Publications by authors named "Tsung-Ying Yang"

Background/objectives: Osimertinib is a standard sequential therapy for advanced and recurrent Epidermal Growth Factor Receptor (EGFR)-mutant non-small-cell lung cancer (NSCLC) patients with the T790M mutation, following treatment with first- or second-generation EGFR Tyrosine Kinase Inhibitors (TKIs). This study aims to investigate the differences in clinical outcomes between osimertinib as a 2nd-line treatment and as a ≥3rd-line treatment in this patient population.

Methods: Between September 2014 and March 2023, we enrolled advanced and recurrent T790M + NSCLC patients who had received osimertinib as sequential treatment for analysis.

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Objectives: To evaluate the multifunctionality of silver-copper co-loaded mesoporous bioactive glass (MBG), with the goal of developing an advanced pulp-capping material.

Methods: The synthesis of materials was conducted using the sol-gel method, following the approach described in previous studies but with some modifications. The composition included 80 mol% SiO₂, 15 mol% CaO, and 5 mol% P₂O₅, with additional components of 5 mol% silver, 5 mol% copper, or 1 mol% silver combined with 4 mol% copper, designated as Ag5/80S, Cu5/80S, or Ag1Cu4/80S, respectively.

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Background: Bortezomib is a standard treatment for multiple myeloma (MM), working by the accumulation of toxic misfolded proteins in cancer cells. However, a significant clinical challenge arises from the development of resistance to bortezomib in MM treatment. Aggresome, a subcellular structure enclosed within Vimentin, forms in response to proteasome inhibitors and sequesters misfolded proteins that are transported by histone deacetylase 6 (HDAC6) and Dynein for degradation via autophagy, thereby reducing bortezomib's cytotoxic effects.

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  • * Key factors associated with worse progression-free survival (PFS) included driver gene mutations, being classified as Eastern Cooperative Oncology Group performance status 2, and having stage II-IIIB tumors.
  • * Despite the increased risk of disease progression linked to driver gene mutations, those receiving driver gene-targeted therapy showed improved post-progression survival rates, suggesting that early testing for these mutations could be beneficial in treatment planning.
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Background: Bevacizumab is extensively used in the treatment of advanced non-small-cell lung cancer (NSCLC). Numerous clinical trials have proven the clinical efficacies of bevacizumab biosimilars (BB).

Objective: Our study aimed to compare the clinical outcomes between bevacizumab reference product (RP) and BB among advanced NSCLC patients in a real-world setting.

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  • Zorifertinib is an experimental cancer drug that targets mutations in the EGFR gene and has shown effectiveness in patients with lung cancer that has spread to the brain.
  • A phase 3 trial compared zorifertinib to standard treatments and found that it significantly extended the time patients lived without the disease worsening (progression-free survival).
  • Results indicate that zorifertinib may be a better first-line treatment option for non-small cell lung cancer due to its ability to improve survival and manage side effects effectively.
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  • This study explores the potential of genetic factors, specifically polygenic risk scores (PRSs), in improving lung cancer screening in Taiwan by identifying individuals at higher risk for non-small cell lung cancer (NSCLC).
  • A retrospective analysis of 2,287 participants revealed that while age was the only risk factor for men, women showed risks related to age, family history, and higher PRS levels, suggesting a need for tailored screening approaches.
  • The use of PRS improved the predictive accuracy of NSCLC diagnosis, increasing the area under the curve (AUC) from 0.741 to 0.778, indicating the promise of integrating genetic information in lung cancer screening programs, especially for women.
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Purpose: Tissue-based next-generation sequencing (NGS) analysis is highly recommended for patients with advanced/metastatic non-small cell lung cancer (NSCLC). We investigated a specific patient population with NSCLC that required tissue-based NGS analysis.

