Publications by authors named "Yoo-Na Kim"

Enzyme-linked immunosorbent assays are commonly used for clinical biomarker detection. However, they remain resource-intensive and difficult to scale globally. Here we present a miniaturized direct electronic biosensing modality which generates a simple and sensitive, quantitative, resistive readout of analyte binding in immunoassays.

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Accurate detection of homologous recombination deficiency (HRD) in cancer patients is paramount in clinical applications, as HRD confers sensitivity to poly(ADP-ribose) polymerase (PARP) inhibitors. With the advances in genome sequencing technology, mutational profiling on a genome-wide scale has become readily accessible, and our knowledge of the genomic consequences of HRD has been greatly expanded and refined. Here, we review the recent advances in HRD detection methods.

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Purpose: Predicting the malignancy of pure ground-glass nodules (GGNs) using CT is challenging. The optimal role of [F]FDG PET/CT in this context has not been clarified. We compared the performance of [F]FDG PET/CT in evaluating GGNs for predicting invasive adenocarcinomas (IACs) with CT.

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Objective: Effective functional biomarkers that can be readily used in clinical practice to predict poly(ADP-ribose) polymerase inhibitor (PARPi) sensitivity are lacking. With the widespread adoption of PARPi maintenance therapy in ovarian cancer, particularly in patients with mutation or HR deficiencies, accurately identifying or acquired resistance to PARPi has become critical in clinical practice. We investigated RAD51 immunohistochemistry (IHC) as a functional biomarker for predicting PARPi sensitivity in ovarian cancer.

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Article Synopsis
  • - Human epidermal growth factor receptor-2 (HER2) targeting drugs are being explored for use in non-breast cancers like ovarian cancer (OC), but current studies on HER2 expression in OC are lacking.
  • - A review of patient records revealed that 28% had HER2 expression scores of 2+, and 6% had scores of 3+, with higher expression observed in mucinous and endometrioid tumor types, mainly in BRCA-wildtype or low PD-L1 tumors.
  • - The study found that ERBB2 amplification and certain mutations were more common in HER2-overexpressing tumors, with some patients showing increased HER2 expression over time, suggesting HER2-targeting agents
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Aim: We investigated the efficacy and safety of durvalumab (D) with or without tremelimumab (T) in addition to single-agent chemotherapy (CT) in patients with platinum-resistant recurrent ovarian cancer (PROC) lacking homologous recombination repair (HRR) gene mutations.

Patients And Methods: KGOG 3045 was an open-label, investigator-initiated phase II umbrella trial. Patients with PROC without HRR gene mutations who had received ≥2 prior lines of therapy were enrolled.

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Article Synopsis
  • Genomic hypomethylation can influence how well patients respond to immune checkpoint blockade (ICB) treatments, but there were concerns about assessing this through cell-free DNA (cfDNA) due to low tumor purity in samples.
  • The study introduced a new assay, iMethyl, which uses advanced sequencing to measure the hypomethylation status in cfDNA from various cancer types, including lung, breast, and ovarian cancers.
  • iMethyl is effective in predicting ICB treatment responses, monitoring changes during treatment, and shows better predictive capabilities compared to tumor mutation burden and PD-L1 expression.
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Unlabelled: Circulating tumor DNA (ctDNA) may aid in personalizing ovarian cancer therapeutic options. Here, we aimed to assess the clinical utility of serial ctDNA testing using tumor-naïve, small-sized next-generation sequencing (NGS) panels. A total of 296 patients, including 201 with ovarian cancer and 95 with benign or borderline disease, were enrolled.

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Article Synopsis
  • PARP inhibitors (PARPis) are becoming the standard treatment for ovarian cancer, and research is focusing on their combination with anti-angiogenic agents and anti-PD-1 therapies in ongoing clinical trials.* -
  • A study analyzed the immune responses of T cells in ovarian cancer patients receiving either PARPi therapy or a newer triple therapy including PARPi, revealing that PARPi reduces regulatory T cells (Tregs) while anti-PD-1 therapy significantly decreases PD-1 expression on Tregs.* -
  • Results indicate that patients with a higher percentage of PD-1 expressing Tregs had worse progression-free survival (PFS) with PARPi alone, but the triple therapy improved PFS, highlighting the combination's effectiveness in managing
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In this multicenter, open-label, single-arm, Phase II study with Simon two-stage optimum design (NCT04361370), we investigate the efficacy and safety of triplet maintenance (olaparib, pembrolizumab, bevacizumab) in patients with platinum-sensitive recurrent ovarian cancer who are wild-type for BRCA 1/2. A total of 44 patients were enrolled, and the median follow-up duration was 22.9 months (interquartile range: 17.

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Article Synopsis
  • A study evaluated the efficacy and safety of two combinations of PARP inhibitors in patients with platinum-resistant ovarian cancer who have HRR gene mutations.
  • Patients were divided into two groups: one receiving olaparib with cediranib and the other with durvalumab, showing objective response rates of 50.0% and 42.9%, respectively.
  • Comprehensive biomarker profiling identified markers that could guide treatment choices, potentially improving outcomes for patients in the ongoing PARP inhibitor era.
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Objective: We aimed to investigate the oncologic outcomes of patients with endometrial cancer who underwent sentinel lymph node (SLN) biopsy without ultrastaging compared with that of those who underwent lymphadenectomy (LND).

