doses of 1.5-270 mug/m(2) of recombinant IFN-alpha1b. Gene modulation, pharmacokinetics, tolerability, and disease response were determined. Significant (P<0.01) dose and gene-dependent increases of 2-10 fold occurred in IFN-stimulated genes, including four (tumor necrosis factor-related apoptosis-inducing ligand, cig 5, p56, GEM) never previously identified as increased in patients; significant increases (P<0.01) resulted at the lowest dose (1.5 microg/m(2); 1.5 x 10(4) human antiviral units/m(2)). Increases (P<0.01) were sustainable for >4 weeks. Peak levels of IFN-alpha1b were at 3 h; an increase of approximately eightfold in both C(max) and AUC occurred between 15 microg/m(2) and 270 microg/m(2). Chronic toxicities of anorexia, weight loss, and fatigue were relatively uncommon. Eighteen patients were treated for >8 weeks; none experienced >grade 1 weight loss. Three patients at the highest dose developed grade 3 fatigue after > or =3 months, which required dose reduction or discontinuation. Patient acceptability of fatigue defined a dose for initiation of Phase II trials, 270 microg/m(2). Six patients (five with renal cell carcinoma) had progression-free survival for >1 year, including two who had partial responses. IFN-alpha1b resulted in potent stimulation of IFN-regulated genes and tumor regressions in renal cell carcinoma. Unique gene modulatory effects, when coupled with the moderate severity of side effects and a potentially central role in innate immunity, provide rationale for further clinical evaluation of IFN-alpha1 in virus infections and cancer.
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Affiliation(s)
- P Masci
- Taussig Cancer Center, Center for Hematology and Oncology Molecular Therapeutics, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
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Li L, Tong K. Musculotendon parameters estimation by ultrasound measurement and geometric modeling: application on brachialis muscle. Conf Proc IEEE Eng Med Biol Soc 2007; 2005:4974-7. [PMID: 17281361 DOI: 10.1109/iembs.2005.1615591] [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: 05/13/2023]
Abstract
Computational modeling for musculoskeletal system provides quantitative insights in analyzing human movement. One of the major challenges in neuromusculoskeletal modeling is to accurately estimate the musculotendon parameters on subject-specific basis. The ultrasound imaging technology presents a new approach to obtain the parameters in vivo. The pennation angle and fascicle length of brachialis (BRA) were measured in vivo with the use of ultrasonography to investigate the relationship between these muscle architecture parameters and elbow joint position. A generic interactive graphics-based geometrical model of the upper limb and BRA was developed to get the musculotendon length and moment arm of the muscle. The results indicate human brachialis architecture is significantly affected by changing of joint angle at passive horizontal movement. These in-vivo measurements provide subjects-specific information and these muscle parameters can be used to set up the neuromusculoskeletal model for the muscle force and torque estimation.
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Affiliation(s)
- L Li
- Jockey Club Rehabilitation Engineering Centre, The HongKong Polytechnic University, HungHom, HongKong, China
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Affiliation(s)
- K Tong
- Yeovil District Hospital, Yeovil, Somerset, United Kingdom.
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Ashwal S, Holshouser B, Tong K, Serna T, Osterdock R, Gross M, Kido D. Proton MR spectroscopy detected glutamate/glutamine is increased in children with traumatic brain injury. J Neurotrauma 2005; 21:1539-52. [PMID: 15684647 DOI: 10.1089/neu.2004.21.1539] [Citation(s) in RCA: 73] [Impact Index Per Article: 3.8] [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: 11/12/2022] Open
Abstract
Adults with traumatic brain injury (TBI) have been shown by invasive methods to have increased levels of the excitatory neurotransmitter glutamate. It is unclear whether glutamate release contributes to primary or secondary injury and whether its protracted elevation is predictive of a poor outcome. Preliminary studies at our institution in adults found that early increases in magnetic resonance spectroscopy (MRS)-detected glutamate/glutamine (Glx) were associated with poor outcomes. We therefore studied 38 children (mean age, 11 years; range, 1.6-17 years) who had TBI with quantitative short-echo time (STEAM, TE = 20 msec) proton MRS, a mean of 7 +/- 4 (range, 1-17) days after injury in order to determine if their occipital or parietal Glx levels correlated with the severity of injury or outcome. Occipital Glx was significantly increased in children with TBI compared to controls (13.5 +/- 2.4 vs. 10.7 +/- 1.8; p = 0.002), but there was no difference between children with good compared to poor outcomes as determined by the Pediatric Cerebral Performance Category Scale score at 6-12 months after injury. We also did not find a correlation between the amount of Glx and the initial Glasgow Coma Scale score, duration of coma, nor with changes in spectral metabolites, including N-acetyl aspartate, choline, and myoinositol. In part, this may have occurred because, in this study, most patients with poor outcomes were studied later than patients with good outcomes, potentially beyond the time frame for peak elevation of Glx after injury. Additional early and late studies of patients with varying degrees of injury are required to assess the importance to the pathophysiology of TBI of this excitatory neurotransmitter.
