Publications by authors named "Young J Park"

Deletion of the long q arm of chromosome 22 (22qDEL) is the most frequently identified recurrent somatic copy number alteration (SCNA) observed in papillary thyroid carcinoma (PTC). Since its role in PTC is not fully understood, we conducted a pooled analysis of genomic characteristics and clinical correlates in 1094 primary tumors from four published PTC genomic studies. The majority of PTC with 22qDEL exhibited arm-level loss of heterozygosity (86%); nearly all PTC with 22qDEL had losses in 22q12 and 13, which together constitute 70% of the q arm.

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Several toxic metals have been associated with metabolic diseases like obesity and diabetes mellitus (DM) in humans. However, knowledge regarding the influence of many trace elements, especially in combination with essential elements is limited. This study aims to address this research gap by investigating the associations of both non-essential and essential inorganic trace elements in urine with DM and obesity, employing a group of postmenopausal women (n = 851) from the Korean Genome and Epidemiology Study (KoGES) cohort.

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Background: The Orsiro and Genoss DES stents are biodegradable polymer drug-eluting stents (DESs) with ultrathin struts.

Objective: To investigate the safety and efficacy of these two ultrathin DESs in real-world practice.

Methods: From a single-center prospective registry, we included 751 and 931 patients treated with the Genoss DES and Orsiro stents, respectively.

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Objective: Active surveillance (AS) has emerged as a viable alternative to immediate surgery for low-risk thyroid cancer. However, several barriers still hinder its widespread adoption and implementation by physicians.

Methods: In 2024, an email survey was conducted among members of the Korea Thyroid Association to assess their perspectives on AS.

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Several studies have revealed a possible association between antibiotic use and breast cancer in the Western population of women. However, its association with the Asian population remains unclear. Data utilized in this nationwide population-based retrospective cohort study was obtained from the Korean National Health Insurance Service (NHIS) database.

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Various combination therapies have been investigated to overcome the limitations of using immune checkpoint inhibitors. However, determining the optimal combination therapy remains challenging. To overcome the therapeutical limitation, we conducted a translational research to elucidate the mechanisms by which AXL inhibition enhances the anti-tumor effects when combined with anti-PD-1 antibody therapy.

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Background/aim: Accumulated evidence indicates that interactions among various stromal cells within the tumor microenvironment (TME) significantly influence cancer progression. Oral cancers not diagnosed at early stages are associated with low five-year survival rates, highlighting the need for substantial improvements in patient outcomes. Understanding the interactions between cancer cells and the tumor microenvironment is crucial for identifying methods and developing treatment strategies that more effectively inhibit tumor progression and metastasis.

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Background: Left bundle branch area pacing (LBBAP) has gained increased adoption globally with the use of both lumenless leads (LLLs) and stylet-driven leads (SDLs). As these leads have been developed for conventional endocardial pacing sites, concerns remain regarding the lead integrity with LBBAP.

Objectives: This study evaluates lead integrity of pacing leads used for LBBAP in a large, real-world cohort of patients with LBBAP.

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Background And Objectives: Recent studies have suggested that antibiotics could be a contributing factor to Parkinson disease (PD), but validation in other population cohorts, such as Asians, is needed. This study examined the association between exposure to antibiotics and PD risk in the Korean population.

Methods: Using the National Health Insurance Service (NHIS) database, this population-level cohort research study from Korea included 298,379 people aged 40 years and older who underwent a national health examination in 2004-2005.

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Article Synopsis
  • This study explores using human mesenchymal stem cells (hMSCs) transformed into glia-like cells (ghMSCs) to improve recovery after ischemic strokes, which cause brain damage.
  • Transcriptome analysis shows that ghMSCs behave like astrocytes and demonstrate better protective and regenerative qualities against brain injury than regular hMSCs.
  • In rat models, transplanting ghMSCs improved behavioral function and reduced brain damage, with their effectiveness linked to CXCR2 signaling, suggesting a potential therapy for stroke recovery by promoting neuroplasticity.
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Backgruound: Medullary thyroid carcinoma (MTC) has a poorer prognosis than differentiated thyroid cancers; however, comprehensive data on the long-term outcomes of MTC remain scarce. This study investigated the extended clinical outcomes of MTC and aimed to identify prognostic factors.

Methods: Patients diagnosed with MTC between 1980 and 2020 were retrospectively reviewed.

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Background: The tall cell variant of papillary thyroid cancer generally has a worse prognosis compared with the classical variant. Thyroid GuidePx is a genomic classifier capable of classifying papillary thyroid cancer into 3 molecular subtypes using fine-needle aspirate. Type 1 and 2 have low recurrence rates, particularly in early tumors (1-4 cm and N0).

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Exposure to persistent organic pollutants (POPs) has been reported as a potential risk factor for diabetes in adults. However, effect modifications by sex and age, especially among Asian populations, have seldom been investigated. In the present study, we assessed associations of major POPs exposure including organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), and polybrominated diphenyl ethers (PBDEs), with diabetes in Korean adults ( = 1,295), a subset of the Korean National Environmental Health Survey (KoNEHS) Cycle 3 (2015-2017).

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Background: Renal function deterioration during systemic therapy in patients with metastatic renal cell carcinoma (mRCC) is a long-term concern in treatment planning. Although hypertension (HTN) and diabetes mellitus (DM) are the most common factors that affect chronic kidney disease (CKD) development and progression, their impact on renal function during targeted therapy is unclear. This study investigated whether DM and HTN were associated with a decline in renal function during first-line targeted therapy for mRCC.

