Publications by authors named "Hyunki Kim"

Transcriptome-wide association studies (TWAS) help identify disease causing genes, but often fail to pinpoint disease mechanisms at the cellular level because of the limited sample sizes and sparsity of cell-type-specific expression data. Here we propose scPrediXcan which integrates state-of-the-art deep learning approaches that predict epigenetic features from DNA sequences with the canonical TWAS framework. Our prediction approach, ctPred, predicts cell-type-specific expression with high accuracy and captures complex gene regulatory grammar that linear models overlook.

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Purpose: The nProfiler 1 Stomach Cancer Assay (nProfiler1), designed to predict responses to fluorouracil-based adjuvant chemotherapy, measures the expression of four gastric cancer target genes (GZMB, WARS, SFRP4, and CDX1). The randomized phase III POST trial aimed to compare the efficacies of two adjuvant S-1-based doublet chemotherapies: S-1 plus cisplatin (SP) and S-1 plus docetaxel (DS). This study aimed to validate the nProfiler1 assay using a distinct cohort from the POST trial.

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  • Vancomycin is an important antibiotic for treating gram-positive bacterial infections, but it requires careful monitoring due to its variable effects in different patients.
  • Recent guidelines suggest measuring the area under the concentration-time curve (AUC) for more accurate dosing, but many institutions lack clear protocols for AUC estimation.
  • A survey of Korean medical institutions showed varying results in AUC calculations, particularly in atypical patient scenarios, highlighting the need for standardized procedures in therapeutic drug monitoring practices.
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  • - Vancomycin is an important antibiotic that requires careful monitoring to ensure its effectiveness against Gram-positive bacterial infections, with recent guidelines recommending AUC (area under the curve) based monitoring for better therapeutic outcomes.
  • - Researchers developed a new simplified equation, called SSTA, which estimates AUC using steady-state trough concentration and other patient factors based on data from over 1,000 TDM records from hospitalized patients.
  • - The SSTA model was validated against data from other hospitals and demonstrated competitive accuracy in predicting AUC, indicating it could serve as a useful tool for monitoring vancomycin therapy effectively and easily.
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  • State-of-the-art triboelectric nanogenerators (TENGs) often use fluoropolymers, which are facing scrutiny due to their environmental impact and potential to release harmful substances like PFAS.
  • A new sulfur-rich polymer (SRP)/MXene composite has been developed as a sustainable alternative, leveraging sulfur's abundance and high electron affinity.
  • This composite demonstrates significant improvements in performance with 2.9 times higher peak voltage and 19.5 times higher peak current, while also being reusable and scalable, achieving an 8.4 times enhancement in peak power density.
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  • The phase III PRODIGY study found that neoadjuvant chemotherapy with docetaxel, oxaliplatin, and S-1 (DOS), followed by surgery and adjuvant S-1, improved progression-free survival (PFS) in patients with resectable locally advanced gastric cancer (LAGC).
  • Long-term follow-up showed that the group receiving neoadjuvant DOS (CSC) had significantly better overall survival (OS) rates compared to those who underwent surgery followed by adjuvant S-1 (SC), with 8-year OS rates of 63.0% vs. 55.1%.
  • The results suggest that neoadjuvant DOS chemotherapy should be considered a standard treatment
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Purpose: Varlitinib is a pan-human epidermal growth factor receptor (HER) inhibitor targeting epidermal growth factor receptor (EGFR), human epidermal growth factor receptor 2 (HER2), and HER4. We present a phase Ib/II study of a combination of varlitinib and weekly paclitaxel as a second-line treatment for patients with EGFR/HER2 co-expressing advanced gastric cancer (AGC).

Materials And Methods: Patients whose tumors with EGFR and HER2 overexpression by immunohistochemistry (≥ 1+) were enrolled.

