Publications by authors named "Jee E Rhee"

The prevalence of highly pathogenic avian influenza (HPAI) A(H5N1) viruses has increased in wild birds and poultry worldwide, and concomitant outbreaks in mammals have occurred. During 2023, outbreaks of HPAI H5N1 virus infections were reported in cats in South Korea. The H5N1 clade 2.

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Article Synopsis
  • Adenovirus detection in South Korea was typically below 10% but spiked in summer 2023, peaking at 42.2% in week 34.
  • Before the COVID-19 pandemic, the average detection rate was 8.2%, but it decreased to 6.1% during the pandemic years of 2020 to 2022.
  • In 2023, surprisingly high rates of adenovirus were found primarily in children aged 0-12, with the 0-6 age group reaching a peak of 61.6%, indicating significant shifts in respiratory virus patterns post-pandemic.
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Background: We analyzed the correlation between the infectivity and transmissibility of the severe acute respiratory syndrome coronavirus 2 Omicron sublineages BA.1, BA. 2, BA.

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  • The COVID-19 pandemic led to a significant decline in the incidence of various respiratory viruses due to health measures, but these infections returned as restrictions were lifted, particularly in Korean children.
  • A nationwide surveillance study analyzed respiratory virus data from children and adolescents from January 2017 to June 2023, comparing detection rates and age distributions before and after the pandemic.
  • Findings showed a drop in overall virus detection during the pandemic, with a notable increase in co-detections post-pandemic; unique outbreaks of certain viruses like PIV and HMPV occurred out of season, and the average age of affected children increased significantly in 2023 compared to pre-pandemic years.
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Although WHO declared the end of the public health emergency for coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), XBB lineages continue to evolve and emerge globally. In particular, XBB.1.

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The ongoing COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to the emergency of various lineages through mutations and recombination. In the Delta lineage, we identified recombination events in the ORF1a gene, which divided the Delta sublineages into three different genotypes (Delta R1-R3). The regional distributions of Delta R1 and Delta R2 were not correlated, indicating that recombination occurred early in the Delta outbreak.

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The continuous emergence of new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants with multiple spike (S) protein mutations pose serious threats to current coronavirus disease 2019 (COVID-19) therapies. A comprehensive understanding of the structural stability of SARS-CoV-2 variants is vital for the development of effective therapeutic strategies as it can offer valuable insights into their potential impact on viral infectivity. S protein mediates a virus' attachment to host cells by binding to angiotensin-converting enzyme 2 (ACE2) through its receptor-binding domain (RBD), and mutations in this protein can affect its stability and binding affinity.

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Following the global emergence of the SARS-CoV-2 Alpha variant of concern (VOC) in 2020, the Delta variant triggered another wave in 2021. The AY.69 lineage, a Delta VOC, was particularly prevalent in Republic of Korea (South Korea) from May 2021 to January 2022, despite the synchronized implementation of vaccination programmes and non-pharmaceutical interventions (NPIs) such as social distancing.

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Article Synopsis
  • - Since the COVID-19 pandemic began, there has been a significant decline in the detection of respiratory infectious diseases, particularly influenza, due to decreased specimen collection as most patients are directed to COVID-19 screening clinics.
  • - To address this issue, the Korea Disease Control and Prevention Agency expanded surveillance efforts by including data from private medical diagnostic centers, leading to an unexpected rise in human parainfluenza virus (hPIV) detections beginning in August 2021.
  • - The increase in hPIV detections was especially notable in young children, with rates surpassing 70% by October 2021, and the detection occurred later in metropolitan areas compared to suburban areas, indicating a shift in prevalence patterns during the
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Background: The Omicron variant, with numerous mutations in the spike protein, reduces vaccine-induced immunity, leading to breakthrough infections. However, vaccine protection after infection with the Omicron variant is unclear.

Aims And Methods: To compare the neutralizing antibody responses between unvaccinated and vaccinated individuals infected with the Omicron variant, we have collected serial plasma samples from five unvaccinated and four vaccinated individuals with Omicron variant infection, including the first Omicron breakthrough infection case in the Republic of Korea.

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  • - A cluster of 12 cases of SARS-CoV-2 reinfection was reported in a long-term care facility in South Korea, following two outbreaks in October 2021.
  • - Screening during the second outbreak revealed that all 12 previously infected residents tested positive again, with 8 cases confirmed as reinfections through detailed analysis.
  • - The findings suggest older adults have decreased immunity and are more vulnerable to reinfection, stressing the need for continued preventive measures, even among vaccinated individuals in care facilities.
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  • The study focused on how long the Omicron variant of SARS-CoV-2 remains infectious by testing daily respiratory samples from isolated patients.
  • Findings showed that the Omicron variant had a higher virus culture positivity rate compared to the Delta variant within 8 days of symptom onset.
  • This suggests that the Omicron variant may be more readily transmissible shortly after symptoms appear.
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Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has caused the Coronavirus Disease (COVID-19) pandemic worldwide. The spike protein in SARS-CoV-2 fuses with and invades cells in the host respiratory system by binding to angiotensin-converting enzyme 2 (ACE2). The spike protein, however, undergoes continuous mutation from a D614G single mutant to an omicron variant, including multiple mutants.

