Publications by authors named "Young Ah Lee"

Purpose: Few data on the clinical course after levothyroxine (L-T4) discontinuation in pediatric patients with Hashimoto thyroiditis (HT) are available. We investigated outcomes and predictors for successful withdrawal from L-T4 among children with HT.

Methods: Among 168 patients diagnosed with HT between January 2000 and March 2021 at Seoul National University Children's Hospital and in whom L-T4 therapy was initiated during childhood, we attempted to discontinue this therapy in 47, 3 boys and 44 girls.

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  • - The study focuses on twin pregnancies resulted from assisted reproductive technology, especially in older women, highlighting their higher risk of chemical exposure to per- and polyfluoroalkyl substances (PFAS), which can affect fetuses.
  • - Researchers analyzed PFAS levels in 78 maternal and 156 cord serum samples, finding higher PFAS concentrations in mothers, while certain chemicals were more prevalent in newborns, suggesting uneven exposure during pregnancy.
  • - Results showed that while twin pregnancies don't change PFAS exposure levels or transfer efficiency compared to singletons, maternal PFAS levels were linked to complications and varied cord levels in twins, indicating a need for more research on potential health impacts.
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  • A study examined how early life exposure to fine particulate matter (PM) and nitrogen dioxide (NO) affects thyroid function in children, focusing on their levels of thyrotropin, triiodothyronine, and free thyroxine.
  • Results indicated that increases in PM exposure during the first trimester were linked to lower thyrotropin levels in children at ages 4 and 6.
  • Conversely, childhood PM exposure was positively associated with higher thyrotropin levels at ages 4 and 6 and negatively related to free thyroxine levels at age 8, suggesting the importance of timing in understanding these effects.
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  • The study investigates how exposure to endocrine-disrupting chemicals (EDCs) during pregnancy and childhood affects early breast development (thelarche) in girls, specifically before age 8.
  • Researchers analyzed data from 211 girls, focusing on chemicals like cadmium, lead, mercury, bisphenol-A (BPA), and others from prenatal samples and assessed breast development through Tanner staging.
  • Results revealed that higher prenatal exposure to cadmium increased the likelihood of early thelarche, while prenatal exposure to BPA appeared to lower this risk; however, no significant associations were found with chemical exposures at age 8.
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We previously reported that leukotriene B4 (LTB4) contained in Trichomonas vaginalis-derived secretory products (TvSP) play an essential role in interleukin-8 (IL-8) production in human mast cell line (HMC-1 cells) via LTB4 receptor (BLT)-mediated Nuclear Factor-kappa B (NF-кB) activation. Dynamin, a GTPase, has been known to be involved in endocytosis of receptors for signaling of production of cytokine or chemokines. In the present study, we investigated the role of dynamin-mediated BLT1 endocytosis in TvSP-induced IL-8 production.

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Trichomoniasis is caused by a sexually transmitted flagellate protozoan parasite Trichomonas vaginalis. T. vaginalis-derived secretory products (TvSP) contain lipid mediators such as leukotriene B4 (LTB4) and various cysteinyl leukotrienes (CysLTs) which included LTC4, LTD4, and LTE4.

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  • - This study explored how exposure to air pollution during pregnancy and early childhood impacts the biological aging of children at six years old using a group of 76 kids from the EDC Cohort.! - Researchers measured various air pollutants based on where the children lived, and they assessed the children's epigenetic age using blood samples and different methylation clocks to quantify age acceleration related to pollution exposure.! - Findings revealed that increased exposure to particulate matter and carbon monoxide was linked to significant epigenetic age acceleration, indicating that air pollution may contribute to earlier biological aging in children even before birth and during their early years.!
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  • A study evaluated the clinical outcomes of pediatric craniopharyngiomas (CRPs) and the importance of anatomical classification, particularly related to the diaphragm sellae, for surgical planning.
  • 132 patients under 18 who underwent surgery for CRPs between 1998 and 2022 were analyzed, categorized by surgical approach: transcranial (TCA), transsphenoidal (TSA), and endoscopic endonasal (EEA).
  • Results showed that TSA was more effective than TCA in specific cases, and after EEA's introduction, more supradiaphragmatic CRPs were treated via TSA. Individualized surgical strategies, including complete tumor removal and adjuvant therapy, significantly improved long
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Objective: This study aimed to assess selenium status in South Korean pregnant women and its impact on maternal thyroid function and pregnancy outcomes.

Methods: 'Ideal Breast Milk (IBM) Cohort Study' included 367 pregnant women out of 442 participants and categorized into three groups based on plasma selenium levels: deficient (< 70 μg/L), suboptimal (70-99 μg/L), and optimal (≥ 100 μg/L). During the second or third trimester, various blood parameters, including selenium, thyroid-stimulating hormone, free T4, free T3, and anti-thyroid peroxidase antibody levels, were measured.

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Background: Familial chylomicronemia syndrome (FCS) is a rare monogenic form of severe hypertriglyceridemia, caused by mutations in genes involved in triglyceride metabolism. Herein, we report the case of a Korean family with familial chylomicronemia syndrome caused by compound heterozygous deletions of glycosylphosphatidylinositol-anchored high-density lipoprotein-binding protein 1 (GPIHBP1).

