Publications by authors named "Yong C Kim"

Tregs play a central role in maintaining immune tolerance. Recent progress in the clinical application of Tregs underscores their potential for cell therapy. Nevertheless, a notable hurdle remains in producing functional Tregs .

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Podocyte injury and proteinuria in glomerular disease are critical indicators of acute kidney injury progression to chronic kidney disease. Renal mitochondrial dysfunction, mediated by intracellular calcium levels and oxidative stress, is a major contributor to podocyte complications. Despite various strategies targeting mitochondria to improve kidney function, effective treatments remain lacking.

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Rationale & Objective: Recipients of kidney allografts are at risk for osteoporotic fractures (OF), but their association with patient and allograft outcomes remains uncertain due to common coexisting risks and complex medical conditions. This study sought to assess if overall incidence of OF among recipients of kidney allografts compared to patients receiving maintenance dialysis for kidney failure.

Study Design: A national retrospective cohort study.

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Article Synopsis
  • The study explored how body mass index (BMI) impacts mortality in critically ill patients with severe acute kidney injury (AKI) who required renal replacement therapy, focusing on differences between sexes.
  • The results showed that underweight and normal weight male patients had higher 90-day mortality risks compared to obese males, while no significant difference was found in females.
  • The findings suggest an "obesity paradox," where obese males had better outcomes, emphasizing the need for sex-specific assessments in critically ill patients.
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Background: Many pregnant women receive antibiotic treatment for infections. We investigated the association between quinolone use in the first trimester of pregnancy and the risk of adverse health outcomes for the child in Korea.

Materials And Methods: This nationwide, population-based cohort study used data on mother-child pairs from the National Health Insurance claims database.

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  • Kidney transplantation greatly improves life quality for end-stage renal failure patients, but issues like acute T cell-mediated rejection (TCMR) from immune responses complicate success despite immunosuppressive drugs.
  • Recent research using spatial transcriptomics on biopsy samples indicates that patients with borderline TCMR show no distinct gene expression profiles between glomeruli and interstitium, unlike non-TCMR patients.
  • Inflammatory pathways linked to innate immunity were active in the glomeruli of borderline TCMR samples, highlighting the role of macrophages in the glomerular response, suggesting that factors beyond T cells may also contribute to graft rejection.
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  • Tolvaptan, a medication approved in Korea for treating autosomal dominant polycystic kidney disease (ADPKD), was evaluated in a phase 4 clinical trial involving 117 patients with chronic kidney disease stages 1 to 3 over 24 months.* -
  • The study recorded a high rate of treatment-emergent adverse events (TEAEs), with 90.6% of patients experiencing them, including 14.5% reporting hepatic adverse events, which improved after stopping the medication.* -
  • Despite a higher incidence of liver-related issues compared to previous studies, the results suggest that tolvaptan can be used safely and effectively with careful dosage adjustments and regular monitoring.*
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  • * Five key proteins were isolated, with transgelin highlighted as a significant candidate that increases as fibrosis advances; its gene expression was notably higher in advanced stages of CKD.
  • * Transgelin may serve as a promising biomarker and therapeutic target for CKD fibrosis, potentially helping to modulate oxidative stress and mitochondrial dysfunction.
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This guideline aims to promote the prudent use of antibacterial agents for managing carbapenem-resistant Enterobacterales (CRE) infections in clinical practice in Korea. The general section encompasses recommendations for the management of common CRE infections and diagnostics, whereas each specific section is structured with key questions that are focused on antibacterial agents and disease-specific approaches. This guideline covers both currently available and upcoming antibacterial agents in Korea.

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Background: Glycopeptides for ampicillin-susceptible Enterococcus faecalis/faecium bacteremia are readily prescribed depending on the severity of the condition. However, there is limited data on the outcomes of glycopeptide use compared to ampicillin-containing regimens for ampicillin-susceptible E. faecalis/faecium bacteremia.

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  • Scientists are looking at how using kidneys from older donors can cause problems because old age can mean they have fewer healthy kidney parts (called nephrons).
  • They created an AI tool to measure these healthy kidney parts from scans, helping understand how well kidneys will work after donation.
  • The study found that older donors often see bigger drops in kidney function after giving a kidney, but those with more healthy parts before donating tend to keep their kidney function better.
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Background: Age-dependent immune responses to coronavirus disease 2019 (COVID-19) vaccinations and breakthrough infections (BIs) in young and middle-aged individuals are unclear.

Methods: This nationwide multicenter prospective cohort study analyzed immune responses in participants of the ChAdOx1 (ChAd)-ChAd-mRNA vaccine group using cytometry by time-of-flight, anti-spike protein antibody (Sab) and anti-nucleocapsid antibody (Nab) titers, plaque reduction neutralization tests (PRNTs), and interferon-gamma (IFN-γ) release assays at various time points.

Results: We evaluated 347 participants with an average age of 38.