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Affiliation(s)
- S Ashwal
- Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, California 92350, USA.
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21
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Bong JJ, Tong K, Cho KK, Baik MG. Sequencing of cDNA Clones Expressed in Adipose Tissues of Korean Cattle. Asian Australas J Anim Sci 2005. [DOI: 10.5713/ajas.2005.483] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Nelson K, Tong K, Ellman A, Long J. Advances in patient and economic outcomes associated with left ventricular assist devices for destination therapy. J Heart Lung Transplant 2005. [DOI: 10.1016/j.healun.2004.11.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Sigmund GA, Nickerson JP, Wall CJ, Ashwall C, Tong K. 356 MULTI-MODALITY COMPARISON OF NEUROIMAGING IN PEDIATRIC TRAUMATIC BRAIN INJURY. J Investig Med 2005. [DOI: 10.2310/6650.2005.00005.355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Zipperman M, Aguilera A, Joo E, Shutter L, Ashwal S, Tong K. 359 REGIONAL ASSESSMENT OF ADULT TRAUMATIC BRAIN INJURY USING SUSCEPTIBILITY WEIGHTED MAGNETIC RESONANCE IMAGING CORRELATED TO LONG TERM OUTCOME. J Investig Med 2005. [DOI: 10.2310/6650.2005.00005.358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Masci P, Rybicki L, Tong K, Olencki T, Jacobs B, Wood L, Borden E. A Phase I evaluation of IFN α-1b in solid tumors, lymphoma or myeloma. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.2550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- P. Masci
- Cleveland Clinic Foundation, Cleveland, OH; Ministry of Health/Shanghai Institute of Biologic, Shanghai, China
| | - L. Rybicki
- Cleveland Clinic Foundation, Cleveland, OH; Ministry of Health/Shanghai Institute of Biologic, Shanghai, China
| | - K. Tong
- Cleveland Clinic Foundation, Cleveland, OH; Ministry of Health/Shanghai Institute of Biologic, Shanghai, China
| | - T. Olencki
- Cleveland Clinic Foundation, Cleveland, OH; Ministry of Health/Shanghai Institute of Biologic, Shanghai, China
| | - B. Jacobs
- Cleveland Clinic Foundation, Cleveland, OH; Ministry of Health/Shanghai Institute of Biologic, Shanghai, China
| | - L. Wood
- Cleveland Clinic Foundation, Cleveland, OH; Ministry of Health/Shanghai Institute of Biologic, Shanghai, China
| | - E. Borden
- Cleveland Clinic Foundation, Cleveland, OH; Ministry of Health/Shanghai Institute of Biologic, Shanghai, China
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Aguilera A, Joo E, Tong K, Holshouser B, Shutter L, Ashwal S, Colohan A, Haacke EM. 52 COMPARISON OF HEMORRHAGIC SHEARING INJURIES DETECTED BY MAGNETIC RESONANCE IMAGING TO 6 MONTH OUTCOMES AFTER TRAUMATIC BRAIN INJURY IN ADULTS. J Investig Med 2004. [DOI: 10.1136/jim-52-suppl1-52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Aguilera A, Joo E, Tong K, Holshouser B, Shutter L, Ashwal S, Colohan A, Haacke EM. COMPARISON OF HEMORRHAGIC SHEARING INJURIES DETECTED BY MAGNETIC RESONANCE IMAGING TO 6 MONTH OUTCOMES AFTER TRAUMATIC BRAIN INJURY IN ADULTS. J Investig Med 2004. [DOI: 10.1097/00042871-200401001-00052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Zhou Z, Wang Y, Dong Z, Tong K, Guo X, Guo X. [Determination of trace amounts of zinc in nickel electrolyte by flow injection on-line enrichment]. Guang Pu Xue Yu Guang Pu Fen Xi 1999; 19:721-725. [PMID: 15822278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
A method for the determination of trace amount of zinc in nickel electrolyte utilizing the flow injection on-line enrichment technique is reported in this paper. Atomic absorption spectrometer was used as detector. Zinc was separated from large amounts of nickel andother components in the electrolyte by absorption its chlorocomplex on a mini-column packed with strongly basic anion exchangers. It was found that sodium chloride containing in the electrolyte offered a sufficient chloride concentration needed for the formation of the zinc chlorocomplex and thus no additional reagent was required for the determination. The throughput of the method is 30 determinations per hour. The detection limit of the method is 0.002 microg x mL(-1) and the precision is 1.9% (RSD). The proposed method is rapid and cost-effective. It has been used for almost three years in the quality control of the electrolyte in the factory with great success.
