Publications by authors named "Jeong-Eon Lee"

Sushi domain-containing protein 2 (SUSD2), a transmembrane protein containing a sushi motif, has been reported to have tumor-promoting functions in various types of cancer, including breast cancer. However, the regulatory mechanism of SUSD2 and its function in HER2-positive (HER2+) breast cancer have not been fully identified as yet. In this study, we explored the potential of targeting SUSD2 to overcome trastuzumab (TRZ) resistance in HER2+ breast cancer.

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Purpose: This study aimed to analyze the incidence of cancer therapy-related cardiovascular toxicity (CTRCVT) and identify the radiation dosimetric and clinical risk factors for these events in patients with human epidermal growth factor receptor 2-positive breast cancer.

Methods And Materials: Data from 1378 patients who were treated with curative surgery and adjuvant trastuzumab for breast cancer were retrospectively analyzed. A total of 959 patients underwent postoperative radiation therapy (RT), whereas 419 patients were managed without RT (no-RT).

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Background: Neoadjuvant chemotherapy (NACT) for early-stage breast cancer is associated with an increased risk of locoregional recurrence (LRR). We investigated whether the risk of LRR after NACT varies across tumor subtypes.

Methods: We retrospectively reviewed the medical records of women who underwent breast-conserving surgery for breast cancer at three institutions between January 1, 2004, and December 31, 2018.

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Article Synopsis
  • Young patients under 45 with ER-positive, ERBB2-negative breast cancer experience poor outcomes, with a focus on understanding factors that lead to late recurrence.
  • This study aimed to see if age affects the chances of late distant recurrence (DR) in patients who had no previous metastasis within 5 years post-surgery.
  • Out of 2772 patients analyzed, those aged 21-35 exhibited worse tumor grades and higher chemotherapy usage compared to older groups, indicating they may have a higher risk of late DR.
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Purpose: This study aimed to evaluate the clinical outcomes and prognostic implications of regional nodal irradiation (RNI) after neoadjuvant chemotherapy (NAC) in patients with residual triple-negative breast cancer (TNBC).

Materials And Methods: We analyzed 152 patients with residual TNBC who underwent breast-conserving surgery after NAC between December 2008 and December 2017. Most patients (n = 133; 87.

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  • - The study investigates how to predict whether suspicious calcifications in breast cancer patients post-neoadjuvant chemotherapy contain residual cancer, aiming to help surgeons choose the right surgical methods using a prediction model based on mammography and MRI results.
  • - Researchers analyzed data from 280 women and found that molecular subtype and high Ki-67 levels were significant factors in determining whether the calcifications were cancerous (ypCalc_ca) or not (ypCalc_0), leading to a predictive model with a strong accuracy in validation tests.
  • - The findings suggest that less invasive surgical options might be appropriate for specific cancer types, particularly in patients with certain hormone receptor and HER2 statuses alongside high Ki-67 levels.
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Methyltransferase-like (METTL)18 has histidine methyltransferase activity on the RPL3 protein and is involved in ribosome biosynthesis and translation elongations. Several studies have reported that actin polymerization serves as a Src regulator, and HSP90 is involved in forming polymerized actin bundles. To understand the role of METTL18 in breast cancer and to demonstrate the importance of METTL18 in HER-2 negative breast cancer metastasis, we used biochemical, molecular biological, and immunological approaches (breast tumor cell lines), (tumor xenograft model), and in samples of human breast tumors.

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Background: There is a clinical need to omit axillary lymph node dissection (ALND) when residual disease in sentinel lymph nodes (SLNs) is low after neoadjuvant chemotherapy (NAC). This study aimed to clarify the relationship between micrometastasis in SLNs after NAC and additional non-SLN metastases by analyzing SLN biopsy results followed by ALND.

Methods: This retrospective study reviewed clinical records of patients who underwent breast cancer surgery between January 2010 and June 2022 after NAC at Samsung Medical Center.

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Introduction: Ipsilateral breast tumor recurrence (IBTR) remains a concern despite standard treatments. Advances in early detection have shifted surgical paradigms towards less invasive approaches. While repeat sentinel lymph node biopsy (rSLNB) emerges as a viable option according to the 2023 National Comprehensive Cancer Network (NCCN) guidelines, its efficacy remains uncertain.

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Objective: Although breast magnetic resonance imaging (MRI) is a valuable screening tool, breast MRI testing burden was associated with cancer worry and quality of life. We aimed to develop and validate the MRI-related distress scale (MRI-DS) to assess comprehensive distress specifically related to breast MRI.

Methods: We enrolled women aged above 18 years, diagnosed breast cancer, had MRI examination at least one time, and who could speak and read Korean in phase I and enrolled women aged above 18 years, visited outpatient clinic of breast general surgery, had undergone MRI examination at least once, and could speak and read Korean in phase II.

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Genomic analysis of structural variants(SVs) in breast cancer (BC) patients has been conducted, but the relationship between genomic alterations and BC prognosis remains unclear. We performed RNA sequencing of 297 early BC fresh-frozen tissues. We identified SVs using three tools (STAR.

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TNBC is noted for its aggressive behavior and poor prognosis. Recently developed HER2 target agents have shown potential benefit even in HER2-low expressing breast cancers. This study retrospectively analyzed 2542 non-metastatic TNBC patients from 2008 to 2020, revealing that 26.

