Publications by authors named "Choon Sik Park"

Article Synopsis
  • The study examines the relationship between lung texture features visible in CT scans and the prognosis of idiopathic pulmonary fibrosis (IPF), focusing on parameters like honeycombing and reticulation.
  • Automated analysis of CT images identified three distinct clusters of IPF patients based on survival rates, with Cluster 1 showing the best prognosis and Cluster 2 and 3 having poorer outcomes correlated with longer reticulation and honeycombing.
  • The findings suggest that using quantitative CT analysis can help predict clinical outcomes in IPF and may assist in identifying patients at higher risk for complications.
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Tobacco smoking (TS) is implicated in lung cancer (LC) progression through the development of metabolic syndrome. However, direct evidence linking metabolic syndrome to TS-mediated LC progression remains to be established. Our findings demonstrate that 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone and benzo[a]pyrene (NNK and BaP; NB), components of tobacco smoke, induce metabolic syndrome characteristics, particularly hyperglycemia, promoting lung cancer progression in male C57BL/6 J mice.

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Background: Benralizumab is indicated as add-on therapy in patients with uncontrolled, severe eosinophilic asthma; it has not yet been evaluated in a large Asian population with asthma in a clinical trial.

Objective: To evaluate the efficacy and safety of benralizumab in patients with severe asthma in Asia.

Methods: MIRACLE (NCT03186209) was a randomized, Phase 3 study in China, South Korea, and the Philippines.

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Genetic variation and epigenetic factors are thought to contribute to the development of hypersensitivity to aspirin. DNA methylation fluctuates dynamically throughout the day. To discover new CpG methylation in lymphocytes associated with aspirin-exacerbated respiratory disease (AERD), we evaluated changes in global CpG methylation profiles from before to after an oral aspirin challenge in patients with AERD and aspirin-tolerant asthma (ATA).

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Background: Neutrophilic inflammation is a characteristic feature of idiopathic pulmonary fibrosis (IPF). S100 calcium-binding protein A9 (S100A9) is a neutrophil-derived protein involved in the development of neutrophil-related chronic inflammatory disorders. However, the role of S100A9 in IPF remains unclear.

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Article Synopsis
  • - Chronic obstructive pulmonary disease (COPD) arises from unresolved inflammation due to toxic environmental factors, with particulate matter (PM) being a major risk factor, but the mechanism was previously unclear.
  • - In experiments using a mouse model, repeated exposure to PM led to chronic inflammation driven by macrophages and decreased levels of certain enzymes involved in NAD synthesis, caused by changes in how genes are regulated.
  • - Resveratrol, a natural compound that activates SIRT1, was shown to reduce PM-induced inflammation and COPD progression, suggesting that targeting metabolic and epigenetic shifts in macrophages may offer new treatments for COPD.
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Novel genetic and epigenetic factors involved in the development and prognosis of idiopathic pulmonary fibrosis (IPF) have been identified. We previously observed that erythrocyte membrane protein band 4.1-like 3 () increased in the lung fibroblasts of IPF patients.

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The renin-angiotensin (RA) system has been implicated in lung tumorigenesis without detailed mechanistic elucidation. Here, we demonstrate that exposure to the representative tobacco-specific carcinogen nitrosamine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) promotes lung tumorigenesis through deregulation of the pulmonary RA system. Mechanistically, NNK binding to the nicotinic acetylcholine receptor (nAChR) induces Src-mediated signal transducer and activator of transcription 3 (STAT3) activation, resulting in transcriptional upregulation of angiotensinogen (AGT) and subsequent induction of the angiotensin II (AngII) receptor type 1 (AGTR1) signaling pathway.

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Purpose: A subset of asthmatics suffers from persistent airflow limitation, known as remodeled asthma, despite optimal treatment. Typical quantitative scoring methods to evaluate structural changes of airway remodeling on high-resolution computed tomography (HRCT) are time-consuming and laborious. Thus, easier and simpler methods are required in clinical practice.

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Unlabelled: Pulmonary emphysema is a destructive inflammatory disease primarily caused by cigarette smoking (CS). Recovery from CS-induced injury requires proper stem cell (SC) activities with a tightly controlled balance of proliferation and differentiation. Here we show that acute alveolar injury induced by two representative tobacco carcinogens, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone and benzo[a]pyrene (N/B), increased IGF2 expression in alveolar type 2 (AT2) cells to promote their SC function and facilitate alveolar regeneration.

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Although the T helper 2 (Th2) subset is a critical player in the humoral immune response to extracellular parasites and suppression of Th1-mediated inflammation, Th2 cells have been implicated in allergic inflammatory diseases such as asthma, allergic rhinitis, and atopic dermatitis. GATA binding protein 3 (GATA3) is a primary transcription factor that mediates Th2 differentiation and secretion of Th2 cytokines, including IL-4, IL-5, and IL-13. Here, a nucleus-deliverable form of GATA3-transcription modulation domain (TMD) (ndG3-TMD) was generated using Hph-1 human protein transduction domain (PTD) to modulate the transcriptional function of endogenous GATA3 without genetic manipulation.