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Backgruound: We explored the utility of a small multi-gene DNA panel for assessing molecular profiles of thyroid nodules and influencing clinical decisions by comparing outcomes between tested and untested nodules.

Methods: Between April 2022 and May 2023, we prospectively performed fine-needle aspiration (FNA) with gene testing via DNA panel of 11 genes (BRAF, RAS [NRAS, HRAS, KRAS], EZH1, DICER1, EIF1AX, PTEN, TP53, PIK3CA, TERT promoter) in 278 consecutive nodules (panel group). Propensity score-matching (1:1) was performed with 475 nodules that consecutively underwent FNA without gene testing between January 2021 and December 2021 (control group).

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Article Synopsis
  • - The K-REDEFINE study examined Heart Rate Turbulence (HRT) and T-wave alternans (TWA) as potential markers for predicting serious heart conditions in South Korean patients with acute myocardial infarction (MI) or heart failure (HF).
  • - The results showed that abnormal HRT was a strong predictor of adverse cardiac events, including cardiac death and hospitalizations due to heart failure, with a particularly high predictive value when combined with a reduced ejection fraction.
  • - In contrast, abnormal TWA was only associated with the overall risk of cardiac events and did not show as strong a predictive capability as HRT in this study.
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Article Synopsis
  • * Significant associations were found with three specific single nucleotide polymorphisms (SNPs), with two SNPs (rs1916762 and rs7587019) confirmed to affect choroidal thickness, while one (rs13320098) did not show consistent results.
  • * The gene FAM124B, located near the identified SNPs, was found to be crucial as its expression in endothelial cells correlated with changes in vascular health, suggesting it plays a role in subfoveal choroidal thickness in aging
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Article Synopsis
  • Scientists looked at how using antibiotics for a long time might affect heart health in people with a liver problem called MASLD.
  • They found that people with MASLD who took antibiotics for more than 90 days had a higher risk of heart disease compared to those who didn't use antibiotics.
  • The study suggests that using antibiotics could lead to more heart issues in MASLD patients, and more research is needed to understand this better.
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Objectives: Certain studies propose that antibiotic use may influence rheumatoid arthritis (RA) incidence, but the clear association between antibiotics and RA remains unclear. Therefore, this study aimed to examine the relationship between antibiotics and RA risk to provide additional epidemiological evidence.

Methods: This population-based retrospective cohort study was conducted with adults aged 40 years or older using the Korean National Health Insurance Service (NHIS) database.

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Background: Thrombus aspiration (TA) is used to decrease large thrombus burden (LTB), but it can cause distal embolization.

Objectives: The aim of this study was to investigate the impact of TA failure on defective myocardial perfusion in patients with ST-segment elevation myocardial infarction (STEMI) and LTB.

Methods: In total, 812 consecutive patients with STEMI and LTB (thrombus grade ≥3) were enrolled, who underwent manual TA during the primary percutaneous coronary intervention.

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Nuclear protein in testis (NUT) carcinoma is a rare but highly aggressive tumor characterized by translocation of the gene. To date, only about 20 NUT carcinomas arising from the thyroid have been reported in the literature, with the majority showing immunohistochemical markers indicative of squamous differentiation. We present a 29-year-old man with NUT carcinoma arising from thyroid follicular cells.

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Bioactive lipids like sphingosine-1-phosphate (S1P) and lysophosphatidic acid have gained significant attention as signaling molecules with regulatory roles in stem cell proliferation and differentiation. The novel chemically synthesized sphingosine metabolite O-cyclic phytosphingosine-1-phosphate (cP1P) is derived from phytosphingosine-1-phosphate (P1P) and shares structural similarities with S1P. Previously, the role of cP1P in regulating ALK3/BMPR signaling during cardiomyocyte differentiation from human embryonic stem cells (hESCs) was demonstrated.

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Article Synopsis
  • - The study examines how cosmetic physicians in Korea use polynucleotide injections to treat enlarged facial pores and their perceived effectiveness of this treatment.
  • - A survey targeted at clinicians showed that a large majority (75.7% to 87.7%) utilized polynucleotides for various causes of enlarged pores, with over 76% finding them "very effective" or "effective."
  • - The findings underline the popularity and positive reception of polynucleotide treatments among practitioners, often combined with other therapies like microneedle radiofrequency and botulinum toxin.
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Article Synopsis
  • - This study investigates ultrasound-guided radiofrequency ablation (RFA) as a safe and effective alternative to surgery for managing low-risk papillary thyroid microcarcinomas (PTMC) in younger patients who prefer active surveillance.
  • - Conducted from 2018 to 2021, the trial included 100 patients with a median age of 42, revealing a high technical success rate, with 95.9% of ablative procedures leading to complete tumor disappearance and a low disease progression rate of 3.1% after a median follow-up of 30 months.
  • - Quality of life (QoL) measurements showed significant improvement in psychological and social aspects without negatively impacting physical QoL, suggesting RFA could
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Unlabelled: This population-based retrospective cohort study aimed to estimate the association between antibiotic exposure and osteoporotic fracture risk. Long-term antibiotic use was associated with the risk of osteoporotic fracture. An increase in the number of antibiotic classes prescribed may also be associated with an increased osteoporotic fracture risk.

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