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Affiliation(s)
- Z Zhou
- Second Refining Factory of Jinchun Nonferrous Metals Company, 737104 Jinchun
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Abstract
This study investigated the possibility of using uni-axial gyroscopes to develop a simple portable gait analysis system. Gyroscopes were attached on the skin surface of the shank and thigh segments and the angular velocity for each segment was recorded in each segment. Segment inclinations and knee angle were derived from segment angular velocities. The angular signals from a motion analysis system were used to evaluate the angular velocities and the derived signals from the gyroscopes. There was a good correlation between these signals. When performing a turn the signals of segment inclination and knee angle drifted. Two methods were used to solve this: automatically resetting the system to re-initialise the angle in each gait cycle, and high-pass filtering. They both successfully corrected this drift. A single gyroscope on the shank segment could provide information on segment inclination range, cadence, number of steps, and an estimation of stride length and walking speed.
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Affiliation(s)
- K Tong
- Bioengineering Unit, Wolfson Centre, University of Strathclyde, Glasgow, UK
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Zhu S, Wang N, Wang D, Wang M, Tong K, Xu H, Wang J, Li Q, Peng J, Wang J. A clinical investigation on massage for prevention and treatment of recurrent respiratory tract infection in children. J TRADIT CHIN MED 1998; 18:285-91. [PMID: 10453599] [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: 02/13/2023]
Abstract
The TCM therapeutic principle of "eliminating the pathogenic factors by supporting the healthy energy" was adopted in massage to treat and prevent recurrent respiratory tract infection of children. Susceptible and healthy children of the same age were used as controls. As a result, the therapeutic effect of the treatment group is significantly better than that of the controls, with all of the immunologic indexes being approximately normal when the patients were reexamined 3 and 6 months after the massage. Statistically, the difference was significant (P < 0.01). Massage has been proved very helpful in improving the general constitution, enhancing the immune functions, preventing and treating the condition, and in health care as well.
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Affiliation(s)
- S Zhu
- Jianye District TCM Hospital, Nanjing
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Wirrell E, Tong K. Pachygyria associated with childhood-onset epileptic spasms. J Child Neurol 1998; 13:461-4. [PMID: 9733294 DOI: 10.1177/088307389801300910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- E Wirrell
- Department of Pediatrics and Medical Imaging, University of Saskatchewan, Saskatoon, Canada
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Tong K, Tu G. [Treatment and results of N1 supraglottic laryngeal carcinoma]. Zhonghua Er Bi Yan Hou Ke Za Zhi 1998; 31:307-9. [PMID: 9642369] [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] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
One hundred and eleven cases of supraglottic squamous cell cancer (T1-4N1) were retrospectively analysed. The result showed that: 1. the 3 years survival rate was 72% (80/111); 2, the rate of contralateral neck node metastasis after ipsilateral RND was 17.9%, and the cases of T3-4 with positive histologic findings of neck dissection samples had a higher rate contralateral neck node metastasis (38.6%); 3, the contralateral neck node metastasis rate (26.1%) in the group with surgery alone was significantly higher than that (7.1%) in the group with preoperative radiation (P < 0.05). The authors draw the conclusion that contralateral neck node metastasis is a high risk factor for recurrence of N1 supraglottic laryngeal cancer and that preoperative radiation may be be useful in controlling subclinical metastasis.
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Affiliation(s)
- K Tong
- First Hospital of Dalian Medical College
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Cohen SR, Mount BM, Bruera E, Provost M, Rowe J, Tong K. Validity of the McGill Quality of Life Questionnaire in the palliative care setting: a multi-centre Canadian study demonstrating the importance of the existential domain. Palliat Med 1997; 11:3-20. [PMID: 9068681 DOI: 10.1177/026921639701100102] [Citation(s) in RCA: 301] [Impact Index Per Article: 11.1] [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: 02/03/2023]
Abstract
This study was carried out in eight palliative care services in four Canadian cities. A revised version of The McGill Quality of Life Questionnaire (MQOL) is compared to a single-item scale measuring overall quality of life (SIS), and the self-administered version of the Spitzer Quality of Life Index (SA-QLI), to obtain evidence of validity. MQOL total score predicts SIS better than does SA-QLI, although much of the variance remains to be explained. The results of principal components analysis of data using this revised version of MQOL are similar to those from previous MQOL studies with different patient populations. The MQOL subscales, constructed on the basis of principal components analysis, demonstrate acceptable internal consistency reliability. The MQOL measures reflecting physical well-being and existential well-being are important for predicting SIS.