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The increasing global patterns for asthma disease and its associated fiscal burden to healthcare systems demand a change to healthcare processes and the way asthma risks are managed. Patient-centered health care systems equipped with advanced sensing technologies can empower patients to participate actively in their health risk control, which results in improving health outcomes. Despite having data analytics gradually emerging in health care, the path to well established and successful data driven health care services exhibit some limitations.

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Article Synopsis
  • Allergic rhinitis and asthma are closely linked, prompting guidelines to recommend treating them together, yet there's limited research on combination drugs for these conditions.
  • This study evaluated the effects of Monterizine®, a combo of montelukast and levocetirizine, on 2,254 patients over 3 to 6 months, tracking symptom scores and safety.
  • Results showed a significant decrease in nasal symptoms and improved quality of life with no serious adverse reactions, indicating Monterizine is effective and safe for patients with both allergic rhinitis and asthma.
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Background: Aspirin-exacerbated respiratory disease (AERD), an asthma phenotype, often presents with severe manifestations and it remains widely underdiagnosed because of insufficient awareness of the relationship between the ingestion of nonsteroidal anti-inflammatory drugs, including acetylsalicylic acid (ASA), and asthma exacerbation. Our previous genome-wide association study demonstrated an association between a single nucleotide polymorphism (SNP) of the ATP8B3 gene and the risk of AERD. This study examined AERD-related SNPs of the ATP8B3 gene in a large population.

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Article Synopsis
  • Neutrophilia, an increase in neutrophils, is commonly found in the bronchoalveolar lavage fluid (BALF) of patients with idiopathic pulmonary fibrosis (IPF), and this study focuses on the role of granulocyte colony-stimulating factor (G-CSF) in this condition.
  • The researchers measured G-CSF concentrations in the BALF of various lung disease patients and found higher levels in those with IPF compared to healthy controls, indicating its potential involvement in IPF progression.
  • High levels of G-CSF were associated with poorer survival rates and more significant declines in lung function, suggesting it could serve as a valuable prognostic marker for IPF.
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Article Synopsis
  • - The study investigates DNA CpG methylation changes in peripheral blood lymphocytes (PBLs) of patients with nonsteroidal anti-inflammatory drug-exacerbated respiratory disease (NERD) compared to aspirin-tolerant asthma (ATA) patients, highlighting the immune system's involvement in NERD.
  • - Analysis of PBLs revealed 56 hypermethylated and 3 hypomethylated CpG sites specific to NERD, with a predictive model showing high accuracy (84.3%) for identifying methylation risk.
  • - The findings indicate that PBLs in NERD exhibit a distinct methylation pattern, which may lead to new predictive tools for understanding NERD and its immune
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Purpose: Exacerbation of asthma is affected by genetic and environmental factors, but little is known about genetic differences according to smoking status. We evaluated genetic factors associated with asthma exacerbations in smokers and non-smokers, and identified the underlying mechanisms via a genome-wide association study (GWAS) and gene-level analyses according to smoking status.

Methods: A GWAS on the annual frequency of asthma exacerbations was performed in 420 non-smoking and 188 smoking patients with asthma.

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Background: Cancer stem-like cells (CSCs) play a pivotal role in lung tumor formation and progression. Nerve injury-induced protein 1 (Ninjurin1, Ninj1) has been implicated in lung cancer; however, the pathological role of Ninj1 in the context of lung tumorigenesis remains largely unknown.

Methods: The role of Ninj1 in the survival of non-small cell lung cancer (NSCLC) CSCs within microenvironments exhibiting hazardous conditions was assessed by utilizing patient tissues and transgenic mouse models where Ninj1 repression and oncogenic Kras or carcinogen-induced genetic changes were induced in putative pulmonary stem cells (SCs).

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  • Toluene diisocyanate (TDI) can cause occupational asthma by creating oxidative stress that harms tissues and causes inflammation; researchers investigated the link between specific GST gene genotypes and TDI-induced asthma.
  • The study involved 26 asthmatics who reacted positively to TDI and 27 who did not; findings showed that the GSTM1 null genotype was more prevalent in those with positive TDI responses, suggesting a genetic predisposition to TDI-OA.
  • Results indicated that individuals with certain GST gene variants had lower glutathione transferase levels post-TDI challenge, implying that these genetic markers could be important in diagnosing and assessing risk for TDI-induced occupational asthma.
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Background: Asthma exacerbation threatens patient's life. Several genetic studies have been conducted to determine the risk factors for asthma exacerbation, but this information is still lacking. We aimed to determine whether genetic variants of Oxidative Stress Responsive Kinase 1 (OXSR1), a gene with functions of salt transport, immune response, and oxidative stress, are associated with exacerbation of asthma.

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Background/aims: Omalizumab is the first biologic known to be effective in patients with severe allergic asthma.

Methods: This study was conducted as a multicenter, single-group, open trial to evaluate the improvement in the quality of life with the additional administration of omalizumab for 24 weeks in Korean patients with severe persistent allergic asthma.

Results: Of the 44 patients, 31.

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