Publications by authors named "Dongju Won"

Introduction: Although genetic testing for hereditary cancers is increasing, data on health attitudes based on genetic pathogenicity are limited. This cohort study aims to establish three subcohorts based on genetic testing results to assess the health impact of genetic variations. This study evaluates changes in participant quality of life (QoL), unmet needs and mental health over time based on their genetic variant status.

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Purpose: The partner and localizer of breast cancer 2 (PALB2) mutation is a predisposition to breast cancer development. However, limited clinical data are available for the Korean population. Therefore, this study aimed to compare the characteristics and oncological outcomes of patients with PALB2-mutated and non-mutated PALB2 in Korea.

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  • The study examined the auditory function over time in fifteen individuals with AS who had confirmed genetic variants associated with the disorder.
  • Findings revealed that 80% had blood in their urine and 40% had protein in their urine, with progressive and symmetrical hearing loss peaking at 53 dB HL, indicating a need for personalized auditory rehabilitation based on genetic factors.
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Background: -associated polyposis is an autosomal recessive disorder associated with an increased lifetime risk of colorectal cancer and a moderately increased risk of ovarian, bladder, breast, and endometrial cancers. We analyzed the carrier frequency and estimated the incidence of -associated polyposis in East Asian and Korean populations, for which limited data were previously available.

Methods: We examined 125,748 exomes from the gnomAD database, including 9,197 East Asians, and additional data from 5,305 individuals in the Korean Variant Archive and 1,722 in the Korean Reference Genome Database.

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Antimicrobials reserved for human medicines are permitted for companion animals and it is important to understand multidrug-resistant pathogens recovered from companion animals in terms of epidemiological correlation with human pathogens and possibility of transmission to human-beings. Seventeen of each CTX-M-type extended-spectrum beta-lactamase-producing Escherichia coli (ESBL-EC) and Klebsiella pneumoniae (ESBL-KP) canine isolates were assessed. Entire genomes of the 34 isolates were sequenced.

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  • * A study analyzed the prevalence of these variants globally, with a focus on East Asian and Korean populations, using data from various genomics databases.
  • * It was found that the global prevalence of the variants is 0.18%, with 0.09% in East Asians and 0.13% in Koreans, marking the first detailed investigation of this topic in those populations, crucial for future cancer risk assessment and genetic counseling.
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Mutations in Wolfram syndrome 1 () cause Wolfram syndrome and autosomal dominant non-syndromic hearing loss DFNA6/14/38. To date, more than 300 pathogenic variants of have been identified. Generally, the audiological phenotype of Wolfram syndrome or DFNA6/14/38 is characterized by low-frequency hearing loss; however, this phenotype is largely variable.

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Importance: Despite advances in next-generation sequencing (NGS), a significant proportion of patients with inherited retinal disease (IRD) remain undiagnosed after initial genetic testing. Exome sequencing (ES) reanalysis in the clinical setting has been suggested as one method for improving diagnosis of IRD.

Objective: To investigate the association of clinician-led reanalysis of ES data, which incorporates updated clinical information and comprehensive bioinformatic analysis, with the diagnostic yield in a cohort of patients with IRDs in Korea.

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Background And Aims: Next-generation sequencing (NGS)-based copy number variants (CNVs) have high false-positive rates. The fewer the exons involved, the higher the false-positive rate. A CytoScan XON assay was developed to assess exon-level CNVs.

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Platinum-based chemotherapy is the cornerstone treatment for female high-grade serous ovarian carcinoma (HGSOC), but choosing an appropriate treatment for patients hinges on their responsiveness to it. Currently, no available biomarkers can promptly predict responses to platinum-based treatment. Therefore, we developed the Pathologic Risk Classifier for HGSOC (PathoRiCH), a histopathologic image-based classifier.

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Considering patient room shortages and prevalence of other communicable diseases, reassessing the isolation of patients with Clostridioides difficile infection (CDI) is imperative. We conducted a retrospective study to investigate the secondary CDI transmission rate in a hospital in South Korea, where patients with CDI were not isolated. Using data from a real-time locating system and electronic medical records, we investigated patients who had both direct and indirect contact with CDI index patients.

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  • Genetic testing and vestibular function tests were conducted on 627 patients with genetic hearing loss, revealing that 22.8% experienced vestibular symptoms.
  • Genetic variations were found in 31.5% of those with symptoms, linking 19 deafness genes to these vestibular issues, primarily vertigo.
  • Different tests indicated reduced vestibular function in various proportions of patients, with autosomal recessive cases showing significantly more abnormalities than autosomal dominant ones.
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Objective: We aimed to identify common genes and recurrent causative variants in a large group of Asian patients with different epilepsy syndromes and subgroups.