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Affiliation(s)
- S R Cohen
- Department of Oncology, McGill University, Montréal, Québec, Canada
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Tong K, Guyer CA, Staros JV. Steric constraints in the recognition of peptide substrates for the epidermal growth factor receptor kinase. Int J Pept Protein Res 1996; 47:219-26. [PMID: 8740973 DOI: 10.1111/j.1399-3011.1996.tb01348.x] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Epidermal growth factor (EGF) stimulates cellular mitogenesis by binding to and activating its membrane-associated receptor. An important component of signal transduction by the activated receptor is the stimulation of an intrinsic tyrosyl residue-specific protein kinase, which selectively phosphorylates tyrosyl residues in the cytoplasmic tail of the receptor and in other cytoplasmic substrates. A recent study utilizing tyrsub, a new high affinity synthetic peptide substrate for the EGF receptor kinase, provided evidence that in peptide substrate binding, the tyrosyl residue plays the central role in recognition, with residues surrounding the tyrosyl residue contributing to stabilization of docking [Guyer et al. (1994) Arch. Biochem. Biophys. 312, 573-578]. A large body of previous work had identified acidic residues near the site of phosphorylation as most important for binding; therefore, other residues in tyrsub appeared to be promising sites for locating spectroscopic reporter groups. Since tyrsub has neutral residues -4 and +4 residues from the site of phosphorylation, we prepared two analogs of tyrsub, in each of which one of those residues was substituted with Cys. These cystyrsubs were found to be effectively phosphorylated by EGF receptor prepared from A431 cells, on stimulation with EGF, with high affinities [Km(app) = 40-50 microM.] Modification of the cystyrsubs with iodoacetamide had no deleterious effect on the ability of the peptide to be phosphorylated by the EGF receptor kinase, while the labeling by 5-iodoacetimidofluorescein completely abolished the productive interaction between the peptide and the EGF receptor. This unexpected failure of the fluorescently labeled peptides to be phosphorylated does, however, provide information on steric limitations to recognition of substrates by the EGF receptor kinase.
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Affiliation(s)
- K Tong
- Department of Molecular Biology, Vanderbilt University, Nashville, Tennessee, USA
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Vaughan DE, Lazos SA, Tong K. Angiotensin II regulates the expression of plasminogen activator inhibitor-1 in cultured endothelial cells. A potential link between the renin-angiotensin system and thrombosis. J Clin Invest 1995; 95:995-1001. [PMID: 7884001 PMCID: PMC441432 DOI: 10.1172/jci117809] [Citation(s) in RCA: 414] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Plasminogen activator-inhibitor C-1 (PAI-1) plays a critical role in the regulation of fibrinolysis, serving as the primary inhibitor of tissue-type plasminogen activator. Elevated levels of PAI-1 are a risk factor for recurrent myocardial infarction, and locally increased PAI-1 expression has been described in atherosclerotic human arteries. Recent studies have shown that the administration of angiotensin converting enzyme inhibitors reduces the risk of recurrent myocardial infarction in selected patients. Since angiotensin II (Ang II) has been reported to induce PAI-1 production in cultured astrocytes, we have hypothesized that one mechanism that may contribute to the beneficial effect of angiotensin converting enzyme inhibitors is an effect on fibrinolytic balance. In the present study, we examined the interaction of Ang II with cultured bovine aortic endothelial cells (BAECs) and the effects of this peptide on the production of PAI-1. 125I-Ang II was found to bind to BAECs in a saturable and specific manner, with an apparent Kd of 1.4 nM and Bmax of 74 fmol per mg of protein. Exposure of BAECs to Ang II induced dose-dependent increases in PAI-1 antigen in the media and in PAI-1 mRNA levels. Induction of PAI-1 mRNA expression by Ang II was not inhibited by pretreating BAECs with either Dup 753 or [Sar1, Ile8]-Ang II, agents that are known to compete effectively for binding to the two major angiotensin receptor subtypes. These data indicate that Ang II regulates the expression of PAI-1 in cultured endothelial cells and that this response is mediated via a pharmacologically distinct form of the angiotensin receptor.
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Affiliation(s)
- D E Vaughan
- Cardiovascular Division, Vanderbilt University Medical Center, Nashville, Tennessee 37232
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Affiliation(s)
- T E Wiley
- Department of Radiology, Loma Linda University Medical Center, CA 92354
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Tong K. Solitary thyroid nodules. N Engl J Med 1993; 329:360; author reply 361. [PMID: 8321269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Ono B, Andou N, Weng M, Tong K. Effect of cysteine on chromate resistance in the yeast Saccharomyces cerevisiae. Chem Pharm Bull (Tokyo) 1986; 34:229-34. [PMID: 3516419 DOI: 10.1248/cpb.34.229] [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: 01/06/2023]
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