Publications by authors named "Thomas N Y Kwong"

Background: Obesity is a risk factor for colorectal cancer (CRC). The role of gut microbiota in mediating the cancer-promoting effect of obesity is unknown.

Methods: Azoxymethane (AOM)-treated, Apc and germ-free mice were gavaged with feces from obese individuals and control subjects respectively.

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Emerging evidence of an altered gut microbiome in autism spectrum disorder (ASD) suggests a pathomechanism through the gut-brain axis despite the inconsistent microbiome profile reported across studies. One of the knowledge gaps in the existing ASD microbiota studies is the lack of systematic exploration of the role of comorbid functional gastrointestinal disorder (FGID) in the association of ASD and altered gut microbiome. Consequently, 92 ASD and 112 age-matched typically developing (TD) boys were profiled on general psychopathology, FGID status by Rome IV classification, and gut microbiota using 16S ribosomal RNA amplicon sequencing at the V4 hypervariable region.

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infection (CDI) is a common cause of nosocomial diarrhea. TcdB is a major exotoxin that activates macrophages to promote inflammation and epithelial damage. Lysosome impairment is a known trigger for inflammation.

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Article Synopsis
  • * Most cases (91.9%) were healthcare-associated, and although CDI incidence rose until 2017, it stabilized in 2018 and 2019.
  • * Mortality rates decreased from 20.1% in 2015 to 16.8% in 2019, while recurrence rates stayed around 11%, suggesting a correlation with reduced antimicrobial drug use due to a stewardship program started in 2017.
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  • The study examines the link between changes in gut bacteria and DNA methylation of tumor suppressor genes (TSGs) in colorectal cancer (CRC) using genetic sequencing on tissue biopsies from various stages of the disease.
  • Researchers found that the bacteria Fusobacterium nucleatum and Hungatella hathewayi contribute to increased DNA methylation, which can regulate the expression of important TSGs like CDX2 and MLH1.
  • The findings suggest that these bacteria promote CRC by activating DNA methyltransferases, leading to enhanced cell proliferation in the colonic tissue.
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infection (CDI) is a common cause of nosocomial diarrhea and can sometimes lead to pseudo-membranous colitis and toxic megacolon. We previously reported that the PCR ribotype 002 was a common ribotype in Hong Kong that was associated with increased mortality. In this study, we assessed bacteriological characteristics and virulence of ribotype 002 compared to other common ribotypes, including ribotypes 012, 014 and 046.

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Article Synopsis
  • - A new, affordable method for quickly detecting bacterial toxins in gastrointestinal diseases uses fluorescent magnetic spore-based microrobots (FMSMs) that can sense toxins in patients' stool samples.
  • - These microrobots are made by applying magnetic nanoparticles and sensing probes onto natural spores, allowing them to efficiently identify bacterial toxins.
  • - FMSMs demonstrate rapid and selective detection capabilities in both bacterial cultures and actual clinical stool samples, providing a promising solution for fast toxin analysis.
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Rationale: Dermatomyositis is an idiopathic inflammatory myopathy with specific cutaneous manifestations, which is closely associated with malignancy. However, the exact mechanism remains elusive. Even less is known about dermatomyositis with hepatocellular carcinoma (HCC).

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The involvement of microorganisms in cancer has been increasing recognized. Collectively, microorganisms have been estimated to account for ∼20% of all cancers worldwide. Recent advances in metagenomics and bioinformatics have provided new insights on the microbial ecology in different tumors, pinpointing the roles of microorganisms in cancer formation, development and response to treatments.

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Background & Aims: Colorectal cancer (CRC) development has been associated with increased proportions of Bacteroides fragilis and certain Streptococcus, Fusobacterium, and Peptostreptococcus species in the intestinal microbiota. We investigated associations between bacteremia from specific intestinal microbes and occurrence of CRC.

Methods: We performed a retrospective study after collecting data on 13,096 adult patients (exposed group) in Hong Kong hospitalized with bacteremia (identified by blood culture test) without a previous diagnosis of cancer from January 1, 2006 through December 31, 2015.

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Toxin B (TcdB) is a major pathogenic factor of Clostridum difficile. However, the mechanism by which TcdB exerts its cytotoxic action in host cells is still not completely known. Herein, we report for the first time that TcdB induced autophagic cell death in cultured human colonocytes.

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Incidence of Clostridium difficile infection (CDI) is rapidly increasing and it poses a major health burden globally. However, data regarding the epidemiology of CDI in Asia are limited. We aimed to characterize the antimicrobial susceptibility patterns of common ribotypes of toxigenic C.

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Cross-sectional studies suggest an increasing trend in incidence and relatively low recurrence rates of Clostridium difficile infections in Asia than in Europe and North America. The temporal trend of C. difficile infection in Asia is not completely understood.

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Background & Aims: Altered gut microbiota is implicated in development of colorectal cancer (CRC). Some intestinal bacteria have been reported to potentiate intestinal carcinogenesis by producing genotoxins, altering the immune response and intestinal microenvironment, and activating oncogenic signaling pathways. We investigated whether stool from patients with CRC could directly induce colorectal carcinogenesis in mice.

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Objective: There is a need for an improved biomarker for colorectal cancer (CRC) and advanced adenoma. We evaluated faecal microbial markers for clinical use in detecting CRC and advanced adenoma.

Design: We measured relative abundance of (), () and () by quantitative PCR in 309 subjects, including 104 patients with CRC, 103 patients with advanced adenoma and 102 controls.

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