Publications by authors named "Yu Sun Lee"

Background: Oxaliplatin is a commonly used platinum-based chemotherapy drug for patients with pancreatic cancer (PC). Drug resistance is a major challenge in PC treatment, underscoring the urgent need for new approaches. Targeting DNA damage repair, one of the factors responsible for platinum resistance, is an attractive strategy to overcome drug resistance.

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Zika virus (ZIKV) infection is primarily transmitted by mosquitoes and often asymptomatic in most individuals. Infection during pregnancy can lead to severe birth defects such as congenital microcephaly, and currently, there is no approved vaccine for ZIKV. Several studies are investigating the development of ZIKV vaccine using DNA and RNA as well as recombinant protein technologies; however, the outcomes thus far have not been consistently noteworthy.

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Article Synopsis
  • The study investigates the effects of COVID-19 mRNA vaccines on mice with chronic inflammatory conditions, especially their cardiac toxicity and immune response based on the administration route.
  • Results showed that intravenous (IV) mRNA vaccination can worsen heart conditions like pericarditis and myocarditis, leading to increased inflammation and damage, particularly in mice with existing chronic inflammation.
  • The findings emphasize the importance of more research to understand how mRNA vaccines interact with chronic inflammatory conditions, particularly focusing on the impact of different injection methods.
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  • mRNA vaccines have changed vaccinology since the COVID-19 pandemic, and lipid nanoparticles (LNPs) are important for improving mRNA delivery, but their current design needs improvement.
  • Researchers are using machine learning to analyze 213 different LNPs, using various features to predict how well they can deliver mRNA after being injected into mice.
  • Findings indicate that phenol is key for mRNA encapsulation, and factors like phospholipid types, N/P ratios, and carbon chain lengths significantly affect the efficiency and stability of LNPs, providing a new framework for optimizing mRNA delivery systems.
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The rapid development of messenger RNA (mRNA) vaccines formulated with lipid nanoparticles (LNPs) has contributed to control of the COVID-19 pandemic. However, mRNA vaccines have raised concerns about their potential toxicity and clinical safety, including side effects, such as myocarditis, anaphylaxis, and pericarditis. In this study, we investigated the potential of trehalose glycolipids-containing LNP (LNP S050L) to reduce the risks associated with ionizable lipids.

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Article Synopsis
  • The study examines how mRNA vaccines affect individuals with chronic inflammatory diseases (like myocarditis, rheumatoid arthritis, and inflammatory bowel disease) using a mouse model with chronic inflammation.
  • Results showed that mRNA vaccines increased cardiac damage and mild heart inflammation, along with significant muscle damage, although the vaccination site and overall immune responses were less impacted.
  • The findings highlight the need to consider the safety and effectiveness of mRNA vaccines for people with chronic inflammatory conditions, as they may experience different toxicities and immune responses.
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Pancreatic ductal adenocarcinoma (PDAC) has a dismal prognosis due to the absence of diagnostic markers and molecular targets. Here, we took an unconventional approach to identify new molecular targets for pancreatic cancer. We chose uncharacterized protein evidence level 1 without function annotation from extensive proteomic research on pancreatic cancer and focused on proline and serine-rich 2 (PROSER2), which ranked high in the cell membrane and cytoplasm.

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  • The study focuses on the E6 and E7 proteins of HPV types 16 and 18, which are linked to cervical cancer, and explores the antitumor effects of a messenger RNA-HPV therapeutic vaccine (mHTV) designed with harmless versions of these proteins.
  • Mice injected with mHTV showed strong immune responses and significantly slowed tumor growth, demonstrating effective treatment in both subcutaneous and orthotopic transplant models.
  • Promising immune responses were also observed in rhesus monkeys, indicating potential for mHTV's clinical use in preventing and treating HPV-related cancers in humans.
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Developing new adjuvants that can effectively induce humoral and cellular immune responses while broadening the immune response is of great value. In this study, we aimed to develop single-stranded RNA adjuvants expressing (1) granulocyte monocyte colony-stimulating factor or (2) interleukin 18 based on the encephalomyocarditis virus internal ribosome entry site; we also tested their efficacy in combination with ovalbumin or inactivated influenza vaccines. Notably, cytokine-expressing RNA adjuvants increased the expression of antigen-presenting cell activation markers in mice.

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Severe fever with thrombocytopenia syndrome virus was first discovered in 2009 as the causative agent of severe fever with thrombocytopenia syndrome. Despite its potential threat to public health, no prophylactic vaccine is yet available. This study developed a heterologous prime-boost strategy comprising priming with recombinant replication-deficient human adenovirus type 5 (rAd5) expressing the surface glycoprotein, Gn, and boosting with Gn protein.

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Owing to a lack of reliable markers and therapeutic targets, pancreatic ductal adenocarcinoma (PDAC) remains the most lethal malignant tumor despite numerous therapeutic advances. In this study, we utilized cell-SELEX to isolate a DNA aptamer recognizing the natural conformation of the target on the cell surface. PAp7T8, an aptamer optimized by size and chemical modification, exhibited specific targeting to pancreatic cancer cells and orthotopic xenograft pancreatic tumors.

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Background: Adjuvant therapies such as radiation therapy, chemotherapy, and immunotherapy are usually given after cancer surgery to improve the survival of cancer patients. However, despite advances in several adjuvant therapies, they are still limited in the prevention of recurrences.

Methods: We evaluated the immunological effects of RNA-based adjuvants in a murine melanoma model.

