Publications by authors named "Seung-Jin Han"

Article Synopsis
  • The study investigates the relationship between white matter hyperintensities (WMH) on brain MRIs and cognitive decline, focusing on how these factors may differ between sexes.
  • Researchers analyzed 713 participants aged 49-89, assessing the effects of modifiable risk factors for WMH and examining their impact on long-term dementia outcomes.
  • Findings suggest that age and type 2 diabetes significantly influence WMH volume, with stronger correlations identified in females, and that WMH burden is linked to worse dementia outcomes over time specifically in females.
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Aim: To evaluate the efficacy and safety of dapagliflozin versus placebo as an add-on in patients with type 2 diabetes who did not achieve adequate glycaemic control with evogliptin and metformin combination.

Patients And Methods: In this multicentre, randomized, double-blind, placebo-controlled Phase 3 trial, patients with glycated haemoglobin (HbA1c) levels ≥7.0% (≥53 mmol/mol) and ≤10.

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Metabolic dysfunction-associated steatotic liver disease (MASLD) is strongly associated with insulin resistance development. Hepatic lipid accumulation and inflammation are considered the main drivers of hepatic insulin resistance in MASLD. Cysteine-rich 61 (Cyr61 also called CCN1), a novel secretory matricellular protein, is implicated in liver inflammation, and its role in MASLD is not clearly understood.

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Article Synopsis
  • The study investigates sex-specific risk factors for white matter hyperintensities (WMH), linked to cerebral small vessel disease (CSVD), and their impact on cognitive decline in older adults.
  • Using MRI data from 713 participants (241 males and 472 females), it analyzes how factors like age and type 2 diabetes relate to WMH volume in both sexes.
  • Results indicate that females had a stronger correlation between age and WMH volume, with type 2 diabetes affecting only females, and WMH burden negatively impacted longitudinal dementia outcomes specifically in females.
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Imeglimin is a novel oral antidiabetic drug for treating type 2 diabetes. However, the effect of imeglimin on NLRP3 inflammasome activation has not been investigated yet. Here, we aimed to investigate whether imeglimin reduces LPS-induced NLRP3 inflammasome activation in THP-1 macrophages and examine the associated underlying mechanisms.

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White matter hyperintensity (WMH) lesions on brain MRI images are surrogate markers of cerebral small vessel disease. Longitudinal studies examining the association between diabetes and WMH progression have yielded mixed results. Thus, in this study, we investigated the association between HbA1c, a biomarker for the presence and severity of hyperglycemia, and longitudinal WMH change after adjusting for known risk factors for WMH progression.

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Objectives: Adjusting for potential confounders is crucial for producing valuable evidence in outcome studies. Although numerous studies have been published using the Korea National Health Insurance Claim Database, no study has critically reviewed the methods used to adjust for confounders. This study aimed to review these studies and suggest methods and applications to adjust for confounders.

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Article Synopsis
  • * A study on mice exposed to 0.1 and 0.5 Gy of low-dose ionizing radiation revealed ovarian cell damage, resulting in apoptosis and decreased cell proliferation, despite no significant changes in body weight or ovarian area.
  • * Younger mice showed greater vulnerability to radiation damage, with a noticeable reduction in follicle numbers, indicating that low-dose radiation can negatively impact ovarian function, particularly in primary follicles of younger individuals.
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Background: Inflammation is a major cause of hepatic tissue damage and accelerates the progression of nonalcoholic fatty liver disease (NAFLD). Amphiregulin (AREG), an epidermal growth factor receptor ligand, is associated with human liver cirrhosis and hepatocellular carcinoma. We aimed to investigate the effects of AREG on hepatic inflammation during NAFLD progression, and .

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All eukaryotic cells, including oocytes, utilize an engine called cyclin-dependent kinase (Cdk) to drive the cell cycle. Cdks are activated by a co-factor called cyclin, which regulates their activity. The key Cdk-cyclin complex that regulates the oocyte cell cycle is known as Cdk1-cyclin B1.

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Autoimmune diseases are conditions in which the immune system mistakenly targets and damages healthy tissue in the body. In recent decades, the incidence of autoimmune diseases has increased, resulting in a significant disease burden. The current autoimmune therapies focus on targeting inflammation or inducing immunosuppression rather than addressing the underlying cause of the diseases.

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Aims: To investigate the association of updated cardiovascular health (CVH) metrics, including sleep health, with the risk of diabetes and major adverse cardiovascular events (MACE) in older adults with prediabetes.

Methods: A total of 7,948 older adults with prediabetes aged ≥ 65 years were included in this study. CVH was assessed using seven baseline metrics according to the modified American Heart Association recommendations.

