Publications by authors named "Ji I Lee"

Thiazolidinedione, an insulin sensitizer, has beneficial effects on glucose metabolism; however, there are concerns regarding weight gain and heart failure. Sodium-glucose co-transporter 2 (SGLT2) inhibitors can reduce body weight, increase diuresis, and play a protective role in heart failure. We examined the complementary effects of dapagliflozin, an SGLT2 inhibitor, and lobeglitazone, a thiazolidinedione, in high-fat diet (HFD)-induced obese mice.

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Lipid accumulation in hepatocytes can result from an imbalance between lipid acquisition and lipid catabolism. In recent years, it has been discovered that eicosanoids derived from arachidonic acid (AA) have the potential to create specialized pro-resolving lipid mediators to actively resolve inflammation, but it is not clear whether AA and lipoxygenases exert effects on hepatic inflammation. Here, the effects of atorvastatin on the expression of cytoplasmic phospholipase A2 (cPLA2) and lipoxygenase pathway genes (ALOX5, ALOX12, ALOX15, and ALOX15B) were evaluated in an in vitro model of palmitic acid (PA)-induced hepatocyte lipid accumulation in McA-RH7777 (McA) cells.

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  • - The research focused on improving the drug properties of granulocyte-macrophage colony-stimulating factor (GM-CSF) by PEGylating a mouse version of the protein, which showed better performance in rats compared to the original human version.
  • - The newly created PEG-T3C proteins had significantly longer circulation times (10-25 times longer) and were more effective at increasing neutrophil and white blood cell counts in rats, especially after administration.
  • - Treatment with PEG-T3C proteins effectively accelerated recovery of neutrophils in rats recovering from cyclophosphamide-induced neutropenia, suggesting potential applications for GM-CSF in rodent disease models.
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Antimicrobial peptides (AMPs) are promising therapeutic agents for treating antibiotic-resistant bacterial infections. Previous studies showed that magainin 2 (isolated from African clawed fogs ) has antimicrobial activity against gram-positive and gram-negative bacteria. The present study was conducted to investigate the antibacterial activity of magainin 2 against .

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The aim of this study was to determine the diagnostic efficacy of free metanephrines in plasma samples drawn in the seated position compared with 24-h urinary metanephrines in detecting pheochromocytomas in Asian patients. This prospective study was conducted at Samsung Medical Center between May 2010 and July 2011. The study contained 245 subjects, including 28 patients with histologically-proven pheochromocytoma, 44 with histologically-proven non-pheochromocytoma, 112 controls suspected of having tumors but with negative investigations during two or more years of follow-up, and 45 healthy normotensive volunteers.

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We previously found that snake venom toxin inhibits nuclear factor kappa B (NF-κB) activity in several cancer cells. NF-κB is implicated in cancer cell growth and chemoresistance. In our present study, we investigated whether snake venom toxin (SVT) inhibits NF-κB, thereby preventing human cervical cancer cell growth (Ca Ski and C33A).

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  • Von Hippel-Lindau (VHL) disease is a genetic condition linked to mutations in the VHL tumor suppressor gene, leading to various tumors in the central nervous system, kidneys, pancreas, and adrenal glands.
  • The study identified 26 new germline mutations in Korean patients, including a novel mutation, and discovered a specific mutation hotspot at codon 70 that affects 16.4% of patients, showing VHL type 1 characteristics.
  • Findings contribute to a deeper understanding of VHL mutations in Korea, aiding in better clinical management for affected families, as this hotspot was not found in Chinese or Japanese patients.
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  • The study aimed to assess factors influencing the effectiveness and longevity of sitagliptin therapy in conjunction with metformin or metformin plus glimepiride in Korean patients with type 2 diabetes over 60 weeks.
  • After adding sitagliptin, reductions in glycated hemoglobin (HbA1c) levels were observed, with group 1 (metformin) showing a mean change of -0.9% and group 2 (metformin plus glimepiride) at -1.0%.
  • Key predictive factors for sustained HbA1c reduction included older age (≥60 years), higher initial HbA1c levels, and a lower initial C-peptide level, particularly in cases where HbA1c reduction
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  • Hypopituitarism is linked to osteoporosis and osteopenia, particularly when hypogonadotropic hypogonadism is involved, but the impact of testosterone replacement therapy (TRT) on bone mineral density (BMD) in these patients post-surgery has not been studied in Korea.
  • A retrospective study involving 21 male patients who underwent pituitary tumor surgery showed that TRT led to a significant increase in serum testosterone and an improvement in lumbar spine BMD over an average follow-up of 56 months, although no changes were observed in femur neck or total femur BMD.
  • The findings suggest that TRT can positively influence lumbar spine BMD in post-surgical hypogonadal patients with pit
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Background: Although differentiated thyroid carcinoma (DTC) rarely develops distant metastases, the present study was performed to evaluate factors that affect the survival of patients with DTC who present with distant metastasis.