Materials And Methods: We enrolled 500 patients with advanced/metastatic (1) epidermal growth factor receptor () mutations or anaplastic large-cell lymphoma kinase () rearrangement-positive NSCLC who had failed at minimum one line of tyrosine kinase inhibitor (TKI) therapy, (2) -negative nonsquamous, and (3) non- or light-smoker patients with squamous NSCLC who were treatment-naïve or had failed at maximum two lines of systemic treatment.

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Recently, the high proportion of methicillin-resistant infections worldwide has highlighted the urgent need for novel antibiotics to combat this crisis. The recent progress in computational techniques for use in health and medicine, especially artificial intelligence (AI), has created new and potential approaches to combat antibiotic-resistant bacteria, such as repurposing existing drugs, optimizing current agents, and designing novel compounds. Halicin was previously used as a diabetic medication, acting as a c-Jun N-terminal protein kinase (JNK) inhibitor, and has recently demonstrated unexpected antibacterial activity.

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Statins inhibit 3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR), the rate-limiting enzyme of the mevalonate pathway, and reduce cholesterol synthesis. They also have been demonstrated to improve prognosis in patients with various cancers, suggesting a potential anti-cancer effect of statins. However, there is no consensus on the molecular targets of statins for their anti-cancer effects.

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  • A cohort study investigated the impact of next-generation sequencing (NGS) on survival in advanced lung adenocarcinoma, including 424 patients divided into four treatment groups based on NGS testing timing and mutation status.
  • Targetable mutations were found in 76.6% of treatment-naïve patients undergoing upfront NGS, with mutation-targeted therapies administered to a significantly higher percentage of these patients compared to those in other groups.
  • Patients receiving mutation-targeted treatments showed improved overall survival, particularly in the upfront NGS group, highlighting the varying benefits and opportunities for NGS-based treatments across different patient populations.
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  • The study investigates the antimicrobial effects of AS101, a tellurium compound, on Haemophilus influenzae and H. parainfluenzae to explore its potential as a therapeutic option.
  • Analysis revealed that AS101 showed high antimicrobial efficacy against H. parainfluenzae but varied results against H. influenzae, with some isolates highly resistant.
  • Significant genetic variations related to tellurite resistance were identified in H. influenzae, with specific mutations linked to reduced susceptibility to AS101, which could inform future treatment strategies.
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  • Gonorrhea is increasingly becoming a global health concern due to antibiotic resistance, prompting the need for new treatment options.
  • This study investigates antimicrobial peptides (AMP) derived from fish, specifically flatfish and striped bass, for their effectiveness against gonorrhea-causing bacteria (GC).
  • Results indicate that certain AMP, like Pardaxin-based (PB2) and Piscidin-based (PIS and TP4), can significantly inhibit GC growth and biofilm formation, suggesting their potential as new antibiotic alternatives.
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  • Acute respiratory distress syndrome (ARDS) is a serious condition, and this study focused on understanding its impact on older patients (aged 65 and above) compared to younger patients.
  • Conducted at Taichung Veterans General Hospital in Taiwan, the study analyzed 728 patients, revealing that older patients had lower BMI and more comorbidities but similar mortality rates compared to younger patients, although they had longer ICU stays.
  • Key risk factors for increased mortality in older patients included a BMI under 18.5, higher SOFA scores, and the severity of ARDS, indicating that these factors significantly affect their survival chances.
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  • This study evaluated the effectiveness of cefoperazone/sulbactam (CPZ/SUL) for treating infections caused by ESBL-producing Enterobacterales, specifically looking at clinical success and 30-day mortality rates in a retrospective review from Taiwan (2015-2020).
  • The results showed an 82.7% clinical success rate and a 9.1% mortality rate among the 110 patients studied, with better outcomes when the drug concentrations were at or below a certain level (≤32/32 mg/L).
  • Higher comorbidity (Charlson index ≥6) was linked to lower success rates, while higher disease severity (SOFA score ≥6) was
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Background/purpose: As a commonly-found pathogen in periodontal disease, has been reported with several antibiotic resistance. Thus, to develop an alternative and protective therapy for infections is urgently needed in dentistry. In this study, we sought to synthesize a silica-based material to deliver silver nanoparticles for antibacterial purposes.