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Article Synopsis
  • - New research focuses on using adjuvants to improve vaccine effectiveness, with aluminum hydroxide (alum) being the most common but mainly triggering a weaker Th1 immune response.
  • - A novel single-stranded ribose nucleic acid (ssRNA) adjuvant was developed to better stimulate the Th1 response, and tests were conducted with a 10-valent HPV-like particle (VLP) vaccine using both ssRNA and alum.
  • - Results showed that the combined ssRNA and alum formulation significantly enhanced the immune response, improving antibody levels and T cell activation, while also inducing robust memory responses, indicating potential for boosting vaccine efficacy.
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Background/aim: Invasive papillary cholangio-carcinoma (IPC) is a minor subtype of extrahepatic cholangiocarcinoma. However, its etiology and characteristics remain unknown because of the unavailability of in vitro and in vivo models. We aimed to establish a novel preclinical model for translational research of IPC.

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The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants that escape vaccine-induced neutralizing antibodies has indicated the importance of T cell responses against this virus. In this study, we highlight the SARS-CoV-2 epitopes that induce potent T cell responses and discuss whether T cell responses alone are adequate to confer protection against SARS-CoV-2 and describe the administration of 20 peptides with an RNA adjuvant in mice. The peptides have been synthesized based on SARS-CoV-2 spike and nucleocapsid protein sequences.

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There is an unmet need for new influenza vaccine strategies that compensate for impaired vaccine responses in elderly individuals. Here, we evaluated the effectiveness of a single-stranded RNA (ssRNA) as an adjuvant to enhance the efficacy of inactivated influenza vaccine (IIV) in mouse models. Immunization with the ssRNA along with IIV reduced viral titers as well as pathological and inflammatory scores in the lungs after influenza challenge in aged mice.

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Since the emergence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), various vaccines are being developed, with most vaccine candidates focusing on the viral spike protein. Here, we developed a previously unknown subunit vaccine comprising the receptor binding domain (RBD) of the spike protein fused with the tetanus toxoid epitope P2 (RBD-P2) and tested its efficacy in rodents and nonhuman primates (NHPs). We also investigated whether the SARS-CoV-2 nucleocapsid protein (N) could increase vaccine efficacy.

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The effectiveness of vaccines is enhanced by adding adjuvants. Furthermore, the selection of an inoculation route depends on the type of adjuvant used and is important for achieving optimum vaccine efficacy. We investigated the immunological differences between two types of vaccines-spike protein from the Middle East respiratory syndrome virus and inactivated influenza virus vaccine, in combination with a single-stranded RNA adjuvant-administered through various routes (intramuscular, intradermal, and intranasal) to BALB/c mice.

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Pancreatic ductal adenocarcinoma (PDAC) is the most lethal malignant tumor and more than 50% patients are diagnosed at metastatic stage. The preclinical model systems that reflect the genetic heterogeneity of metastatic tumors are urgently needed to guide optimal treatment. This study describes the development of patient-derived preclinical platform using very small sized-percutaneous liver gun biopsy (PLB) of metastatic pancreatic cancer, based on patient-derived xenograft (PDX)-mediated tissue amplification and subsequent organoid generation.

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Despite expressing high levels of the epidermal growth factor receptor (EGFR), a majority of oral squamous cell carcinoma (OSCC) patients show limited response to cetuximab and ultimately develop drug resistance. However, mechanism underlying cetuximab resistance in OSCC is not clearly understood. Here, using a mouse orthotopic xenograft model of OSCC, we show that bone morphogenic protein-7-phosphorylated Smad-1, -5, -8 (BMP7-p-Smad1/5/8) signaling contributes to cetuximab resistance.

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Recently, it is reported that intervention of oral nutritional supplement improves the nutritional status of cancer patients, and the effectiveness is affected by the sensory preference of cancer patients on the oral nutritional supplement. However, the variety of oral nutritional supplement is extremely limited and the number of patient's benefits from using the products are restricted mostly due to sensory dislikes. The objective of this study was to provide sensory preference score of trial manufactured products with different accessory ingredients to maximize the use of oral nutritional supplements.

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Background: Even with early stage hepatocellular carcinoma (HCC), patients are often ineligible for surgical resection, transplantation, or local ablation due to advanced cirrhosis, donor shortage, or difficult location. Stereotactic body radiation therapy (SBRT) has been established as a standard treatment option for patients with stage I lung cancer, who are not eligible for surgery, and may be a promising alternative treatment for patients with small HCC who are not eligible for curative treatment.

Materials And Methods: A registry database of 93 patients who were treated with SBRT for HCC between 2007 and 2009 was analyzed.

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Background: To evaluate the utility of the preoperative PET-CT using deformable image registration (DIR) in the treatment of patients with locally advanced breast cancer and to find appropriate radiotherapy technique for further adequate treatment of axillary nodal area.

Methods: Sixty-five breast cancer patients who had level II, III axillary or supraclavicular lymph node metastasis on ¹⁸F-FDG PET-CT and received postoperative radiotherapy after modified radical mastectomy were enrolled. One radiation oncologist contoured normal organs (axillary vessels, clavicular head, coracoids process and humeral head) and involved lymph nodes on PET-CT and simulation CT slices.

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Background: The relationship between biochemical aspirin resistance (AR) and functional outcome of acute ischemic stroke is uncertain.

Methods: Prospectively, 269 patients with acute ischemic stroke were recruited. Their responsiveness to aspirin was evaluated by platelet function analyzer (PFA-100).

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