Methods: Among 4,989 patients who underwent thyroid surgery for DTC, 82 presenting with distant metastasis were analyzed. Based on radioiodine ((131)I) avidity and the thyroid-stimulating hormone-stimulated serum thyroglobulin (sTg) level at the time of metastasis, patients were divided into three groups: group 1 ((131)I uptake + sTg ≤ 215 ng/mL, n = 46), group 2 ((131)I uptake + sTg > 215 ng/mL, n = 24), group 3 (no (131)I uptake, n = 12).

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Interferon beta (IFN-β) is widely used to ameliorate disease progression in patients with Multiple Sclerosis. IFN-β has a short half-life in humans, necessitating frequent administration for optimum effectiveness. Covalent modification of IFN-β with polyethylene glycol (PEG) improves the pharmacokinetic properties of the protein, but can adversely affect the protein's in vitro bioactivity.

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Primary squamous cell carcinoma (SCC) of the thyroid is very rare. There are no reports of metastatic papillary thyroid carcinoma (PTC) converting to SCC in cervical lymph nodes following total thyroidectomy due to conventional PTC. An 86-year-old woman with a remote history of total thyroidectomy due to PTC underwent palliative neck surgery to treat recurrent bleeding originating from a metastatic tumor of the cervical lymph nodes.

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Background: An association between a BRAF(V600E) mutation and upregulation of mitogen-activated protein kinase (MAPK) pathways in human papillary thyroid carcinoma (PTC) tissues has not been demonstrated well outside of in vitro studies. The aims of this study were to evaluate the activation status of extracellular signal-regulated kinase 1/2 (ERK1/2) in human PTCs with BRAF(V600E) mutations compared to that of corresponding normal thyroid tissue and to determine the expressions of Raf kinase inhibitor protein (RKIP) and MAPK phosphatase 3 (MKP-3), possible regulators of ERK1/2 activation.

Methods: We analyzed the presence of BRAF(V600E) mutation and the expressions of BRAF, total ERK, p-ERK, RKIP, and MKP-3 in 33 PTCs and corresponding normal thyroid gland tissues using western blot analysis.

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Background: This study was conducted to identify the relevant cutoff value and to evaluate the usefulness of postoperative-stimulated serum thyroglobulin (Tg) at the time of (131)I ablation for the prediction of disease status in patients with differentiated thyroid carcinoma (DTC) who received high-dose (131)I ablation therapy after total thyroidectomy.

Methods: We analyzed 218 consecutively enrolled patients who were diagnosed with DTC and underwent total thyroidectomy. All patients underwent (131)I ablation at doses of 100-200 mCi, and stimulated serum Tg was measured at the time of (131)I ablation therapy.

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  • A 49-year-old woman with clear cell variant papillary thyroid carcinoma (PTC) developed functioning lung metastases after total thyroidectomy and years without hormone replacement.
  • Despite stopping levothyroxine for four years, her thyroid function tests indicated she remained in a euthyroid state upon her return for medical evaluation.
  • This case highlights the rarity of functioning metastases in well-differentiated thyroid cancers like PTC, marking it as the first documented instance of such a phenomenon in the clear cell variant.
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  • Ectopic intrapulmonary thyroid is a rare condition, with only a couple of documented cases, and was mistaken for metastases in a female patient with uterine cancer.
  • A 50-year-old woman undergoing evaluation for uterine endometrioid adenocarcinoma discovered multiple lung nodules, prompting surgical removal of one for analysis.
  • The pathology revealed thyroid tissue instead of cancer, allowing the patient to avoid unnecessary chemotherapy, highlighting the importance of accurate diagnosis in similar cases.
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Background: Recent studies have shown that BRAF(V600E) mutation is associated with poor prognostic factors in papillary thyroid carcinoma (PTC). However, there are no studies about the association of the BRAF(V600E) mutation with poor prognostic factors according to tumor size in PTC.

