Publications by authors named "Kwun W Wen"

Oncogenic protein dosage is tightly regulated to enable cancer formation but how this is regulated by translational control remains unknown. The Myc oncogene is a paradigm of an exquisitely regulated oncogene and a driver of pancreatic ductal adenocarcinoma (PDAC). Here we use a CRISPR interference screen in PDAC cells to identify activators of selective MYC translation.

View Article and Find Full Text PDF
Article Synopsis
  • Researchers studied genetic variations in primary CNS lymphoma (PCNSL) to find markers that could predict patient outcomes and responses to treatment.
  • They analyzed samples from 78 patients, finding that specific genetic changes, particularly on chromosome 6p and mutations in certain tumor suppressor genes, were linked to a high rate of disease progression and mortality.
  • The findings suggest that identifying these genetic markers can help doctors assess patient risk and customize therapies, leading to better treatment strategies in PCNSL.
View Article and Find Full Text PDF

Aims: Hepatic inflammatory pseudotumours (IPTs) are nonneoplastic hepatic masses characterized by variably fibroblastic stroma and inflammatory infiltrate, hypothesized to arise as part of a response to infection or prior surgery. The aim of this study was to evaluate the clinicopathologic features and outcomes of biopsy-proven hepatic IPT as well as other cases with IPT-like histologic features.

Methods And Results: A database search at our institution identified cases with a pathologic diagnosis of hepatic IPT (n = 80) between 2000 and 2023.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how cancer cells, particularly pancreatic ductal adenocarcinoma (PDAC), regulate oncogenic protein levels to survive, focusing on the Myc oncogene.
  • Using CRISPRi screens, four RNA binding proteins (RBPs) were identified as key activators of selective translation, with RBM42 being the most critical and linked to poor patient survival.
  • RBM42 was found to be a ribosome-associated protein that binds to the 5' untranslated region (5'UTR) of specific oncogenic transcripts, promoting their translation and supporting cancer growth, offering potential for new therapeutic strategies.
View Article and Find Full Text PDF

Advanced liver fibrosis can regress following the elimination of causative injuries. Glutamine synthetase (GS) immunohistochemical expression is normally in centrizonal perivenular hepatocytes but can be present in periportal hepatocytes in cases of regressed cirrhosis. This study identified periportal staining and investigated the spectrum of GS staining patterns seen in a range of cirrhotic livers with varying disease processes.

View Article and Find Full Text PDF

Introduction: Early neoplastic progression of Barrett's esophagus (BE) is often treated with endoscopic therapy. Although effective, some patients are refractory to therapy or recur after apparent eradication of the BE. The goal of this study was to determine whether genomic alterations within the treated BE may be associated with persistent or recurrent disease.

View Article and Find Full Text PDF

Extranodal marginal zone lymphoma (EMZL) is the most common subtype of ocular lymphomas. Diffuse large B-cell lymphoma (DLBCL) and EMZL with large-cell transformation present diagnostic challenges. Radiotherapy is the standard treatment for ocular lymphomas, but complications and relapse are common.

View Article and Find Full Text PDF

Gastrointestinal (GI) tract involvement by Langerhans cell histiocytosis (LCH) is rare and its clinicopathologic characteristics have only been described in case reports and small series. We reviewed hematoxylin and eosin and CD1a, S100, and Langerin immunohistochemical-stained slides from 47 patients with well-documented demographic and clinical findings. Our cases included 8 children and 39 adults, with a mean follow-up of 63 months.

View Article and Find Full Text PDF

This review discusses the diagnostic challenges of diagnosing and treating precursor lesions of hepatocellular carcinoma (HCC) in both cirrhotic and non-cirrhotic livers. The distinction of high-grade dysplastic nodule (the primary precursor lesion in cirrhotic liver) from early HCC is emphasized based on morphologic, immunohistochemical, and genomic features. The risk factors associated with HCC in hepatocellular adenomas (precursor lesion in non-cirrhotic liver) are delineated, and the risk in different subtypes is discussed with emphasis on terminology, diagnosis, and genomic features.

