Publications by authors named "JianYu Rao"

Background: There may be heterogeneity in lung cancer-related outcomes for individuals who are Asian, Native Hawaiian, and Pacific Islanders (ANHPI).

Objectives: The aims of this study were to investigate possible disparities in cardiovascular disease (CVD) risk between ANHPI and Non-Hispanic White (NHW) lung cancer survivors and evaluate potential CVD risk factors.

Methods: A total of 3920 ANHPI and 11,760 NHW lung cancer patients aged 66 years and older were identified from the Surveillance, Epidemiology, and End Results (SEER)-Medicare registry from 1999 to 2017.

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  • The American Cancer Society has recommended high-risk HPV testing as the primary method for cervical cancer screening since 2020, moving away from traditional Pap tests.
  • However, the transition to this HPV-based screening has been slow, though more health systems in the U.S. are starting to adopt it.
  • The review discusses various triage strategies for positive HPV results, highlights new testing methods like Dual Stain and methylation testing, and emphasizes the importance of considering these alternatives alongside HPV screening.
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Previous research has found that milk is associated with a decreased risk of colorectal cancer (CRC). However, it is unclear whether the milk digestion by the enzyme lactase-phlorizin hydrolase (LPH) plays a role in CRC susceptibility. Our study aims to investigate the direct causal relationship of CRC risk with LPH levels by applying a two-sample Mendelian Randomization (MR) strategy.

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Telecytology has multiple applications, including rapid onsite evaluation (ROSE) of fine-needle aspiration (FNA) specimens. It can enhance cytopathology practice by increasing productivity, reducing costs, and providing subspecialty expertise in areas with limited access to a cytopathologist. However, there are currently no specific validation guidelines to ensure safe practice and compliance with regulations.

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Fine particulate matter (PM ) contains carcinogens similar to those generated by tobacco smoking, which may increase the risks of developing smoking-related cancers, such as upper aerodigestive track (UADT) cancers, for both smokers and never-smokers. Therefore, it is imperative to understand the relation between ambient PM exposure and risk of UADT cancers. A population-based case-control study involving 565 incident UADT cancer cases and 983 controls was conducted in Los Angeles County from 1999 to 2004.

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  • Indeterminate thyroid nodules with Hürthle cell cytology pose diagnostic challenges, prompting a study on the effectiveness of molecular tests like Afirma Gene Sequencing Classifier and Thyroseq v3.
  • In a trial with 140 nodules, Afirma showed a higher benign call rate (84%) compared to Thyroseq (56%), indicating better reliability in identifying non-cancerous nodules.
  • The results suggest that these molecular tests can significantly help patients avoid unnecessary surgeries, highlighting their importance in managing Hürthle cell nodules.
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Objective: We aimed to validate whether pathologic response (pR) to neoadjuvant chemotherapy (NACT) using a three-tier chemotherapy response score (CRS) is associated with clinical outcome in ovarian cancer (OC) and could be used as surrogate marker for survival.

Methods: We conducted a retrospective study of OC patients with FIGO stage III/IV disease who received NACT and graded response as no or minimal (CRS 1), partial (CRS 2), or complete/near-complete (CRS 3) pR using tissue specimens obtained from omentum. Uni- and multivariate survival analyses were performed accounting for age, FIGO stage, debulking and BRCA status as well as neoadjuvant use of bevacizumab.

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Illicit drug use has become a global epidemic, yet it is unclear if drug smoking increases the risk of tobacco-related cancers. We aimed to evaluate hypothesized associations between smoking three drugs - opium, phencyclidine (PCP) and crack cocaine and lung and upper aerodigestive tract (UADT) cancers. A population-based case-control study with 611 lung cancer cases (50% male), 601 UADT cancers cases (76% male), and 1,040 controls (60% male) was conducted in Los Angeles County (1999-2004).

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Cell morphology is a fundamental feature used to evaluate patient specimens in pathologic analysis. However, traditional cytopathology analysis of patient effusion samples is limited by low tumor cell abundance coupled with the high background of nonmalignant cells, restricting the ability of downstream molecular and functional analyses to identify actionable therapeutic targets. We applied the Deepcell platform that combines microfluidic sorting, brightfield imaging, and real-time deep learning interpretations based on multidimensional morphology to enrich carcinoma cells from malignant effusions without cell staining or labels.

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Cytology plays an important role in diagnosing and managing human diseases, especially cancer, as it is often a simple, low cost yet effective, and non-invasive or minimally invasive diagnostic tool. However, traditional morphology-based cytology practice has limitations, especially in the era of precision diagnosis. Recently there have been tremendous efforts devoted to apply computational tools and to perform molecular analysis on cytological samples for a variety of clinical purposes.

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We report a father and his daughter who both had multiple somatostatinomas in the duodenal bulb without a known syndrome. The father, at age 68 years, was incidentally found to harbor 4 approximately 1.5-cm well-differentiated neuroendocrine tumors in the duodenal bulb.