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Despite the efficacy of COVID-19 vaccines, patients with hematologic malignancy may still be fatal from COVID19. Therefore, we prospectively performed the analysis of administration of tixagevimab/cilgavimab in the real-world. In August 2022, 94 patients under active chemotherapy for lymphoma, multiple myeloma, or acute leukemia received a single dose AZD7442/Evusheld (two consecutive intramuscular injections of tixagevimab and cilgavimab, 300 mg each).

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  • * The CheckMate-649 trial revealed significant benefits for patients with a PD-L1 combined positive score (CPS) of 5 or higher, emphasizing the importance of accurately measuring PD-L1 CPS in gastric cancer cases.
  • * Korean pathologists convened to address the inconsistencies in PD-L1 CPS evaluations, reviewing slides and reaching a consensus on scoring, while also discussing the current challenges and practices involving PD-L1 expression assessment in cancer.
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  • Intraoperative pathologic examination of sentinel nodes during gastric cancer surgery is vital for determining how extensive the surgery should be.
  • A study from 2013 to 2016 evaluated the feasibility and accuracy of these intraoperative protocols, using data from a multicenter trial and examining sentinel lymph nodes with various staining methods.
  • Results showed that the single-section HE staining method effectively detected macrometastasis, and if sentinel nodes are negative, it is safe to proceed with sentinel basin dissection; otherwise, standard surgery is necessary.
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  • Pressure-sensitive adhesives (PSAs) are commonly used in various industries, but achieving desired anisotropic adhesion usually involves complex and costly microstructures.
  • Aligned liquid crystalline elastomers (LCEs) are explored as a potential solution, offering directional properties such as variable stiffness and deformation when under load.
  • By adjusting the cross-link content in LCEs, researchers found a significant difference in peel strength based on alignment direction, indicating potential for refined adhesion applications with patterned orientations.
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We investigated the performance of research use only/cell population data (RUO/CPD) items obtained from the Beckman Coulter DxH800 automated hematologic analyzer in discriminating MDS patients from cytopenic patients without MDS.Total of 14 routine CBC, 18 research use only (RUO) items, and 70 CPD items were obtained retrospectively at diagnosis. The results were then compared between 94 MDS patients and 100 cytopenic patients without MDS.

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  • Neoadjuvant chemoradiation therapy (nCRT) is normally suggested for patients with cT1-2 esophageal squamous cell carcinoma (ESCC) who show signs of lymph node metastasis, but this study assessed the effectiveness of immediate surgery instead.
  • A review of 247 patients showed that while patient groups (cN0 and cN1) differed in lymph node yield and metastatic node size, their 5-year disease-free survival rates were similar, indicating that upfront surgical treatments can provide valuable staging data.
  • The findings suggest that immediate surgery might be a reasonable alternative to nCRT for cT1-2N1 ESCC patients, potentially preventing unnecessary treatments for some who do not have actual
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Background: We conducted a trial to evaluate the efficacy and safety of nivolumab and paclitaxel as second-line therapy for immune-related biomarker-enriched advanced gastric cancer (AGC).

Methods: This open-label, single-arm, phase Ib/II study was a part of multi-institutional, biomarker-integrated umbrella study conducted in Korea. In phase Ib, patients received nivolumab (3 mg/kg) on Days 1 and 15 and paclitaxel (dose level 1, 70 mg/m or dose level 2, 80 mg/m) on Days 1, 8, 15 every four weeks.

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Background/aims: The achievement of endoscopic remission is an important therapeutic goal in the treatment of inflammatory bowel diseases (IBD). We aimed to evaluate the role of fecal calprotectin (FCP) and ischemia-modified albumin (IMA) as biomarkers for evaluating IBD disease activity.

Methods: A total of 48 patients with IBD (20 with ulcerative colitis and 28 with Crohn's disease) were included in this study.