Case Presentation: A 4-year-old boy was referred for the evaluation of severe hypertriglyceridemia (3734 mg/dL) that was incidentally detected 4 months prior.

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  • Bisphenol S (BPS) and Bisphenol F (BPF), substitutes for the endocrine disruptor Bisphenol A (BPA), were studied for their effects on children's body composition and hormone levels.
  • In a cohort of 561 children aged 6 and 8, higher urinary levels of BPS and BPF were linked to increased BMI, fat mass, and altered serum adipokine levels, specifically lower adiponectin and higher leptin.
  • The study concludes that exposure to BPS and BPF may have negative impacts on children's obesity-related measures, raising concerns over the safety of these BPA substitutes.
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This study investigates the impact of gonadotoxic cancer treatment on treatment-related amenorrhea (TRA) and hormonal status in pediatric and adolescent females who underwent fertility preservation (FP) consultation. A retrospective review was conducted on 143 females under 21 with cancer referred to the FP clinic at Seoul National University Hospital between 2011 and 2022. We analyzed variables, including age, menarche status, cancer type, and treatment.

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Entamoeba histolytica is an enteric tissue-invasive protozoan parasite causing amoebic colitis and liver abscesses in humans. Amoebic contact with host cells activates intracellular signaling pathways that lead to host cell death via generation of caspase-3, calpain, Ca2+ elevation, and reactive oxygen species (ROS). We previously reported that various NADPH oxidases (NOXs) are responsible for ROS-dependent death of various host cells induced by amoeba.

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Objective: Adequate iodine intake is essential for growing children, and thyroid volume (Tvol) is considered as an indicator of iodine status. We investigated Tvol and goiter using ultrasonography (US) and their association with iodine status in 228 6-year-old children living in Korea.

Methods: Iodine status was assessed using urine iodine concentration (UIC) and categorized as deficient (<100 μg/L), adequate (100-299 μg/L), mild excess (300-499 μg/L), moderate excess (500-999 μg/L), and severe excess (≥1000 μg/L).

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Objective: Rathke's cleft cyst (RCC) is the most commonly encountered pituitary incidentaloma in children. Because RCC is not frequently diagnosed in children, there are few reports on pediatric RCCs. The natural course of the disease and appropriate treatments are still obscure.

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Objectives: Adult patients with classic congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency have an increased risk of metabolic diseases. We aimed to investigate whether liquid chromatography-mass spectrometry (LC-MS)-based serum steroid profiling reveals metabolic phenotypes in adults with classic CAH.

Design And Methods: This study prospectively enrolled 63 adult patients with CAH and 38 healthy volunteers.

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This paper describes an approach to generate hierarchical wrinkles in two-dimensional (2D) electronic materials with spatial control over adjacent wavelengths. A rigid fluoropolymer mold was used to pattern a sacrificial polymer skin layer on monolayer graphene, molybdenum disulfide, and hexagonal boron nitride on prestrained thermoplastic sheets. Strain relief and removal of the polymer layer resulted in 2D-material wrinkles whose wavelengths scaled linearly with the local skin thickness.

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There is evidence that exposure to perfluoroalkyl substances (PFAS) is associated with attention-deficit/hyperactivity disorder (ADHD) symptoms. Previous studies have focused on prenatal exposure to PFAS, and only few studies have examined the associations of early-childhood exposure, especially at low exposure levels. This study explored the association between early-childhood exposure to PFAS and ADHD symptoms later in childhood.

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  • Iodine is vital for child development, and both iodine deficiency and excess can lead to thyroid issues, prompting a study on Korean children aged 6 to assess their iodine levels and thyroid function.
  • The research examined 439 children and found that 73.8% had excessive iodine levels, with a notable number suffering from low thyroid hormone levels associated with this excess.
  • The study concluded that while most children had higher iodine intake, it might negatively impact their thyroid health, highlighting the importance of balanced iodine consumption.
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Background: This study investigated the relationship between fibroblast growth factor 21 (FGF21) levels and growth in children with growth hormone deficiency (GHD) and idiopathic short stature (ISS), and the effects of the FGF21 level on response to growth hormone (GH) treatment.

Methods: We included 171 pre-pubertal children with a GHD (n = 54), ISS (n = 46), and normal height (n = 71). Fasting FGF21 levels were measured at baseline and every 6 months during GH treatment.

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Background: Hypochondroplasia is a skeletal dysplasia caused by activating pathologic variants of . The N540K variant accounts for 60-70% of reported cases and is associated with severe manifestations. Here, we analyze the clinical manifestations and outcomes of Korean patients with hypochondroplasia harboring the N540K variant.

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  • The study explored the relationship between 25-hydroxyvitamin D (25OHD) levels and type 1 diabetes (T1DM), focusing on vitamin D deficiency potentially contributing to T1DM and diabetic ketoacidosis (DKA).
  • It involved 84 T1DM patients and matched healthy controls, measuring total, free, and bioavailable 25OHD using advanced laboratory techniques.
  • The results indicated that T1DM patients had lower total and vitamin D binding protein (VDBP) levels but higher free 25OHD levels compared to controls, and those with DKA had significantly lower bioavailable 25OHD levels, correlating with increased severity of acidosis.
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