Publications by authors named "Yi-Fang Chang"

Article Synopsis
  • Cetuximab, a type of medicine, has been added to chemotherapy and helps patients with a serious type of throat and neck cancer to live longer.
  • In this study, doctors looked at 1,434 cancer patients in Taiwan to see how well they did with cetuximab and created a risk prediction model based on their health and lifestyle factors.
  • The study found that patients had an average survival time of about 8.5 months, and certain factors like how well they were able to perform daily activities and their drinking habits could affect their chances of survival.
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  • CD19-targeted CAR T cell therapies have transformed treatment for B-cell malignancies, but over half of patients face treatment failure due to antigen escape and low cell persistence.
  • The effectiveness of these therapies is impacted by cell functionality and potential toxicities from systemic cytokines.
  • A new virus-free engineering system, Quantum pBac™ (qPB), has been developed to produce dual-targeted CAR-T cells that are efficient, robust, and safe, potentially improving treatment effectiveness and accessibility.
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Background: Despite the advances of therapies, multiple myeloma (MM) remains an incurable hematological cancer that most patients experience relapse. Tumor angiogenesis is strongly correlated with cancer relapse. Human leukocyte antigen G (HLA-G) has been known as a molecule to suppress angiogenesis.

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The molecular pathogenesis of extranodal NK/T-cell lymphoma (NKTCL) remains obscured despite the next-generation sequencing (NGS) studies explored on ever larger cohorts in the last decade. We addressed the highly variable mutation frequencies reported among previous studies with comprehensive amplicon coverage and enhanced sequencing depth to achieve higher genomic resolution for novel genetic discovery and comparative mutational profiling of the oncogenesis of NKTCL. Targeted exome sequencing was conducted to interrogate 415 cancer-related genes in a cohort of 36 patients with NKTCL, and a total of 548 single nucleotide variants (SNVs) and 600 Copy number variances (CNVs) were identified.

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Background: For R/M HNSCC, the differences in prognosis and treatment options between distant metastasis (DM) and locoregional recurrence, especially in the DM group, remain unclear.

Methods: From the Taiwan Head Neck Society registry database, patients who were diagnosed with R/M HNSCC and received cetuximab-based frontline therapy were collected for analysis.

Results: Among the enrolled patients, 59.

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A number of the inhibitors against programmed death protein 1 (PD-1) have been approved to treat recurrent or metastatic squamous cell carcinoma of head and neck (HNSCC). The interaction between PD-1 and its ligand (PD-L1) serves as an immune checkpoint that governs cytotoxic immune effectors against tumors. Numerous clinical trials of PD-1/PD-L1 inhibitors have so far been discordant about having sufficient PD-L1 expression in the tumor as a prerequisite for a successful anti-PD-1 treatment.

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  • GT90001 is an anti-ALK-1 monoclonal antibody tested for safety and effectiveness when combined with nivolumab in patients with advanced hepatocellular carcinoma (HCC).
  • The study included 20 patients who experienced no significant toxicities, confirming a recommended dose of 7.0 mg/kg for GT90001, with a notable objective response rate of 30%.
  • Results indicated a manageable safety profile, with encouraging anti-tumor activity, though progression-free survival was limited, averaging around 2.81 months.
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  • Melanoma in Taiwan is rare and primarily consists of acral and mucosal types, which differ from Western melanoma in behavior and genetics.
  • Taiwanese medical experts created a local clinical practice consensus guideline to address diagnosis, staging, and treatment based on local conditions and expert evaluations.
  • The guidelines emphasize surgical management (especially sentinel lymph node biopsies), require BRAF molecular testing before systemic treatment, and prioritize immunotherapy and targeted therapy for patients.
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Tyrosine kinase inhibitors (TKIs) that target BCR-ABL are the frontline treatments in chronic myeloid leukemia (CML). Growing evidence has shown that TKIs also enhance immunity. Since gamma-delta T (γδT) cells possess the potent anticancer capability, here we investigated the potential involvement of γδT cells in TKI treatments for CML.

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  • Tumor cells use immune checkpoints to wear out CD8 T cells, but radiation therapy can damage these cancer cells and improve the effectiveness of immunotherapy.
  • The study focused on non-small-cell lung cancer (NSCLC) and found that radiation therapy enhances the activity of CD8 T cells by reducing the expression of PD-L1 and MCL1 in A549 cells through the inhibition of specific signaling pathways.
  • Ultimately, this research highlights how radiation therapy can augment immune responses against cancer by decreasing the tumor's ability to evade destruction by CD8 T cells.
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Irradiation-broken DNA fragments increase type I interferon and chemokines secretion in tumor cells. Since radiotherapy may augment tumor immunotherapy, we hypothesize that the chemokines increased by irradiation could recruit CD8 T cells to suppress tumor proliferation. This study intended to unveil the secreted factors activating and recruiting CD8 T cells in non-small-cell lung cancer (NSCLC).