Methods: Patients with endometrial cancer who underwent staging with SLN biopsy or LND during 2006 - 2021 were analyzed using propensity score matching (PSM). SLN metastasis was examined using hematoxylin and eosin staining, without ultrastaging.

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Objective: To evaluate the landscape of gene alterations and immunohistochemistry (IHC) profiles of patients with ovarian cancer for targeted therapy and investigate the real-world experience of applying precision medicine.

Methods: Patients diagnosed with ovarian cancer between January 2015 and May 2021 at Severance Hospital and who underwent tumor next-generation sequencing (NGS) were reviewed. Data on germline mutation, IHC markers for mismatch repair deficiency (MMRd), programmed death ligand 1 (PD-L1) expression, and human epidermal growth factor receptor 2 (HER2) expression were acquired.

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Pancreatic cancer is one of the most aggressive forms of cancer and is the seventh leading cause of cancer deaths worldwide. Pancreatic ductal adenocarcinoma (PDAC) accounts for over 90% of pancreatic cancers. Most pancreatic cancers are recalcitrant to radiation, chemotherapy, and immunotherapy, highlighting the urgent need for novel treatment options for this deadly disease.

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Objectives: This study aimed to investigate whether performing [F]fluorodeoxyglucose ([F]FDG) positron emission tomography/computed tomography (PET/CT) in the prone position could reduce [F]FDG uptake in dependent lungs.

Methods: Patients who underwent [F]FDG PET/CT in both supine and prone positions from October 2018 to September 2021 were reviewed retrospectively. [F]FDG uptake of dependent and nondependent lungs was analysed visually and semi-quantitatively.

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Purpose: This study aimed to investigate genomic and immunohistochemical (IHC) profiles and immunotherapy outcomes in patients with cervical cancer.

Methods: Patients with recurrent cervical cancer who underwent tumor next-generation sequencing (NGS) with the TruSight Oncology 500 panel at Yonsei Cancer Center between June 2019 and February 2022, were identified. Patients who received treatment with checkpoint inhibitors during the same period were also identified.

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Glioblastoma multiforme (GBM) is a major aggressive primary brain tumor with dismal survival outcome and few therapeutic options. Although Temozolomide (TMZ) is a part of the standard therapy, over time, it can cause DNA damage leading to deleterious effects, necessitating the discovery of drugs with minimal side effects. To this end, we investigated the effect of cinnamaldehyde (CA), a highly purified, single ingredient from cinnamon, on the GBM cell lines U87 and U251 and the neuroglioma cell line H4.

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Purpose: Patient-specific molecular alterations leading to PARP inhibitor (PARPi) resistance are relatively unexplored. In this study, we analyzed serially collected circulating tumor DNA (ctDNA) from patients with BRCA1/2 mutations who received PARPis to investigate the resistance mechanisms and their significance in postprogression treatment response and survival.

Experimental Design: Patients were prospectively enrolled between January 2018 and December 2021 (NCT05458973).

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In this study, we investigated the impact of uterine manipulation on endometrial cancer survival outcomes. We analyzed patients with endometrial cancer who underwent robot-assisted staging and open staging surgery between 2010 and 2020. Either uterine manipulators or vaginal tubes were utilized in robot-assisted staging.

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Objective: The RAD51 assay is a recently developed functional assay for homologous recombination deficiency (HRD) that reflects real-time HRD status. We aimed to identify the applicability and predictive value of RAD51 immunohistochemical expression in pre- and post-neoadjuvant chemotherapy (NAC) samples of ovarian high-grade serous carcinoma (HGSC).

Methods: We evaluated the immunohistochemical expression of RAD51/geminin/γH2AX in ovarian HGSC before and after NAC.

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An epidermoid cyst is a benign tumor found anywhere in the body. However, the occurrence of epidermoid cysts in the thymus is extremely rare, with only six cases reported worldwide. The correct diagnosis of thymic epidermoid cysts is often difficult due to the unusual location and nonspecific imaging findings.

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Inexpensive yet sensitive and specific biomarker detection is a critical bottleneck in diagnostics, monitoring, and surveillance of infectious diseases such as COVID-19. Multiplexed detection of several biomarkers can achieve wider diagnostic applicability, accuracy, and ease-of-use, while reducing cost. Current biomarker detection methods often use enzyme-linked immunosorbent assays (ELISA) with optical detection which offers high sensitivity and specificity.

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Purpose: Cervical smear samples are easily obtainable and may effectively reflect the tumor microenvironment in gynecological cancers. Therefore, we investigated the feasibility of genomic profiling based on tumor DNA analysis from cervical smear samples from endometrial cancer patients.

Materials And Methods: Preoperative cervical smear samples were obtained vaginal sampling in 50 patients, including 39 with endometrial cancer and 11 with benign uterine disease.

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Endometrial cancer is the second most common gynecological malignancy worldwide, with an overall favorable prognosis. However, a subgroup of patients has a high risk of recurrence and poor prognosis. This review summarizes recently published articles that examined sentinel lymph node (SLN) biopsy in patients with high-risk endometrial cancer.

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