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Article Synopsis
  • * Traditional methods for isolating these cells often use fluorescent markers, which can complicate further analyses.
  • * The new Isosceles Trapezoidal Spiral Microchannel (ITSμC) effectively separates PGCCs from other cancer cells without needing fluorescent labeling, achieving high purity and viability rates (over 90%).
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  • The study investigated how different levels of endoxifen, a metabolite of tamoxifen affected by cytochrome P450 enzymes, impact the recurrence-free survival (RFS) of breast cancer patients treated with tamoxifen.
  • Involving 478 patients, researchers measured tamoxifen and its metabolites and found that an endoxifen level of 21.00 ng/mL is an optimal cutoff for predicting patient outcomes.
  • Results showed that patients with higher endoxifen levels (> 21.00 ng/mL) had a significantly better 10-year recurrence-free survival rate compared to those with lower levels, suggesting that monitoring endoxifen could improve treatment strategies.
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Hormone receptor-positive and HER2-negative breast cancer (HR+/HER2-BC) is the most common type with a favorable prognosis under endocrine therapy. However, it still demonstrates unpredictable progression and recurrences influenced by high tumoral diversity and microenvironmental status. To address these heterogeneous molecular characteristics of HR+/HER2-BC, we aimed to simultaneously characterize its transcriptomic landscape and genetic architecture at the same resolution.

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Purpose: We investigated time to pregnancy, efficacy and safety of fertility preservation, and assisted reproductive technologies (ARTs) in women with early hormone receptor-positive breast cancer (BC) desiring future pregnancy.

Patients And Methods: POSITIVE is an international, single-arm, prospective trial, in which 518 women temporarily interrupted adjuvant endocrine therapy to attempt pregnancy. We evaluated menstruation recovery and factors associated with time to pregnancy and investigated if ART use was associated with achieving pregnancy.

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Purpose: This study aims to evaluate the impact of South Korea's national insurance coverage (NIC) expansion and the addition of genetic counselors on mutation testing rates in breast cancer patients.

Materials And Methods: A retrospective review was conducted at the Samsung Medical Center (SMC), dividing patients into three groups: pre-NIC expansion, post-NIC expansion, and post-extra genetic counselor involvement. The number of tests performed and the detection rates among newly diagnosed and follow-up patients, particularly focusing on triple-negative breast cancer (TNBC) cases, were analyzed.

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Article Synopsis
  • Traditional monoclonal antibodies like Trastuzumab have limitations when treating HER2-positive breast cancer, especially in resistant cases.
  • The study presents a plant-derived anti-HER2 antibody known as VHH-FcK, which shows strong binding dynamics and durability against HER2 on living cells.
  • In trials with immune-deficient mice, VHH-FcK demonstrated higher antitumor effectiveness, particularly against tumors that do not respond to Trastuzumab, indicating its potential as a new treatment option.
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  • Triple-negative breast cancer (TNBC) has a worse prognosis than other breast cancer types and lacks reliable biomarkers to predict patient outcomes.
  • This study analyzed gene expressions from 184 TNBC patient samples using RNA sequencing, identifying a 10-gene signature that accurately predicts invasive disease-free survival.
  • The 10-gene signature shows strong sensitivity and specificity, and it may enhance personalized treatment approaches for TNBC patients by serving as a novel prognostic biomarker.
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Background: Although considered a favorable subtype, pure mucinous breast cancer (PMBC) can recur, and evidence for adjuvant therapy is limited. We aimed to compare outcomes of nonmetastatic PMBC with invasive ductal carcinoma (IDC) and invasive lobular carcinoma (ILC) to address these uncertainties.

Methods: Individual patient-level data from 6 centers on stage I-III hormone receptor-positive and HER2-negative PMBC, IDC, and ILC were used to analyze recurrence-free interval (RFI), recurrence-free survival (RFS), and overall survival (OS), and to identify prognostic factors for PMBC.

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Triple-negative breast cancer (TNBC) patients are more likely to have BRCA1/2 mutations, with a prevalence rate of about 10-20%. Although several studies have analyzed the oncologic outcomes between BRCA1/2 carriers and non-carriers, the impact on breast cancer patients is still unclear. A retrospective review was performed to determine the long-term outcomes of TNBC patients, focusing on the impact of BRCA1/2 mutations.

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Article Synopsis
  • The ASLAN trial aims to assess the safety of skipping axillary surgery in patients with HER2-positive or triple-negative breast cancer who have responded well to neoadjuvant chemotherapy after undergoing breast-conserving surgery and radiation.
  • The study will recruit 178 patients from five hospitals in South Korea, with the goal of completing enrollment by December 2023 and focusing on patients expected to achieve breast pathological complete response after treatment.
  • The trial's main goal is to evaluate 5-year recurrence-free survival, along with various secondary outcomes related to breast cancer recurrence and patient quality of life.
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Chemoresistance is a major cause of treatment failure in many cancers. However, the life cycle of cancer cells as they respond to and survive environmental and therapeutic stress is understudied. In this study, we utilized a microfluidic device to induce the development of doxorubicin-resistant (DOXR) cells from triple negative breast cancer (TNBC) cells within 11 days by generating gradients of DOX and medium.

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Background: Residual microcalcifications after neoadjuvant chemotherapy (NAC) are challenging for deciding extent of surgery and questionable for impact on prognosis. We investigated changes in the extent and patterns of microcalcifications before and after NAC and correlated them with pathologic response. We also compared prognosis of patients depending on presence of residual microcalcifications after NAC.

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