Publications by authors named "Chi-Jung Wu"

Unlabelled: Commercial antifungal susceptibility tests were available for clinical yeast isolates. However, the updated Sensititre YeastOne (SYO) version YO10C excluded species for susceptibility testing. Uncorrelation of antifungal susceptibility patterns by SYO and therapeutic outcomes had been recently reported.

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Purpose: Diabetes mellitus (DM) negatively impacts chronic hepatitis B patients, but its role in those with HBV-related hepatocellular carcinoma (HCC) undergoing ablation remains unclear. This study aims to evaluate the influence of DM on recurrence patterns and overall survival (OS) among patients with HBV-related HCC undergoing ablation.

Patients And Methods: We retrospectively enrolled 372 patients receiving thermal ablation for HBV-related HCC, including 96 (25.

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  • * Among 704 yeast isolates, the most common pathogenic species from farmers were Candida albicans and C. parapsilosis, while C. tropicalis was prevalent in environmental samples, with a notable fluconazole resistance rate.
  • * The resistance of C. tropicalis to fluconazole was linked to resistance to certain agricultural azole fungicides, and gene mutations were identified as a contributing factor; reducing agricultural azole use could help mitigate this issue in human infections.
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Introduction: The progression patterns, dispositions, and outcomes of patients with advanced hepatocellular carcinoma (HCC) who achieved durable responses with immunotherapy remain poorly characterized.

Methods: Patients with advanced HCC who received immune checkpoint inhibitor (ICI)-based immunotherapy and achieved durable responses were retrospectively included. A durable response was defined as partial response (PR) or stable disease (SD) per RECIST 1.

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Objectives: This study aimed to investigate the prevalence and characteristics of clinical and environmental isolates in Taiwan.

Methods: isolates obtained from patients at three hospitals and from 530 soil samples across Taiwan were screened. , confirmed by calmodulin sequencing, was subjected to antifungal susceptibility testing and analyses.

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Purpose: Durable partial response (PR) and durable stable disease (SD) are often seen in patients with hepatocellular carcinoma (HCC) receiving atezolizumab plus bevacizumab (atezo-bev). This study investigates the outcome of these patients and the histopathology of the residual tumors.

Patients And Methods: The IMbrave150 study's atezo-bev group was analyzed.

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A fungal polymerase chain reaction (PCR) amplifies conserved genes across diverse species, combined with the subsequent hybridization of amplicons using a specific oligonucleotide microarray, allowing for the rapid detection of pathogens at the species level. However, the performance of microarrays in diagnosing invasive mold infections (IMI) from infected tissue samples is rarely reported. During the 4-year study period, all biopsied tissue samples from patients with a suspected IMI sent for microarray assays were analyzed.

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Background: The benefits of HCV eradication on distinct recurrence patterns and long-term hepatic outcomes in patients with hepatocellular carcinoma (HCC) undergoing radiofrequency ablation (RFA) remain uncertain. This study aims to assess the impact of HCV eradication on HCC recurrence patterns and long-term hepatic outcomes after RFA and to identify predictors of recurrence in patients achieving sustained virological response (SVR).

Methods: We retrospectively enrolled 274 patients receiving RFA for HCV-related HCC, including 73 and 88 patients treated with interferon-based (IFN) and direct-acting antivirals (DAA) therapy, respectively.

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Background & Aims: Immune checkpoint inhibitors (ICIs) can restore exhausted T-cell immunity not only for cancer treatment but also potentially to cure chronic hepatitis B (CHB). Thus, we aimed to determine the previously unclear impact of ICIs on hepatitis B surface antigen (HBsAg) seroclearance in patients with cancer.

Methods: Consecutive patients with cancer from 2016 to 2020 (cohort 1, n = 118), and hepatocellular carcinoma from 2020 to 2022 (cohort 2, n = 44, as validation) receiving ICIs and positive for HBsAg were retrospectively recruited.

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The ascomycete filamentous fungus Neurospora intermedia is commonly used in the food industry and considered nonpathogenic to humans. This study characterizes four N. intermedia isolates recovered from three patients.

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Facing a 40% mortality rate in candidemia patients, drug-resistant Candida and their petite mutants remain a major treatment challenge. Antimicrobial photodynamic therapy (aPDT) targets multiple fungal structures, unlike antibiotics/antifungals, potentially thwarting resistance. Traditional methods for inducing petite colonies rely on ethidium bromide or fluconazole, which can influence drug susceptibility and stress responses.