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Introduction: Induction chemotherapy (IC) followed by concurrent chemoradiotherapy (CCRT) is recommended for larynx-preserving treatment of locally advanced hypopharyngeal cancer (LAHC). However, the conventional evaluation of response is not robust enough to predict the outcome of subsequent treatments. This study aimed to develop an imaging biomarker using changes in radiomic features in invasive tumor front (ITF) by IC to predict treatment outcome of subsequent CCRT in LAHC.

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The mechanism exhausting CD8 T cells is not completely clear against tumors. Literature has demonstrated that cigarette smoking disables the immunological activity, so we propose nicotine is able to exhaust CD8 T cells. The CD8 T cells from healthy volunteers with and without cigarette smoking and the capacity of CD8 T cells against tumor cells were investigated.

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BAFF supports B-cell survival and homeostasis by activating the NF-κB pathway. While NF-κB is also involved in the priming signal of NLRP3 inflammasome, the role of BAFF in NLRP3 inflammasome regulation is unknown. Here we report BAFF engagement to BAFF receptor elicited both priming and activating signals for NLRP3 inflammasomes in primary B cells and B lymphoma cell lines.

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Background: Fentanyl buccal soluble film (FBSF), a new formulation of fentanyl, is developed for the treatment of breakthrough pain (BTP) in opioid-tolerant patients with cancer.

Aims: This study aimed to assess the feasible dose range of FBSF required for Taiwanese population.

Methods And Results: This was an open-label, multicenter, noncomparative study.

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This study aimed to investigate level of work ability and quality of life (QOL) as well as the relationship between them among patients suffering from work-related musculoskeletal disorders (WMSDs) in Taiwan. A cross-sectional study design with continuous sampling and a questionnaire were used to obtain the research data. Controlling for personal characteristics, pain, psychological distress, and social support, multiple linear regressions were adopted to explore the relationship between work ability and overall QOL.

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Background: HER3 mediates drug resistance against epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs), resulting in tumor relapse in lung cancers. Previously, we demonstrated that EGFR induces HER3 overexpression, which facilitates the formation of cancer stem-like tumorspheres. However, the cellular mechanism through which EGFR regulates HER3 expression remains unclear.

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Chronic myeloid leukemia (CML) is a hematological malignancy characterized by the presence of (9;22) chromosomal translocation that results in fusion gene. ABL tyrosine kinase inhibitors (TKIs), such as imatinib, nilotinib, and dasatinib, are currently the front-line treatment options for CML. Recently, natural killer (NK) cell activation and expansion have been shown to be associated with optimal treatment responses for CML.

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Background: Cancer stem cells are capable of undergoing cell division after surviving cancer therapies, leading to tumor progression and recurrence. Inhibitory agents against cancer stem cells may be therapeutically used for efficiently eradicating tumors. Therefore, the aim of this study was to identify the relevant driver genes that maintain cancer stemness in epidermal growth factor receptor (EGFR)-positive colorectal cancer (CRC) cells and to discover effective therapeutic agents against these genes.

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The epidermal growth factor (EGF) receptor (EGFR) overexpressed in many cancers, including lung and head and neck cancers, and is involved in cancer cell progression and survival. PD-L1, increases in tumor cells to evade and inhibit CD8+ T cells, is a clinical immunotherapeutic target. This study investigated the molecular mechanism of EGF on regulating PD-L1 in EGFR-positive cancers and determined potential agents to reduce PD-L1 expression.

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Objectives: YM155, an inhibitor of interleukin enhancer-binding factor 3 (ILF3), significantly suppresses cancer stemness property, implying that ILF3 contributes to cell survival of cancer stem cells. However, the molecular function of ILF3 inhibiting cancer stemness remains unclear. This study aimed to uncover the potential function of ILF3 involving in cell survival of epidermal growth factor receptor (EGFR)-positive lung stem-like cancer, and to investigate the potential role to improve the efficacy of anti-EGFR therapeutics.

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Objective: To investigate whether objective polysomnographic measures of prevalent sleep problems such as sleep-disordered-breathing (SDB) and insomnia are associated with activities of daily living levels in inpatients at rehabilitation units.

Design: Retrospective and observational study.

Setting: Single rehabilitation center.

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Germline variations at , , - and have been found to associate with myeloproliferative neoplasms (MPNs) in European populations. Whether these germline variations are associated with MPNs in Taiwanese population is obscure. Here we aimed to evaluate the association of five germline variations ( 46/1 haplotype tagged by rs12343867, intron 8 rs12339666, rs2736100, - rs9376092 and rs2201862) and the risk of MPNs in Taiwanese population.

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Background: Epidermal growth factor receptor (EGFR) overexpressed in colorectal cancer (CRC) is a tumor target for developing the anti-tumor theranostic agents. Cetuximab, an anti-EGFR monoclonal antibody against EGFR-positive tumors, inhibits cell proliferation and growth was labeled with radioactive indium (In) in this study for diagnosing EGFR-positive CRC. The aim of this study was to evaluate the efficacy of noninvasive nuclear imaging agent In-cetuximab and investigate the biological distribution of In-cetuximab in the HCT-15-induced EGFR-positive CRC tumor xenografts.

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