Methods: We investigated the prevalence of the BRAF(V600E) mutation and its association with prognostic factors according to tumor size of PTC.

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Background: Killian-Jamieson (K-J) diverticula have been incidentally detected on neck ultrasonography and could be misdiagnosed as thyroid nodules. The purpose of this study was to define the clinical and ultrasonographic characteristics of K-J diverticula.

Methods: We analyzed 13 patients with K-J diverticula mimicking thyroid nodules including 4 of our patients and 11 previously reported cases between 1984 and August 2009.

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The aim of this study was to assess the prevalence of diabetes and to study the effects of excess growth hormone (GH) on insulin sensitivity and β-cell function in Korean acromegalic patients. One hundred and eighty-four acromegalic patients were analyzed to assess the prevalence of diabetes, and 52 naïve acromegalic patients were enrolled in order to analyze insulin sensitivity and insulin secretion. Patients underwent a 75 g oral glucose tolerance test with measurements of GH, glucose, insulin, and C-peptide levels.

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Background: Here, we report a case of a postoperative spindle cell nodule that mimicked recurrence with anaplastic transformation after thyroidectomy.

Methods: The course of the disease is described. The mass was studied morphologically and immunohistochemically.

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  • Dexamethasone significantly inhibits the proliferation of human medullary thyroid cancer TT cells by 60%, primarily through cell cycle arrest at the G1 phase.
  • The treatment decreases levels of key regulatory proteins such as cyclin D1 and CDK4, while increasing the expression of the cyclin/CDK inhibitor p27(Kip1).
  • Dexamethasone also induces apoptosis, as evidenced by increased early apoptotic cells and fragmented nuclei in treated TT cells.
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Background: The metastases, age at diagnosis, completeness of resection, invasion, size of the tumor (MACIS) scoring system was developed to predict disease-specific survival in patients with differentiated thyroid carcinoma (DTC), mainly for adults, with a cut-off score of 6. The purpose of this study was to evaluate its ability to predict prognosis of DTC in children and young adults.

Methods: The medical records of 66 children and young adult (<21 years old) patients with DTC were reviewed retrospectively.

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Background: Parafibromin is a protein encoded by the HRPT2 oncosuppressor gene, and the expression is reported to be decreased or absent in parathyroid carcinomas.

Methods: A total of 26 tumor specimens from 18 patients with adenoma and 8 patients with carcinoma were immune-stained with an antibody against parafibromin.

Results: Parafibromin immunostaining showed strong positivity in 17 of 18 adenomas.

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Background/aims: Graves' disease (GD) is caused by thyroid-stimulating hormone receptor (TSHR) and thyroid-stimulating immunoglobulin (TSI). We used a recently introduced, technically enhanced TSI bioassay to assess its diagnostic value and determine the cut-off in patients in high iodine intake area.

Methods: In a cross-sectional setting, we collected serum from 67 patients with untreated GD, 130 with GD under treatment, 22 with GD in remission, 42 with Hashimoto's thyroiditis, 12 with subacute thyroiditis, 20 with postpartum thyroiditis, and 93 euthyroid controls.

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Objective: Recommended durations of low-iodine diet (LID) in preparation for radioactive iodine therapy (RAIT) vary among major guidelines and are important for patients in areas where iodine intake is high. The aim of this study was to investigate daily changes in urine iodine excretion after starting a LID.

Design: The daily iodine/creatinine (I/Cr) ratios and simple iodine concentration (simple I) of morning spot urine from 19 patients with differentiated thyroid carcinoma were measured for 2 weeks from the start of LID for RAIT preparation.

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