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Article Synopsis
  • The study aimed to evaluate the quality of primary and acute care in Korea by analyzing case-fatality and avoidable hospitalization rates from 2008 to 2020.
  • The results indicated that case-fatality rates for acute conditions like myocardial infarction and strokes improved over time, while avoidable hospitalization rates significantly declined, especially during the COVID-19 pandemic.
  • Researchers concluded that despite improvements, rates remain high compared to other countries, highlighting the need for better primary care to enhance health outcomes, especially for Korea's aging population.
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Backgruound: Post-transplant diabetes mellitus (PTDM) is a risk factor for poor outcomes after kidney transplantation (KT). However, the outcomes of KT have improved recently. Therefore, we investigated whether PTDM is still a risk factor for mortality, major atherosclerotic cardiovascular events (MACEs), and graft failure in KT recipients.

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Bone and muscle are known to be correlated and interact chemically each other. Diabetes affects the health status of these two types of organ. There has been lack of studies of men on this topic.

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Hepatic fibrosis is the excessive production and deposition of the extracellular matrix, resulting in the activation of the fibrogenic phenotype of hepatic stellate cells (HSCs). The Hippo/Yes-associated protein (YAP) signalling pathway is a highly conserved kinase cascade that is critical in regulating cell proliferation, differentiation, and survival, and controls stellate cell activation. Empagliflozin, a sodium-glucose cotransporter type-2 inhibitor, is an antidiabetic drug that may prevent fibrotic progression by reducing hepatic steatosis and inflammation.

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Article Synopsis
  • Mitochondrial dysfunction is linked to the development of non-alcoholic steatohepatitis (NASH), and insufficient levels of the mitochondrial protein ClpP may contribute to this issue.
  • In a study using a high-fat/high-fructose diet in mice, researchers found that lower ClpP levels were associated with increased NASH characteristics, while boosting ClpP levels through various methods counteracted these effects.
  • The findings suggest that increasing ClpP expression could be a promising approach to preventing or treating diet-induced NASH.
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Background: Thiazolidinediones (TZDs) have been associated with various safety concerns including weight gain, bladder cancer, and congestive heart failure (CHF). This study evaluated the efficacy and safety of lobeglitazone, a novel TZD in patients with type 2 diabetes mellitus (T2DM) in real practice.

Methods: In this non-interventional, multi-center, retrospective, and observational study conducted at 15 tertiary or secondary referral hospitals in Korea, a total of 2,228 patients with T2DM who received lobeglitazone 0.

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Objective: The natural course of diabetes of the exocrine pancreas (DEP) is not well established. We aimed to compare the risk of insulin initiation, diabetic complications, and mortality between DEP and type 2 diabetes.

Research Design And Methods: Using the Korean National Health Insurance Service-Health Screening Cohort between 2012 and 2017, we divided patients with diabetes into those with diabetes without prior pancreatic disease (indicated type 2 diabetes, n = 153,894) and diabetes with a prior diagnosis of pancreatic disease (indicated DEP, n = 3,629).

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Systemic sclerosis (SSc) is a chronic autoimmune disease characterized by fibrosis of the skin and internal organs. Despite the recent advances in the pathogenesis and treatment of SSc, effective therapies for fibrosis caused by SSc have not yet been established. In this study, we investigated the potential role of mirodenafil, a potent phosphodiesterase 5 (PDE5) inhibitor, in the treatment of fibrosis in SSc.

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Non-alcoholic fatty liver disease (NAFLD) includes a broad spectrum of liver diseases characterized by steatosis, inflammation, and fibrosis. This study aimed to investigate the potential of dipeptidyl peptidase-4 inhibitors and sodium-glucose cotransporter 2 inhibitors in alleviating the progression of NAFLD. The NAFLD model was generated by feeding male C57BL/6J mice a choline-deficient, L-amino acid-defined, high-fat diet (CDAHFD) for 7 weeks.

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We aimed to investigate the effect of acute glucose shift on the activation of the NLRP3 inflammasome, IL-1β secretion, and underlying signaling pathways in THP-1 cells. THP-1 cells were divided into four groups and exposed to the following glucose concentrations for 24 h: constant normal glucose (NG, 5.5 mM), constant high glucose (HG, 25 mM), normal to high glucose shift (NG-to-HG, 5.

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Oxidative stress causes several diseases and dysfunctions in cells, including oocytes. Clearly, oxidative stress influences oocyte quality during in vitro maturation and fertilization. Here we tested the ability of coenzyme Q10 (CoQ10) to reduce reactive oxygen species (ROS) and improve mouse oocyte quality during in vitro culture.

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Article Synopsis
  • Empagliflozin (SGLT2 inhibitor) and gemigliptin (DPP-4 inhibitor) have been found to reduce inflammation in macrophages, which could help with conditions like diabetes and obesity, alongside their glucose-lowering effects.
  • The study involved treating macrophages with these drugs after stimulating inflammation with lipopolysaccharide (LPS) and measuring the resulting changes in inflammatory markers.
  • Results showed that both empagliflozin and gemigliptin, alone and in combination, significantly decreased pro-inflammatory cytokines and chemokines, while also inhibiting key inflammatory signaling pathways like NF-κB and MAPK.
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