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Article Synopsis
  • High-level levofloxacin-resistant group A Streptococcus was first identified in Taiwan in 2012, with a total of 24 isolates detected.
  • Most of these isolates (23) were linked to the emm12/ST36 strain and shared similar genetic mutations in GyrA and ParC, indicating a high level of genetic similarity.
  • These strains were found to be closely related to those involved in a scarlet fever outbreak in Hong Kong, highlighting the need for ongoing monitoring and surveillance.
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Background: Epidemiological knowledge is important to guide antifungal therapy.

Objective: This multicentre study aimed to investigate the species distribution and antifungal susceptibility of Aspergillus isolates in Taiwan.

Method: Four hundred and ninety-two clinical Aspergillus isolates, collected during 2016-2020, were identified by calmodulin sequencing and tested for antifungal susceptibility using CLSI M38-A3.

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Overall survival (OS) in patients with advanced hepatocellular carcinoma (HCC) has improved in the era of multi-line sequential therapy. The application of antiviral therapy and its impact on survival for patients with HBV-related HCC needs to be reassessed. The aim of this study was to evaluate the application and impact of antiviral therapy on survival for patients with HBV-related HCC receiving tyrosine kinase inhibitor (TKI) therapy.

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This study characterizes the phylogenetic relatedness of non-SARS human coronaviruses (HCoVs) in southern Taiwan by sequencing the nucleocapsid (N), spike (S), and RNA-dependent RNA polymerase (RdRp) genes directly from ten HCoV PCR-positive respiratory samples collected during 2012-2013. In the N, S1, and RdRp phylogeny, HCoV-OC43 in one and three samples was clustered with genotypes F and G, respectively, and HCoV-OC43 in sample YC101/TWN/2013 represented a recombination event between genotypes F and G. Amino acid substitutions in the S1 protein of HCoV-OC43 were also identified.

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Background: Immune checkpoint inhibitors (ICIs) are promising agents for unresectable hepatocellular carcinoma (uHCC), but lack effective biomarker to predict outcomes. The gut microbiome can modulate tumor response to immunotherapy, but its effect on HCC remains unclear.

Methods: From May 2018 to February 2020, patients receiving ICI treatment for uHCC were prospectively enrolled; their fecal samples were collected before treatment.

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  • The study analyzed the incidence and demographics of mucormycosis in Taiwan using the National Health Insurance Research Database, comparing it to aspergillosis over an 11-year period from 2006 to 2017.
  • Mucormycosis was found to be much less common than aspergillosis, with an incidence of 0.07 cases per 100,000 population, primarily affecting diabetic patients.
  • The 90-day mortality rates for both diseases were similar, but the use of posaconazole significantly reduced in-hospital mortality for mucormycosis patients.
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To monitor trends in the distribution of yeast species and the susceptibilities of these species to commonly prescribed antifungal drugs, we conduct the Taiwan Surveillance of Antimicrobial Resistance of Yeasts (TSARY) every 4 years. We found that 25 of 294 Candida tropicalis isolates from TSARY 2014 and 31 of 314 C. tropicalis isolates from TSARY 2018 were resistant to fluconazole.

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The predictors of response and survival in patients with hepatocellular carcinoma (HCC) receiving regorafenib remain unclear. This study aimed to delineate the determinants of response and survival after regorafenib and evaluate post-progression treatment and outcomes. We retrospectively enrolled 108 patients with unresectable HCC receiving regorafenib after sorafenib failure.

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  • Lenvatinib combined with pembrolizumab shows promising efficacy and safety for treating unresectable hepatocellular carcinoma (uHCC), especially in patients who haven't had previous treatments.
  • A study of 71 patients indicated a high disease control rate and stable liver function during treatment, with median progression-free survival (PFS) of 9.3 months.
  • Factors like prior nivolumab treatment failure and Child-Pugh class impact overall survival (OS), highlighting the need for more research on how to best treat patients who didn't respond well to prior therapies.
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This study delineated the characteristics of 24 (11.2%) culture-positive, influenza-associated pulmonary aspergillosis (IAPA) patients out of 215 patients with severe influenza during 2016-2019 in a medical center in southern Taiwan. Twenty (83.

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Synopsis of recent research by authors named "Chi-Jung Wu"

  • - Chi-Jung Wu's recent research spans diverse areas in infectious diseases and oncology, focusing on the detection and treatment of resistant fungal infections and the management of hepatocellular carcinoma (HCC) through immunotherapy and radiofrequency ablation techniques.
  • - Notable findings include the identification of fluconazole-resistant Candida tropicalis in Taiwan, which suggests the need for enhanced surveillance and intervention strategies for emerging fungal infections.
  • - Wu's work also elucidates the impact of Hepatitis C virus eradication on HCC recurrence patterns, as well as the potential of immune checkpoint inhibitors to achieve functional cure of chronic hepatitis B in cancer patients, highlighting the intersection of infectious disease management with cancer therapy.