Publications by authors named "Ho Sup Lee"

Article Synopsis
  • * The study found a median progression-free survival (PFS) of 23.4 months and an overall survival (OS) of 59.5 months, with factors like high-risk cytogenetics negatively impacting survival outcomes.
  • * Adverse events were common, with 56% of patients experiencing grade 3 or higher issues; however, patients who received post-KRd stem cell transplants had better PFS and OS
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Propranolol reduces experimental murine cerebral cavernous malformations (CCMs) and prevents embryonic caudal venous plexus (CVP) lesions in zebrafish that follow mosaic inactivation of . Because morpholino silencing of the β1 adrenergic receptor () prevents the embryonic CVP lesion, we proposed that plays a role in CCM pathogenesis. Here we report that zebrafish exhibited 86% fewer CVP lesions and 87% reduction of CCM lesion volume relative to wild type brood mates at 2dpf and 8-10 weeks stage, respectively.

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Background: Elderly patients diagnosed with diffuse large B-cell lymphoma (DLBCL) undergoing reduced intensity R-CHOP therapy are at a heightened risk of acquiring infections, notably coronavirus disease 2019 (COVID-19) infection. This study aimed to evaluate the efficacy of intravenous immunoglobulin (IVIG) as prophylaxis against COVID-19 in this vulnerable population.

Methods: A total of 125 elderly patients with DLBCL undergoing reduced intensity R-CHOP therapy were analyzed in this prospective, multicenter study.

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Article Synopsis
  • * The primary outcome, objective response rate (ORR), was 54.5% with a complete remission (CR) rate of 31.8%, indicating successful performance against the disease in a group of 66 enrolled patients.
  • * Adverse events were mostly manageable, with neutropenia being the most common; certain genetic markers such as MYD88 mutations showed promise for predicting treatment response, pointing to potential personalized therapy
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Article Synopsis
  • Interim PET scans are useful for evaluating how well patients with diffuse large B-cell lymphoma (DLBCL) respond to chemotherapy, particularly R-CHOP treatment.
  • In a study of 107 patients, those with a complete metabolic response (mCR) showed significantly better overall and recurrence-free survival rates compared to those with a partial metabolic response (mPR).
  • The findings suggest that adding radiotherapy can improve outcomes for patients with mPR, indicating the need for more thorough future studies on this treatment strategy.
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Article Synopsis
  • Brentuximab vedotin (BV) is an antibody-drug conjugate approved in Korea for treating relapsed or refractory Hodgkin lymphoma (HL), anaplastic large-cell lymphoma (ALCL), and cutaneous T-cell lymphomas, but there's limited real-world data on its effectiveness.
  • In a study involving 85 patients, BV showed high efficacy rates with an objective response rate (ORR) of 85.4% for HL, 88% for ALCL, and 92% for mycosis fungoides (MF), with median progression-free survival times of approximately 23.6 months for HL, 29.0 months for ALCL, and 16.7 months for MF. *
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Introduction: Upfront autologous stem cell transplantation (ASCT) has been recommended for patients who are newly diagnosed with peripheral T-cell lymphoma (PTCL), and CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone), an anthracycline-based chemotherapy has been the frontline chemotherapy for PTCL. However, it is not clear whether anthracycline-based chemotherapies such as CHOP could be standard induction therapy for PTCL.

Methods: We conducted a randomized phase II study to compare CHOP with fractionated ifosfamide, carboplatin, etoposide, and dexamethasone (ICED) for patients eligible for ASCT.

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Canonical interleukin-2 (IL-2) signaling via the high-affinity CD25-containing IL-2 receptor-Janus kinase (JAK)1,3-signal transducer and activator of transcription 5 (STAT5) pathway is essential for development and maintenance of CD4CD25Foxp3 regulatory T cells (Tregs) that support immune homeostasis. Here, we report that IL-2 signaling via an alternative CD25-chemokine receptor pathway promotes the suppressive function of Tregs. Using an antibody against CD25 that biases IL-2 signaling toward this alternative pathway, we establish that this pathway increases the suppressive activity of Tregs and ameliorates murine experimental autoimmune encephalomyelitis (EAE).

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Article Synopsis
  • * The results showed that patients receiving auto-SCT had significantly better overall survival rates compared to those receiving allo-SCT, but there was no notable difference in progression-free survival.
  • * Auto-SCT was particularly beneficial for patients in complete remission, while allo-SCT offered better progression-free survival for those with partial remission or relapsed disease, despite a high early mortality rate associated with allo-SCT.
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  • The study assessed the effectiveness and safety of adding rituximab to chemotherapy for treating CD20-positive acute lymphoblastic leukemia (ALL) in patients aged 15 and older.
  • Among 41 patients with Philadelphia (Ph)-negative ALL, 95.1% achieved complete remission, with notable two- and four-year relapse-free and overall survival rates; similarly, all 32 patients with Ph-positive ALL achieved complete remission and had better survival outcomes.
  • Higher CD20 positivity was linked to improved survival rates, and patients receiving two or more cycles of rituximab after transplantation showed significantly better relapse-free and overall survival than those receiving fewer cycles.
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Several guidelines classify autologous stem cell transplantation (ASCT) as a low to intermediate risk group for infection. In a nationwide population-based study, using the Korean Health Insurance Review and Assessment Service database, patients with lymphoma and multiple myeloma (MM) who underwent ASCT from 2002 to 2016 were retrospectively analyzed. Cumulative incidence rates (CIRs) and risk factors of opportunistic infections were investigated.