Methods: Patients with unexplained pediatric-onset epilepsy were identified from the in-house Severance Neurodevelopmental Disorders and Epilepsy Database. All patients underwent either exome sequencing or multigene panels from January 2017 to December 2019, at Severance Children's Hospital in Korea.

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The positivity rate of circulating tumor DNA (ctDNA) next-generation sequencing (NGS) varies among patients with metastatic prostate cancer (mPC), complicating its incorporation into regular practice. This retrospective study analyzed the ctDNA sequencing results of 100 mPC patients from May 2021 to March 2023 to identify the factors associated with positive ctDNA. Three custom gene panels were used for sequencing.

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  • Inborn errors of immunity (IEI) are genetic disorders that weaken the immune system, making individuals more prone to infections and related issues.
  • This study assessed the effectiveness of clinical exome sequencing (CES) in diagnosing IEI among 37 Korean patients showing potential symptoms.
  • CES successfully provided genetic diagnoses for 15 patients (40.5%), revealing several pathogenic variants, including four previously unreported, and even identified additional cases of unrecognized IEI while investigating other diseases.
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Background: We evaluated the clinical accuracy and utility of whole-genome sequencing (WGS) of plasma microbial cell-free DNA (cfDNA) as a novel noninvasive method in diagnosing invasive aspergillosis (IA) in patients with hematologic malignancy (HM) or coronavirus disease 2019 (COVID-19).

Methods: Adults with HM or COVID-19 and suspected IA were recruited. IA cases were retrospectively diagnosed according to EORTC/MSG definitions and ECMM/ISHAM criteria for HM and COVID-19 patients, respectively.

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Background: Mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) syndrome is a multi-organ disorder resulting from mitochondrial DNA (mtDNA) mutations. We report a case of suspected MELAS syndrome that progressed to left ventricular dysfunction 24 years after an initial diagnosis of atrioventricular block (AVB).

Case Summary: A 51-year-old woman was referred to heart failure clinic because of dyspnoea on exertion and progressive cardiomegaly.

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  • Linezolid is crucial for treating invasive infections from vancomycin-resistant enterococci, but more research on linezolid-nonsusceptible enterococci (LNSE) is needed as seen in this study.
  • The study analyzed 34 clinical strains from Severance Hospital between 2019 and 2020, assessing linezolid resistance through agar dilution and whole-genome sequencing to identify the mechanisms.
  • Key findings revealed that specific genes were the primary resistance mechanisms, with one mutation leading to significantly increased linezolid resistance, highlighting concerns about the spread of these resistance genes and potential foodborne transmission.
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Background: The incidence of early- and late-onset sepsis and meningitis in neonates due to maternal rectovaginal group B (GBS) colonization may differ with serotype distribution and clonal complex (CC). CC17 strains are associated with hypervirulence and poor disease outcomes. GBS serotypes are distinguished based on the polysaccharide capsule, the most important virulence factor.

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Next-generation sequencing (NGS) facilitates comprehensive molecular analyses that help with diagnosing unsolved disorders. In addition to detecting single-nucleotide variations and small insertions/deletions, bioinformatics tools can identify copy number variations (CNVs) in NGS data, which improves the diagnostic yield. However, due to the possibility of false positives, subsequent confirmation tests are generally performed.

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  • The study aimed to assess the clinical features and genetic causes of autosomal optic atrophy using next-generation sequencing (NGS) in a group of 57 families from two hospitals.
  • Researchers found 22 likely causative genetic variants in 18 families, giving an overall diagnostic yield of 31.6%, with significantly better results in patients with early-onset optic atrophy.
  • Most causative variants were novel to the cohort, and the study concluded that NGS is less effective in uncovering causes for late-onset optic atrophy cases.
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  • Hypertrophic cardiomyopathy (HCM) is a genetic heart condition marked by thickening of the left ventricle.
  • Researchers transformed blood cells from a HCM patient into induced pluripotent stem cells (iPSC) with a specific genetic mutation.
  • The created cell line (YCMi006-A) shows key stem cell characteristics and can differentiate into various cell types, making it useful for studying HCM's causes.
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Purpose: We aim to report noncoding pathogenic variants in patients with FRMD7-related infantile nystagmus (FIN).

Methods: Genome sequencing (n = 2 families) and reanalysis of targeted panel next generation sequencing (n = 2 families) was performed in genetically unsolved cases of suspected FIN. Previous sequence analysis showed no pathogenic coding variants in genes associated with infantile nystagmus.

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Primary hyperparathyroidism (PHPT) is characterized by overproduction of parathyroid hormone and subsequent hypercalcemia. Approximately 10% of PHPT cases are hereditary, and several genes, such as , , , and , are responsible for the familial forms of PHPT. However, other genetic mutations involved in the etiology of PHPT are largely unknown.

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