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  • A study investigates the impact of prior antibiotic (pATB) use on the effectiveness of PD-1 inhibitors in patients with advanced gastric cancer (AGC), finding that pATB is linked to poorer progression-free survival (PFS) and overall survival (OS).
  • The negative effects of pATB were consistent across multiple patient groups treated with PD-1 inhibitors, while it had no impact on patients receiving irinotecan.
  • Analysis reveals that pATB use reduces gut microbiome diversity and alters immune cell profiles, suggesting that caution is needed when prescribing antibiotics to AGC patients who will be treated with PD-1 inhibitors.
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Purpose: This study aimed to screen targeted agents as second-line treatment with a standard-of-care (SOC) controlled umbrella trial design in advanced gastric cancer (AGC).

Patients And Methods: Patients with HER2-negative AGC from eight Korean cancer centers were screened for druggable targets using immunohistochemistry (IHC) and in situ hybridization, and randomly assigned to the biomarker versus control group at a 4:1 ratio. In the biomarker group, patients were treated with specific targeted agent plus paclitaxel: pan-ERBB inhibitor for epidermal growth factor receptor (EGFR) 2+/3+ patients (afatinib; EGFR cohort), PIK3Cβ inhibitor for phosphatase and tensin homolog (PTEN) loss/null patients (GSK2636771; PTEN cohort), and anti-PD-1 inhibitor for PD-L1+, deficient mismatch repair/microsatellite instability-high, or Epstein-Barr virus-related cases (nivolumab; NIVO cohort).

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Background: Trastuzumab is the only approved target agent for the first-line treatment of human epidermal growth factor receptor-2 (HER-2) positive gastric cancer; however, trastuzumab resistance is a major problem in clinical practice. To comprehend the mechanism of trastuzumab resistance, we focused on the Wnt/β-catenin signaling pathway and its influence on the phenotypes and behavior of trastuzumab-resistant gastric cancer cells.

Methods: Trastuzumab-resistant NCI-N87R cells were established in vitro from the human gastric cancer cell line NCI-N87 by dose-escalating repeated trastuzumab treatment.

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Efficient alkaline hydrogen evolution electrodes must be used for hydrogen production in anion exchange membrane water electrolyzers (AEMWEs). Therefore, we fabricated a NiMnS catalyst with a Mn-rich surface, which was self-supported on Ti paper through one-step electrodeposition. Mn doping endowed the catalyst with a unique hollow morphology and lattice-distorted structure.

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Aims: Interobserver variability in the assessment of gastric neoplasia biopsies between most Western and Eastern (predominantly represented by Japanese in the literature) pathologists has been documented. It is unknown if such variability exists between the US and Korean pathologists in the current era.

Methods: Ten gastrointestinal (GI) pathologists from the USA (n=5) and South Korea (n=5) evaluated 100 scanned images of gastric (n=50) and colorectal (n=50) neoplasia biopsies and answered multiple questionnaires.

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Pancreatic α-cells secrete glucagon, an insulin counter-regulatory peptide hormone critical for the maintenance of glucose homeostasis. Investigation of the function of human α-cells remains a challenge due to the lack of cost-effective purification methods to isolate high-quality α-cells from islets. Here, we use the reaction-based probe diacetylated Zinpyr1 (DA-ZP1) to introduce a novel and simple method for enriching live α-cells from dissociated human islet cells with ~95% purity.

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In recent years, significant translational research advances have been made in the upper gastrointestinal (GI) research field. Endoscopic evaluation is a reasonable option for acquiring upper GI tissue for research purposes because it has minimal risk and can be applied to unresectable gastric cancer. The optimal number of biopsy samples and sample storage is crucial and might influence results.

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Unlabelled: Excessive alcohol use is thought to increase the risk of respiratory infections by impairing mucociliary clearance (MCC). In this study, we investigate the hypothesis that alcohol reduces the function of CFTR, the protein that is defective in individuals with cystic fibrosis, thus altering mucus properties to impair MCC and the airway's defense against inhaled pathogens.

Methods: Sprague Dawley rats with wild type CFTR (+/+), matched for age and sex, were administered either a Lieber-DeCarli alcohol diet or a control diet with the same number of calories for eight weeks.

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