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Direct contact between cells expressing either ephrin ligands or Eph receptor tyrosine kinase produces diverse developmental responses. Transmembrane ephrinB ligands play active roles in transducing bi-directional signals downstream of EphB/ephrinB interaction. However, it has not been well understood how ephrinB relays transcellular signals to neighboring cells and what intracellular effectors are involved.

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Hepatitis B virus (HBV) infection carries a risk of liver cancer and extrahepatic malignancy. However, the incidence trend and clinical course of malignant lymphoma (ML) in HBV patients are not well known. Data about ML newly diagnosed in chronic hepatitis B (CHB) patients from 2003 to 2016 were collected from National Health Insurance Service claims.

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The effectiveness of early treatment for biochemical relapse of multiple myeloma (MM) is unclear. To clarify this issue, this retrospective study was performed to evaluate the survival outcomes of 315 patients with relapsed MM after upfront autologous stem cell transplantation (ASCT). Over a median follow-up of 66.

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In this multicenter phase II study, we evaluated the safety and efficacy of imatinib in patients with steroid-resistant chronic graft-versus-host disease (cGVHD) and evaluated the quality of life (QOL) of the enrolled patients using the Short Form 36 (SF-36) health survey questionnaire. Thirty-six patients who were diagnosed with steroid-refractory cGVHD and treated with imatinib between March 2013 and February 2019 received 100 mg/day of imatinib for 2 weeks. Depending on the patient's condition and investigator's decision, the imatinib dose was allowed to be increased by 100 mg every 2 weeks up to 400 mg/day.

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Rap1 GTPase drives assembly of the Mig-10/RIAM/Lamellipodin (MRL protein)-integrin-talin (MIT) complex that enables integrin-dependent lymphocyte functions. Here we used tandem affinity tag-based proteomics to isolate and analyze the MIT complex and reveal that Phostensin (Ptsn), a regulatory subunit of protein phosphatase 1, is a component of the complex. Ptsn mediates dephosphorylation of Rap1, thereby preserving the activity and membrane localization of Rap1 to stabilize the MIT complex.

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Article Synopsis
  • - Nilotinib, a tyrosine kinase inhibitor, is approved for treating Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) and this study aimed to evaluate its safety and effectiveness in real-world settings in South Korea.
  • - The 12-week study involved 669 adult patients with Ph+ CML, monitoring adverse events (AEs) and treatment responses, finding that 61.3% experienced AEs and 89.5% achieved a complete hematological response (CHR).
  • - The results indicated that nilotinib was generally well tolerated, with consistent safety and efficacy compared to earlier research, affirming its use in routine clinical practice for these patients.
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Article Synopsis
  • Diffuse large B-cell lymphoma (DLBCL) is a common type of blood cancer, but despite treatment improvements, 40%-50% of patients still experience relapses with poor outcomes.
  • Two studies involving over 1,500 DLBCL patients highlighted that 260 had refractory DLBCL, defined by lack of response to initial therapies or disease progression shortly after treatment.
  • The results showed a low response rate to subsequent treatments, with a median overall survival of only 7.5 months, highlighting the urgent need for new treatment strategies for these patients.
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Plasmacytoma has been reported to be associated with a poor prognosis in patients with multiple myeloma (MM). In this study, we evaluated the incidence of relapse with plasmacytoma and survival outcomes after upfront autologous stem cell transplantation (ASCT). This study retrospectively analyzed the data of 303 patients with MM who underwent upfront ASCT between April 2000 and April 2018 at eight institutes in the Republic of Korea.

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Article Synopsis
  • The study focuses on the impact of pegfilgrastim prophylaxis on preventing febrile neutropenia (FN) in diffuse large B-cell lymphoma (DLBCL) patients being treated with the R-CHOP regimen.
  • Results showed that pegfilgrastim significantly reduced FN incidence, treatment-related mortality (TRM), and the number of dose delays compared to a historical cohort.
  • Additionally, while overall survival rates were similar, pegfilgrastim improved survival in patients aged 75 and older, indicating its benefits for older DLBCL patients.
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Background/aims: Veno-occlusive disease/sinusoidal obstruction syndrome (VOD/SOS) is one of the most fatal complications of hematopoietic cell transplantation (HCT), and defibrotide is the only curative drug. We conducted this study to confirm the survival rate of VOD/SOS patients diagnosed in Korea and assess the efficacy of defibrotide.

Methods: Patients diagnosed with VOD/SOS after allogenic HCT between 2003 and 2020 were enrolled.

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In multiple myeloma (MM), a high number of focal lesions (FL) detected using positron emission tomography/computed tomography (PET/CT) was found to be associated with adverse prognosis. To design a new risk stratification system that combines the Revised International Staging System (R-ISS) with FL, we analyzed the data of 380 patients with newly diagnosed MM (NDMM) who underwent F-fluorodeoxyglucose (F-FDG) PET/CT upon diagnosis. The K-adaptive partitioning algorithm was adopted to define subgroups with homogeneous survival.

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The number of elderly people is rapidly growing, and the proportion of elderly patients with multiple myeloma (MM) continues to increase. This study aimed to develop a frailty assessment tool based on clinical data and to estimate its feasibility in elderly patients with MM. This study analyzed data from 728 elderly transplant-ineligible patients with newly diagnosed MM who were treated between January 2010 and October 2019.

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