View Article and Find Full Text PDF

Identifying the cells from which cancers arise is critical for understanding the molecular underpinnings of tumor evolution. To determine whether stem/progenitor cells can serve as cells of origin, we created a Msi2-Cre knock-in mouse. When crossed to CAG-LSL-Myc mice, Msi2-Cre mice developed multiple pancreatic cancer subtypes: ductal, acinar, adenosquamous, and rare anaplastic tumors.

View Article and Find Full Text PDF

Aims: Advanced liver fibrosis can regress following the elimination of causative injuries. Trichrome (TC) stain has traditionally been used to evaluate the degree of fibrosis in liver, although it is rarely helpful in assessing quality of fibrosis (i.e.

View Article and Find Full Text PDF
Article Synopsis
  • - This case emphasizes the need to consider anaplastic large cell lymphoma (ALCL) in patients with hidradenitis suppurativa who are undergoing immunosuppression treatments.
  • - Diagnosing ALCL can be difficult, especially when there are low cell counts and negative results for certain T-cell markers.
  • - Understanding the connection between ALCL and immunosuppression can help improve diagnostic accuracy in these patients.
View Article and Find Full Text PDF

This is an unusual adult case of a metastatic well-differentiated neuroendocrine tumor with incidentally discovered subtle involvement of Langerhans cell histiocytosis (LCH), a clonal proliferation of Langerhans cells. It is important to recognize that LCH can often co-exist with other malignancies (solid > hematologic).

View Article and Find Full Text PDF

Distinguishing grade 3 pancreatic neuroendocrine tumor (G3 PanNET) from neuroendocrine carcinoma (PanNEC) is a known diagnostic challenge, and accurate classification is critical because clinical behavior and therapies differ. Although current recommendations suggest that immunohistochemistry for p53, Rb, ATRX, and DAXX can distinguish most cases, some cases remain difficult to classify using this approach. In this study, we reviewed 47 high-grade neoplasms originally diagnosed as pancreatic neuroendocrine neoplasms.

View Article and Find Full Text PDF
Article Synopsis
  • A retrospective analysis was conducted on the diagnostic effectiveness of small volume biopsies (SVB) like fine-needle aspiration (FNA) and needle core biopsy (NCB) for diagnosing and managing follicular lymphoma (FL).
  • Initial diagnoses of FL often required more biopsies, with a lower rate of complete diagnoses compared to assessments for transformation or recurrence of FL.
  • NCB combined with FNA was found to result in fewer biopsies and a higher complete diagnosis rate at initial evaluation, indicating that SVBs can be sufficient for monitoring recurrence or transformation of FL without needing multiple biopsies.
View Article and Find Full Text PDF
Article Synopsis
  • Small-volume biopsies (SVBs) like fine-needle aspiration (FNA) and needle core biopsies (NCB) are increasingly used for diagnosing and managing follicular lymphoma (FL).
  • A study of 182 SVBs over 5 years revealed that most subsequent biopsies provided a more specific diagnosis, with 61% refining the pathologic grade.
  • No initial lymphoma diagnoses were changed to benign; however, some cases did show diagnostic shifts, highlighting SVBs' effectiveness in managing FL.
View Article and Find Full Text PDF

Interstitial deletion in the long arm of chromosome 9 [del(9q)] is a fairly common cytogenetic finding associated with acute myeloid leukemia (AML), seen in approximately 2-5% of AML patients. However, the genomic features of the deletion remain largely unknown. Using chromosome analysis, single nucleotide polymorphism microarray, and next-generation sequencing, we characterized del(9q)s and other genomic alterations in 9 AML patients.

View Article and Find Full Text PDF

Chromosome rearrangements involving NUP98 at 11p15 are rare but recurring abnormalities in acute myeloid leukemia (AML). Here we described 12 cases of myeloid neoplasms with t(v; 11p15); NUP98 rearrangement and characterized their pathologic features. Our patient cohort included 10 adults and 2 children with a median age of 51 years.

View Article and Find Full Text PDF

CD70 is a member of the tumor necrosis factor receptor superfamily. Emerging data indicate that CD70 may be a suitable target for various malignancies. We investigated the expression of CD70 in cutaneous and systemic T-cell lymphomas and conducted preclinical studies of SGN-CD70A, a CD70-directed antibody-drug conjugate (ADC), using patient-derived xenograft cutaneous T-cell lymphoma (CTCL PDX) models.

View Article and Find Full Text PDF