Publications by authors named "Shih Cheng Chang"

Background: Numerous studies have demonstrated a correlation between p53 overexpression and diminished survival in gastric cancer patients. However, conflicting findings exist, and we hypothesize that these discrepancies arise from the cancer's complexity and heterogeneity, coupled with a lack of consensus on aberrant p53 expression.

Methods: We enrolled a cohort of 187 patients with surgically resected gastric cancer.

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is a critical foodborne pathogen that causes severe invasive and noninvasive diseases and is associated with high mortality. Information on the prevalence of infections in Taiwan is very limited. This study aimed to analyze the molecular epidemiological surveillance and virulence gene distribution of 176 human clinical isolates collected between 2009 and 2019 in northern Taiwan.

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Article Synopsis
  • The study investigates defects in lugdunin production in clinical isolates of Staphylococcus lugdunensis, revealing that many isolates lack this production due to specific mutations.
  • A comparative analysis of whole genome sequences identified three mutation types: unknown deletions resulting in loss of lug operon genes, insertion of mobile genetic elements, and nonsense mutations that impair lugdunin synthesis.
  • The study concludes that these mutations are linked to different molecular types of S. lugdunensis, influencing their ability to produce lugdunin.
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Background: Alzheimer's disease (AD) is complicated by multiple environmental and polygenetic factors. The accuracy of artificial neural networks (ANNs) incorporating the common factors for identifying AD has not been evaluated.

Methods: A total of 184 probable AD patients and 3773 healthy individuals aged 65 and over were enrolled.

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Objective: Lynch syndrome (LS) is a hereditary cancer predisposition syndrome with a significantly increased risk of colorectal and endometrial cancers. Current standard practice involves universal screening for LS in patients with newly diagnosed colorectal or endometrial cancer using a multi-step screening protocol (MSP). However, MSP may not always accurately identify LS cases.

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Lugdunin produced by has been shown to have broad inhibitory activity against Gram-positive bacteria; however, lugdunin activity among isolates and its association with different , SCC, and sequence types remain unclear. We used matrix-assisted laser desorption ionization-time-of-flight mass spectrometry to identify and collected 202 . samples for further assays.

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Multi-drug resistant is a frequent nosocomial invasive bacteremia pathogen in hospitals. Our previous analysis showed one of the predominant strains, ST42 originated from ST3, had only one multilocus sequence typing (MLST) variation among seven loci in ; yet no significant differences in biofilm formation observed between ST42 and ST3, suggesting that other factors influence clonal lineage change. Whole genome sequencing was conducted on two isolates from ST42 and ST3 to find phenotypic and genotypic variations, and these variations were further validated in 140 clinical isolates.

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Article Synopsis
  • - The study investigates genetic variants in the TOMM40 gene, specifically exonic variants rs157581 (F113L) and rs11556505 (F131L), that are associated with an increased risk of Alzheimer's Disease (AD) in Taiwanese patients.
  • - Researchers found that these variants lead to mitochondrial dysfunction and activate microglia, triggering neuroinflammation and releasing pro-inflammatory cytokines that can harm hippocampal neurons.
  • - The findings suggest that TOMM40 variants contribute to the neurotoxicity seen in AD, highlighting the gene's role in the disease's pathology and the potential for further research in this area.
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  • The study focused on characterizing Staphylococcus lugdunensis isolated from sterile body fluids in Taiwan between 2009 and 2020, particularly focusing on oxacillin-resistant strains (ORSL).
  • A total of 438 isolates were collected, with 33.3% identified as ORSL, showing a dominance of SCCmec type V among resistant strains and a slight increase in SCCmec types IV and V after 2013.
  • The ORSL isolates exhibited high resistance to several antibiotics, including clindamycin and erythromycin, but were still susceptible to teicoplanin and vancomycin, indicating potential treatment options for these infections.
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Methicillin-resistant Staphylococcus lugdunensis (MRSL) strains showing resistance to several common antibiotics have been reported recently. Sequence type (ST) 3 MRSL carrying SCC types IV, V, or Vt is the major lineage associated with health care-associated infections. We aimed to investigate the distribution and dissemination of antimicrobial resistance determinants in this lineage.

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  • Oxacillin-resistant staphylococci (ORSL), particularly the ST6-SCC II strain, pose significant health risks in hospitals due to their endemic spread and high resistance rates.
  • The complete genome analysis of strain CGMH-SL118 uncovered three mobile genetic elements (MGEs) and identified eight multidrug-resistant genes, emphasizing the role of MGEs in conferring resistance and aiding in the strain's survival and transmission.
  • Notably, the study found that over 20% of ST6 isolates exhibited resistance to fusidic acid, underscoring the potential impact of phage-mediated intraspecies gene transfer in enhancing resistance among these strains.
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The von Willebrand factor binding protein in (vWbl) comprises four major regions: the signal peptide (S), the non-repetitive (A) region, the repeat (R) region, and the wall-associated (W) region. Previous studies have demonstrated that the R region contains 10 copies of repeating sequences; however, we reveal that the copy number of repeats in the gene varies among different isolates. In this study, an epidemiological surveillance was conducted to determine whether the copy number of repeats in in different isolates of correlates with their infectivity.

