Publications by authors named "Wen-Lang Fan"

Wnt-5a is a protein encoded by the WNT5A gene and is a ligand for the receptor tyrosine kinase-like orphan receptor 2 (ROR2). However, its biological impact on clear cell renal cell carcinoma (ccRCC) remains unclear. In this study, the prognostic significance of concurrent WNT5A and ROR2 expression levels was observed to predict unfavorable overall survival and disease-specific survival.

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  • Tubulin beta 4A (TUBB4A) spectrum disorders can cause conditions like dystonia type 4 and H-ABC syndrome, but sometimes only lead to mild hypomyelination.
  • A family case with a TUBB4A mutation presented complicated hereditary spastic paraplegia (HSP), prompting whole-exome sequencing to find the cause of their symptoms.
  • Researchers identified a novel TUBB4A mutation in affected family members, which was linked to adult-onset spastic paraparesis and brain hypomyelination, while cognitive abilities remained intact.
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Background/purpose: Congenital nephrotic syndrome (CNS) is one of the important causes of end-stage kidney disease in children. Studies on the genotype, phenotype, and clinical outcome in infants with CNS caused by genetic mutations are scarce.

Methods: We analyzed the genetic background, clinical manifestations, treatment response, and prognosis of pediatric patients with CNS in Taiwan.

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Background/aim: The aim of the current study was to obtain comprehensive genomic information on viral hepatitis B (HBV)-related hepatocellular carcinoma (HCC) and identify potential biomarkers of early recurrence in patients receiving curative surgery.

Patients And Methods: A total of 104 patients with HBV-related HCC receiving curative surgery at Kaohsiung Chang Gung Memorial Hospital between January 2017 and December 2020 were identified, including 52 patients each with and without recurrence. Next-generation sequencing was performed to investigate genomic alterations caused by surgical resection of specimens.

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-related early infantile developmental and epileptic encephalopathy (EIDEE) is a rare neurodevelopmental disorder. EIDEE is characterized by seizures that begin during the first three months of life and are accompanied by developmental impairment over time. In this article, we present three patients with EIDEE who experienced neonatal-onset seizures that developed into intractable seizures during infancy.

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  • Mutations in the SYNE1 gene lead to a range of clinical symptoms, and a new case of SYNE1 ataxia was reported in a 53-year-old female from Taiwan caused by two novel mutations.
  • In a study involving 28 patients from East Asia, researchers found 27 cases of SYNE1 ataxia, with some showing pure cerebellar ataxia while others had additional symptoms.
  • The study revealed no clear link between specific genetic mutations and clinical symptoms, while also highlighting the genetic diversity of SYNE1 mutations in different populations.
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Neonates who are born preterm (PT) are usually characterized by immature physiological development, and preterm birth (PTB) is the leading cause of neonatal morbidity and mortality if intensive medical care is not available to PTB neonates. Early prediction of a PTB enables medical personnel to make preparations in advance, protecting the neonate from the subsequent health risks. Therefore, many studies have worked on identifying invasive or noninvasive PT biomarkers.

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Background: A dysregulated immune response is a hallmark of autoimmune disorders. Evidence suggests that systemic autoimmune diseases and primary immunodeficiency disorders (PIDs) may be similar diseases with different clinical phenotypes.

Objective: This study aimed to investigate the burden of PID-associated genetic variants in patients with childhood-onset systemic lupus erythematosus (cSLE).

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Background: Blau syndrome (BS) is a rare autoinflammatory disorder with NOD2 gain-of-function mutation and characterized by autoactivation of the NFκB pathway. Classically considered a disease of high penetrance, reports on NOD2 mutations underlining BS with incomplete penetrance is limited.

Case Presentation: The proband is a 9-year-old girl presented with brownish annular infiltrative plaques and symmetric boggy polyarthritis over bilateral wrists and ankles.

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Background: Systemic lupus erythematosus (SLE) is rarely diagnosed before 5-years-old. Those with disease onset at a very young age are predicted by a higher genetic risk and a more severe phenotype. We performed whole-exome sequencing to survey the genetic etiologies and clinical manifestations in patients fulfilling 2012 SLICC SLE classification criteria before the age of 5.

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Background: Aristolochic acids (AAs) are potent mutagens commonly found in herbal plant-based remedies widely used throughout Asian countries.

Patients And Methods: To understand whether AA is involved in the tumorigenesis of the oro-gastrointestinal tract, we used whole-exome sequencing to profile 54 cases of four distinct types of oro-gastrointestinal tract cancer (OGITC) from Taiwan.

Results: A diverse landscape of mutational signatures including those from DNA mismatch repair and reactive oxygen species was observed.

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Objective: A meta-analysis of locus-based genome-wide association studies recently identified a relationship between AXIN1 and Parkinson's disease (PD). Few studies of Asian populations, however, have reported such a genetic association. The influences of rs13337493, rs758033, and rs2361988, three PD-associated genetic variants of AXIN1, were investigated in the present study because AXIN1 is related to Wnt/β-catenin signaling.