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This study aimed to evaluate the differences in the baseline characteristics and patterns of antibiotic usage among hospitals based on their participation in the Korea National Antimicrobial Use Analysis System (KONAS). We obtained claims data from the National Health Insurance for inpatients admitted to all secondary- and tertiary-care hospitals between January 2020 and December 2021 in Korea. 15.

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Aim: To determine the trends in the usage of antimicrobial drugs by patients with pneumonia with prescriptions from long-term care (LTC) hospitals in the Republic of Korea.

Method: This retrospective study was conducted from 2011 to 2022 using the National Health Insurance Review and Assessment Service claim data in Korea. We calculated antibiotic usage expressed as a daily defined dose (DDD) per 1000 patients per day (DID).

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Peritoneal dialysis is a common treatment for end-stage renal disease, but complications often force its discontinuation. Preventive treatments for peritoneal inflammation and fibrosis are currently lacking. Cyclo(His-Pro) (CHP), a naturally occurring cyclic dipeptide, has demonstrated protective effects in various fibrotic diseases, yet its potential role in peritoneal fibrosis (PF) remains uncertain.

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Background: Data on antimicrobial use at the national level are crucial for establishing domestic antimicrobial stewardship policies and enabling medical institutions to benchmark each other. This study aimed to analyze antimicrobial use in Korean hospitals.

Materials And Methods: We investigated antimicrobials prescribed in Korean hospitals between 2018 and 2021 using data from the Health Insurance Review and Assessment.

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Background: This study investigated the association between serum phosphate level and mortality in acute kidney injury (AKI) patients undergoing continuous kidney replacement therapy (CKRT) and evaluated whether this association differed according to disease severity.

Methods: Data from eight tertiary hospitals in Korea were retrospectively analyzed. The patients were classified into four groups (low, normal, high, and very high) based on their serum phosphate level at baseline.

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Article Synopsis
  • - The study aimed to improve mortality predictions for patients with sepsis-related acute kidney injury (AKI) receiving continuous kidney replacement therapy (CKRT) by evaluating the effectiveness of various systemic inflammation biomarkers.
  • - Researchers analyzed data from 1,500 patients and found that including platelet-to-albumin ratio (PAR) and neutrophil-platelet score (NPS) significantly enhanced prognostic accuracy for 28-day and 90-day mortality when used alongside established assessment tools.
  • - The findings suggest that incorporating PAR and NPS into conventional ICU risk assessment can better inform treatment decisions and potentially improve outcomes for critically ill patients with sepsis-associated AKI.
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Background And Hypothesis: End-stage kidney disease (ESKD) has an elevated risk of osteoporotic fractures in relation to mineral and bone disorder (MBD) as well as conventional risks of osteoporosis. We investigated the association between oral phosphate binders, the mainstay of MBD treatment, and osteoporotic fracture in dialysis patients.

Methods: We obtained data from the National Health Insurance database for incident dialysis patients without a history of osteoporotic fractures.

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Background: The long-term mortality and morbidity of patients with severe fever with thrombocytopenia syndrome (SFTS) remain unclear.

Methods: This retrospective cohort study was conducted using the National Health Insurance Service dataset on hospitalized patients with SFTS aged ≥20 years between 2016 and 2021 (n = 1,217). Each SFTS case was matched with three controls hospitalized for non-SFTS-related diseases using propensity score matching.

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Introduction: The long-term impact of initial immunogenicity induced by different primary COVID-19 vaccine series remains unclear.

Methods: A prospective cohort study was conducted at 10 tertiary hospitals in Korea from March 2021 to September 2022. Immunogenicity assessments included anti-spike protein antibody (Sab), SARS-CoV-2-specific interferon-gamma releasing assay (IGRA), and multiplex cytokine assays for spike protein-stimulated plasma.

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Introduction: Kidney transplant recipients often experience significant alterations in their immune system, which can lead to increased susceptibility to infections. This study aimed to analyze time-dependent changes in serum immunoglobulin and complement levels and determine the risk factors associated with infection.

Methods: A retrospective analysis of serum samples from 192 kidney transplant recipients who received transplantations between August 2016 and December 2019 was conducted.

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Background: Kidney volume is used as a predictive and therapeutic marker for several clinical conditions. However, there is a lack of large-scale studies examining the relationship between kidney volume and various clinicodemographic factors, including kidney function, body composition and physical performance.

Methods: In this observational study, MRI-derived kidney volume measurements from 38 526 UK Biobank participants were analysed.

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Background: Further study is warranted to determine the association between estimated glomerular filtration rate (eGFR) or albuminuria and the risk of death from diverse causes.

Methods: We screened >10 million general health screening examinees who received health examinations conducted in 2009 using the claims database of Korea. After the exclusion of those previously diagnosed with renal failure and those with missing data, 9,917,838 individuals with available baseline kidney function measurements were included.

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