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Clustered regularly interspaced short palindromic repeats (CRISPRs) and CRISPR-associated (Cas) genes (CRISPR-Cas) are present in many bacterial genomes with functions beyond adaptive immunity. We aimed to characterize the CRISPR-Cas system in the pathogenic Gram-positive bacterium Staphylococcus lugdunensis and determine its association with sequence types (STs) determined by multilocus sequence typing (MLST) and oxacillin susceptibility. Primers were designed to detect and sequence types IIIA and IIC CRISPR-Cas in 199 isolates.

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is an acquired opportunistic pathogen causing nosocomial infections. Our previous studies of showed a group of isolates that produced a significantly higher disease severity than the others. Further molecular typing showed that the sequence type (ST) 42 was the major clone among the isolates.

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Methods: The adults with body mass index (BMI) more than 27 kg/m were enrolled in the study. General personal information, physical condition, TCMBC, biochemical, and SNPs were collected for eligible subjects. The body constitution questionnaire (BCQ) was used to evaluate the relationships between TCMBC tendency, biochemical values, and obesity-related SNPs.

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Graves' disease (GD) is a systemic autoimmune disease characterized by hyperthyroidism. Evidence suggests that alterations to the gut microbiota may be involved in the development of autoimmune disorders. The aim of this study was to characterize the composition of gut microbiota in GD patients.

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Background/purpose: Staphylococcus lugdunensis is a Gram-positive coagulase-negative bacterium and is recognized as a critical pathogenic species recently. Here, we aimed to evaluate the cefoxitin disk diffusion (CDD), oxacillin agar dilution (OAD), and mecA PCR for detecting oxacillin-resistant S. lugdunensis (ORSL) isolates.

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Given recent increases in the proportion of early-onset colorectal cancer (CRC), researchers are urgently working to establish a multi-gene screening test for both inherited and sporadic cancer-susceptible individuals. However, the incidence and spectrum of germline mutations in young sporadic CRC patients in East Asian countries and, especially, in sporadic polyp carriers and normal individuals are unknown. Peripheral blood samples were collected from 43 colonoscopy-proved normal controls and from 50 polyp patients and 49 CRC patients with no self-reported family history of cancer.

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Objective: The characteristics of patients with metachronous breast and ovarian malignancies and the pathogenic role of mutations remain poorly understood. We investigated these issues through a review of hospital records and nationwide Taiwanese registry data, followed by mutation analysis in hospital-based cases.

Methods: We retrospectively retrieved consecutive clinical records of Taiwanese patients who presented with these malignancies to our hospital between 2001 and 2017.

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Background: Approximately one-third of cases of dilated cardiomyopathy (DCM) are caused by genetic mutations. With new sequencing technologies, numerous variants have been associated with this inherited cardiomyopathy, however the prevalence and genotype-phenotype correlations in different ethnic cohorts remain unclear. This study aimed to investigate the variants in Chinese DCM patients and correlate them with clinical presentations and prognosis.

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Background: Staphylococcus lugdunensis is a significant pathogen that causes community-acquired and nosocomial infections. The high prevalence of oxacillin-resistant S. lugdunensis (ORSL) is of major concern.

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Background: Seventy-five percent of fecal immunochemical test (FIT)-positive individuals are false positives and undergo unnecessary colonoscopies. Here, we established a stool DNA (sDNA) test that uses the Single Allele Base Extension Reaction (SABER) MassARRAY platform to improve the accuracy of FIT-based CRC detection.

Methods: Twenty-one variants in five CRC-associated genes were selected for the sDNA panel.

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The purpose of this study was to identify the microbial communities that colonize peri-implantitis pockets using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Subjects having at least one implant with peri-implantitis, no diabetes, and not taking antibiotics in the previous 3 months were selected. Peri-implantitis was defined when surrounding bone loss ≥0.

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Objectives: To explore the molecular epidemiology of rare deafness genes in Taiwanese sensorineural hearing impairment (SNHI) patients with cochlear implantation (CI) by performing massive parallel sequencing (MPS) and correlating genetic factors and CI outcomes.

Methods: We enrolled 41 Taiwanese non-syndromic deafness patients with CI that lacked known mutations in common deafness genes. All probands were screened by a targeted exon amplification method that used massively parallel sequencing to screen a customized panel that included 40 relatively rare non-syndromic deafness genes.

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spp. may cause fever, vomiting, and diarrhea in humans. Antibiotic treatment is suggested for patients with severe campylobacteriosis.

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