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Objectives: The postoperative outcomes of patients with oral cavity squamous cell carcinoma (OCSCC) vary greatly. To improve risk stratification, we sought to identify genetic biosignatures by whole-exome sequencing (WES).

Materials And Methods: We retrieved patients with OCSCC patients with paired freshly frozen malignant and non-malignant tissue specimens and performed WES by Illumina HiSeq4000 platform.

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Background/purpose: Genetic and environmental factors play significant roles in the pathogenesis of Parkinson's disease (PD). Recently, 17 novel risk loci of PD were identified in a meta-analysis of genome-wide association study (GWAS) in the European populations. In order to clarify if these risk loci are associated with PD in Taiwanese population, we conducted a case-control study including 14 of the novel risk loci and analyzed the genetic distribution and allele frequency.

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Systemic juvenile idiopathic arthritis (sJIA) and cryopyrin-associated periodic syndrome (CAPS) share many common manifestations. We aim to identify an applicable method to assist disease discrimination. Inflammatory cytokines were measured in the plasma of patients with CAPS, sJIA with persistent disease course and healthy controls.

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Mutational profiling of patients' tumors has suggested that the development of oral cavity squamous cell carcinoma (OCSCC) is driven by multiple genes in multiple pathways. This study aimed to examine the association between genomic alterations and clinical outcomes in patients with advanced stages OCSCC to facilitate prognostic stratification. We re-analyzed our previous whole-exome sequencing data from 165 long-term follow-ups of stages III and IV patients with OCSCC.

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Oral squamous cell carcinoma (OSCC) is the most common malignancy of the oral cavity with poor prognosis. The dysregulation of Notch signaling pathway has been implicated in the OSCC tumorigenesis. However, the clinical implication of NOTCH1 mutation status in OSCC remains unelucidated.

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  • Researchers identified a founder mutation involving a 2870 bp deletion and 9 bp insertion in the angiotensinogen gene, linked to a severe form of autosomal recessive renal tubular dysgenesis (ARRTD).
  • High-dose hydrocortisone therapy was effective in one patient, boosting levels of angiotensinogen and its components, which led to a significant clinical improvement.
  • The study suggests that the truncated angiotensinogen protein resulting from the mutation has lower stability and interaction with renin, and hydrocortisone may enhance its stability and therapeutic potential by improving this interaction.
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Emerging evidence has shown the oncogenic roles of leptin in modulating cancer progression in addition to its original roles. Analyses of transcriptomic data and patients' clinical information have revealed leptin's prognostic significance in renal cell carcinoma (RCC). However, its biological effects on RCC progression have not yet been explored.

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Renal thrombotic microangiopathy (TMA) is associated with complement overactivation and poor outcome in patients with lupus nephritis (LN). The role of genetic makeup of complement system in these patients remains to be elucidated. The clinical and laboratory characteristics of 100 patients with LN during 2010-2017 were retrospectively analyzed.

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  • Congenital short bowel syndrome (CSBS) is a rare genetic condition characterized by a reduced length of the bowel often linked with malrotation, caused by mutations in specific genes.
  • Two siblings in a family were studied, with the older brother undergoing surgery for bowel obstruction within weeks of birth, and the younger sister needing surgery for a blockage at 6 months.
  • The diagnosis of CSBS was confirmed during surgery, revealing novel genetic mutations in both siblings that are the first of their kind reported in Taiwan.
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  • Autosomal recessive renal tubular dysgenesis (ARRTD) is a rare and often fatal condition linked to specific mutations, with this study highlighting cases in Taiwan.
  • Six individuals from unrelated families presented critical symptoms like low amniotic fluid, inability to urinate, lung underdevelopment, and severe low blood pressure, with most cases leading to neonatal death.
  • A common genetic mutation was identified that impacts angiotensinogen protein function, and one patient showed improvement with high-dose hydrocortisone treatment, suggesting potential therapeutic options for ARRTD.
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Background: Childhood asthma is a multifactorial inflammatory condition of the airways, associated with specific changes in respiratory microbiome and circulating metabolome.

Methods: To explore the functional capacity of asthmatic microbiome and its intricate connection with the host, we performed shotgun sequencing of airway microbiome and untargeted metabolomics profiling of serum samples in a cohort of children with mite-sensitized asthma and non-asthmatic controls.

Results: We observed higher gene counts and sample-to-sample dissimilarities in asthmatic microbiomes, indicating a more heterogeneous community structure and functionality among the cases than in controls.

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Lissencephaly (LIS), denoting a "smooth brain," is characterized by the absence of normal cerebral convolutions with abnormalities of cortical thickness. Pathogenic variants in over 20 genes are associated with LIS. The majority of posterior predominant LIS is caused by pathogenic variants in LIS1 (also known as PAFAH1B1), although a significant fraction remains without a known genetic etiology.

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