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Background And Objectives: Men have higher morbidity and mortality from COVID-19 than women, possibly due to androgen receptor-regulated viral entry protein expression. This led to a clinical trial of androgen deprivation therapy (ADT), which has not shown a significant benefit in the outcomes among hospitalized male COVID-19 patients. The aim of this study was to explore biological explanations for the failure of ADT to mitigate clinical outcomes in men with severe COVID-19 by assessing the role of androgen in regulating viral entry protein expression in the upper and lower respiratory tract.

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  • Advanced-stage mucinous ovarian carcinoma (MOC) is difficult to treat due to poor chemotherapy response and the need for better biomarkers for stage I treatment, leading researchers to analyze gene-expression and clinicopathologic data.
  • A study identified 19 genes potentially linked to patient prognosis, validating findings with data from 604 patients that included different types of tumors.
  • Results indicated that an infiltrative pattern of invasion correlates with worse survival, and higher levels of certain proteins (THBS2 and TAGLN) are associated with poor prognosis, suggesting both may be useful for determining treatment approaches.
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Objective: Currently, there is no standard adjuvant treatment protocol for localized uterine leiomyosarcoma (uLMS) as clinical trials to address this question have been retrospective, underpowered, or undermined by slow accrual rates. The aim of this study is to determine the benefit of adjuvant chemotherapy for uLMS.

Methods: We reviewed the medical records of localized uLMS patients who had underwent adjuvant therapy after upfront surgery between 2000 and 2020.

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The study of physical and mechanical features of cancer cells, or cancer cell mechanobiology, is a new frontier in cancer research. Such studies may enhance our understanding of the disease process, especially mechanisms associated with cancer cell invasion and metastasis, and may help the effort of developing diagnostic biomarkers and therapeutic drug targets. Cancer cell mechanobiological changes are associated with the complex interplay of activation/inactivation of multiple signaling pathways, which can occur at both the genetic and epigenetic levels, and the interactions with the cancer microenvironment.

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Purpose: The purpose of this study was to evaluate the expression of cytokeratin (K) 13 on the corneal surface and to validate its application in the diagnosis of limbal stem cell deficiency (LSCD).

Methods: This prospective comparative study included 26 corneal impression cytology (IC) specimens from patients diagnosed with LSCD. Twenty-three IC specimens from normal donors served as controls.

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  • * In a double-blind study with 100 older adults, results indicated that while ColonVita did not significantly change overall GIQLI scores compared to placebo, it improved 16 out of 19 core GI symptoms and boosted the remission rate for 5 symptoms in participants 60 and older without cardiovascular diseases (CVD).
  • * The findings suggest that ColonVita is particularly beneficial for older adults with CGS, especially those over
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Background: A decreased level of serum adiponectin is associated with obesity and an increased risk of breast cancer among postmenopausal women. Yet, the interplay between genetic variants associated with adiponectin phenotype, obesity, and breast cancer risk is unclear in African American (AA) women.

Methods: We examined 32 single-nucleotide polymorphisms (SNPs) previously identified in genome-wide association and replication studies of serum adiponectin levels using data from 7,991 AA postmenopausal women in the Women's Health Initiative SNP Health Association Resource.

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  • - Recent advances in digital imaging and AI have enhanced our capacity to automatically analyze medical imaging data, utilizing techniques like optical coherence tomography and quantitative phase microscopy for detailed 3D tissue and cell analysis.
  • - New automated methods, including antibody barcoding and single-cell analysis, are being developed to analyze multiple biomarkers at once, demonstrating high sensitivity even in samples with low cell counts.
  • - While many of these technologies are still in research phases, they show promise for transforming cytopathology practice once they receive clinical validation and become widely adopted.
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Long-term PM exposure might predispose populations to SARS-CoV-2 infection and intervention policies might interrupt SARS-CoV-2 transmission and reduce the risk of COVID-19. We conducted an ecologic study across the United States, using county-level COVID-19 incidence up to 12 September 2020, to represent the first two surges in the U.S.

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Introduction: Multiplex biomarker analysis of cytological body fluid specimens is often used to assist cytologists in distiguishing metastatic cancer cells from reactive mesothelial cells. However, evaluating biomarker expression visually may be challenging, especially when the cells of interest are scant. Deep-learning algorithms (DLAs) may be able to assist cytologists in analyzing multiple biomarker expression at the single cell level in the multiplex fluorescence imaging (MFI) setting.

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We report a case of atypical de Quervain's thyroiditis diagnosed as atypia of undetermined significance by cytology and suspicious for cancer by Afirma Genomic Sequencing Classifier. A 71-year-old male underwent thyroid ultrasound for goiter and was found to have two American Thyroid Association (ATA) 2015 high-suspicion nodules. The larger, 2.

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  • Cancer cells exhibit changes in mechanical properties, such as decreased stiffness and increased deformability, which are important phenotypic events linked to their progression and metastasis.
  • A multi-step carcinogenic model was employed to analyze these changes using advanced techniques like atomic force microscopy and microfluidic cytometry, revealing that these mechanotype alterations occur early during cancer transformation.
  • The study highlights that as cells transition from normal to preinvasive to invasive stages, their stiffness decreases and deformability increases, with the epithelial to mesenchymal transition identified as a key molecular pathway driving these changes.
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