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spread rapidly, causing in COVID-19 being declared a global pandemic by the World Health Organization. The key variants include alpha, beta, gamma, and delta; these exhibit high viral transmission, pathogenicity, and immune evasion mechanisms. The delta variant, first confirmed in India, was detected in the majority of COVID-19 patients at the recent wave in the Republic of Korea.

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  • - The November 2021 outbreak of the Omicron variant in South Korea started from one imported case and quickly spread to various settings like homes, kindergartens, and workplaces.
  • - Within just three weeks, the outbreak led to 11 clusters of COVID-19 cases, highlighting the variant's ability to spread easily.
  • - An epidemiologic curve showed that the Omicron variant was rapidly transmitting through the community, indicating a significant public health concern.
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  • - A study in South Korea analyzed how transmissible the Omicron variant of COVID-19 is by looking at transmission intervals and secondary infection rates in households.
  • - The average time between infections (serial interval) for 12 pairs of cases was found to be 2.9 days.
  • - The research revealed a high secondary attack rate of 50% among 25 households, indicating potential for quick increases in COVID-19 cases.
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  • - In November 2021, South Korea identified 14 cases of the omicron variant of COVID-19, linked to international travel.
  • - Investigations showed that the omicron variant was spreading within the community, as most newly reported cases had no travel history.
  • - By December 10, 2021, a total of 80 omicron cases were confirmed, suggesting the actual number of transmissions in Korea could be higher than reported.
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  • As COVID-19 continues, reinfections are likely to rise, but confirmation is challenging due to the need for whole-genome sequencing to assess genetic differences between infections.* -
  • In a study of four suspected reinfection cases in young patients (ages 10-29), researchers found that only two were confirmed reinfections, both involving the Epsilon variant.* -
  • The study highlights the increasing potential for reinfections amid the ongoing pandemic and emphasizes the importance of continuous monitoring of COVID-19 cases.*
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  • The study focused on individuals who re-tested positive for SARS-CoV-2 after recovering from their initial infection to assess the virus's infectivity.
  • Researchers analyzed 295 people with re-positive PCR results and their 836 close contacts, finding no viral presence in cell cultures from those with re-positive tests.
  • Out of the close contacts, three new cases of infection were identified, but all had prior infections, indicating that there was no evidence of targeted transmission from those with re-positive test results.
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Background: After the detection of the first case of coronavirus disease 2019 (COVID-19) in South Korea on January 20, 2019, it has triggered three major outbreaks. To decrease the disease burden of COVID-19, social distancing and active mask wearing were encouraged, reducing the number of patients with influenza-like illness and altering the detection rate of influenza and respiratory viruses in the Korea Influenza and Respiratory Viruses Surveillance System (KINRESS). We examined the changes in respiratory viruses due to COVID-19 in South Korea and virological causes of the high detection rate of human rhinovirus (hRV) in 2020.

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Objective: This study was to identify the risk factors for cytological progression in women with atypical squamous cells of undetermined significance (ASC-US) or low-grade squamous intraepithelial lesions (LSIL).

Methods: We analyzed data from women infected with the human papillomavirus (HPV) who participated in the Korean HPV cohort study. The cohort recruited women aged 20-60 years with abnormal cervical cytology (ASC-US or LSIL) from April 2010.

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Objective: DNA methylation has been shown to be a potential biomarker for early cancer detection. The aim of this study was to evaluate DNA methylation profiles according to liquid-based Pap (LBP) test results and to assess their diagnostic value in a Korean population.

Methods: A total of 205 patients with various Papanicolaou test results were enrolled to this study (negative, 26; atypical squamous cells of undetermined significance, 39; low grade squamous intraepithelial lesion, 44; high grade squamous intraepithelial lesion (HSIL), 48; and cancer, 48).

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Objective: This study was conducted to evaluate the role of methylation of adenylate cyclase activating peptide 1 (ADCYAP1), paired box gene 1 (PAX1), cell adhesion molecule 1 (CADM1), and T-lymphocyte maturation-associated protein (MAL) during carcinogenesis.

Methods: We evaluated the methylation of 4 genes by using the cervical carcinoma cell lines (CaSki, SiHa, HeLa, and C33A) and cervical neoplastic cells from 56 subjects with human papillomavirus 16 (HPV16)-infected low-grade squamous intraepithelial lesions (LSILs), 50 subjects with HPV16-infected high-grade squamous intraepithelial lesions (HSILs), and 24 subjects with HPV16-infected invasive cervical cancer who attended Seoul St. Mary's Hospital.

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Background: In South Korea, about 20 types of antiretroviral drugs are used in the treatment of patients with human immunodeficiency virus/acquired immune deficiency syndrome. Since 2010, raltegravir, etravirine, and darunavir have been spotlighted as new drugs for highly active antiretroviral therapy (HAART)-experienced adults with resistant HIV-1 in South Korea. In this study, we investigated potential susceptibility of pseudoviruses derived from treatment-experienced Korean patients to etravirine vs efavirenz and to darunavir vs amprenavir and indinavir using a modified single-round assay.

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Epigenetic modification at CpG islands located on the promoter regions of tumor-suppressor genes has been associated with tumor development in many human cancers. Our study showed that the cell adhesion molecule 1 (CADM1) is downregulated in human papillomavirus (HPV)-infected cervical cancer cell lines via its hypermethylation and demethylation using 5-aza-2'-deoxycyticine (5-aza-dC) restored the expression of CADM1 protein. Overexpression of CADM1 inhibited cell proliferation.

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