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Lung cancer is considered the number one cause of cancer-related deaths worldwide. Although current treatments initially reduce the lung cancer burden, relapse occurs in most cases; the major causes of mortality are drug resistance and cancer stemness. Recent investigations have provided evidence that shikonin generates various bioactivities related to the treatment of cancer.

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  • Lorlatinib is a third-generation ALK inhibitor used to treat patients with advanced non-small cell lung cancer who have not responded to prior ALK-targeted therapies, particularly in Taiwan.
  • A study involving 63 patients followed their treatment outcomes and safety after switching to lorlatinib, revealing that a high percentage had brain metastases and many had undergone multiple prior therapies.
  • Results showed that lorlatinib led to a median progression-free survival of 9.2 months, with an 80.4% disease control rate, indicating it is both effective and well-tolerated in heavily pretreated patients.
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  • Patients with advanced EGFR-mutant lung adenocarcinoma often develop drug resistance after treating with EGFR-tyrosine kinase inhibitors (TKIs) like osimertinib.
  • A study assessed the impact of primary tumor consolidative therapy (PTCT) on progression-free and overall survival among patients who responded to initial osimertinib treatment.
  • Results showed that those receiving PTCT had significantly longer progression-free survival (30.3 months vs. 18.2 months) and overall survival, highlighting PTCT as a beneficial treatment option for improving outcomes in this patient group.
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Purpose: We report CNS efficacy of first-line osimertinib plus chemotherapy versus osimertinib monotherapy in patients with epidermal growth factor receptor ()-mutated advanced non-small-cell lung cancer (NSCLC) from the phase III FLAURA2 study according to baseline CNS metastasis status.

Methods: Patients were randomly assigned to osimertinib plus platinum-pemetrexed (combination) or osimertinib monotherapy until disease progression or discontinuation. Brain scans were performed in all patients at baseline and progression and at scheduled assessments until progression for patients with baseline CNS metastases; scans were assessed by neuroradiologist CNS blinded independent central review (BICR).

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Background: Neuromuscular blockade agents (NMBAs) can be used to facilitate mechanical ventilation in critically ill patients. Accumulating evidence has shown that NMBAs may be associated with intensive care unit (ICU)-acquired weakness and poor outcomes. However, the long-term impact of NMBAs on mortality is still unclear.

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Background: Antiangiogenetic therapy and lung cancer, per se, are associated with an increased risk of thromboembolic events (TE). We aim to evaluate the pattern and outcome of TE as well as its influence on survival time of advanced non-small cell lung cancer (NSCLC) patients receiving antiangiogenic therapy.

Methods: This was a retrospective cohort study, which included advanced NSCLC patients receiving antiangiogenic therapy.

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Due to the overconsumption of antimicrobials, antibiotic-resistant bacteria have become a critical health issue worldwide, especially methicillin-resistant (MRSA) and vancomycin-resistant (VRE). Recently, many efforts have been made to load metals into bioactive glasses to enhance the multifunctionality of materials, such as antibacterial and osteoinductive functions. Zinc has been documented to stimulate the gene expression of various regulatory factors in bone cells.

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  • The study investigates the relationship between RAGE and EGFR signaling in non-small cell lung cancer (NSCLC) and how RAGE affects the response of cancer cells to the EGFR inhibitor gefitinib.
  • Results show that overexpression of RAGE enhances EGFR signaling and reduces the effectiveness of gefitinib, leading to increased expression of antiapoptotic markers in cancer cells.
  • The findings suggest that RAGE plays a role in counteracting the anticancer effects of gefitinib by modulating critical signaling pathways, offering new insights for NSCLC treatment strategies.
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Background: The issue of carbapenem-resistant Escherichia coli was aggravated yearly. The previous studies reported the varied but critical epidemiology of carbapenem-resistant E. coli among which the carbapenemase-producing strains were regarded as one of the most notorious issues.

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