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1.
Angew Chem Int Ed Engl ; 63(15): e202400270, 2024 Apr 08.
Article in English | MEDLINE | ID: mdl-38302694

ABSTRACT

Current transition alumina catalysts require the presence of significant amounts of toxic, environmentally deleterious dopants for their stabilization. Herein, we report a simple and novel strategy to engineer transition aluminas to withstand aging temperatures up to 1200 °C without inducing the transformation to low-surface-area α-Al2O3 and without requiring dopants. By judiciously optimizing the abundance of dominant facets and the interparticle distance, we can control the temperature of the phase transformation from θ-Al2O3 to α-Al2O3 and the specific surface sites on the latter. These specific surface sites provide favorable interactions with supported metal catalysts, leading to improved metal dispersion and greatly enhanced catalytic activity for hydrocarbon oxidation. The results presented herein not only provide molecular-level insights into the critical factors causing deactivation and phase transformation of aluminas but also pave the way for the development of catalysts with improved activity for catalytic hydrocarbon oxidation.

2.
ACS Appl Mater Interfaces ; 15(1): 1410-1417, 2023 Jan 11.
Article in English | MEDLINE | ID: mdl-36574291

ABSTRACT

Metal-organic frameworks have developed into a formidable heterogeneous catalysis platform in recent years. It is well established that thermolysis of coordinated solvents from MOF nodes can render highly reactive, coordinatively unsaturated metal complexes which are stabilized via site isolation and serve as active sites in catalysis. Such approaches are limited to frameworks featuring solvated transition-metal complexes and must be stable toward the formation of "permanent" open metal sites. Herein, we exploit the hemilability of metal-carboxylate bonds to generate transient open metal sites in an In(III) MOF, pertinent to In-centered catalysis. The transient open metal sites catalyze the Strecker reaction over multiple cycles without loss of activity or crystallinity. We employ computational and spectroscopic methods to confirm the formation of open metal sites via transient dissociation of In(III)-carboxylate bonds. Furthermore, the amount of transient open metal sites within the material and thus the catalytic performance can be temperature-modulated.

3.
Polymers (Basel) ; 14(24)2022 Dec 16.
Article in English | MEDLINE | ID: mdl-36559894

ABSTRACT

In the use of the medical devices, it is essential to prevent the attachment of bacteria to the device surface or to kill the attached bacteria. To kill bacteria, many researchers have used antibiotics or studied nanostructure-based antibacterial surfaces, which rely on mechanical antibacterial methods. Several polymers are widely used for device fabrication, one of which is polycaprolactone (PCL). PCL is biocompatible, biodegradable, easy to fabricate using 3D printing, relatively inexpensive and its quality is easily controlled; therefore, there are various approaches to its use in bio-applications. In addition, it is an FDA-approved material, so it is often used as an implantable material in the human body. However, PCL has no inherent antibacterial function, so it is necessary to develop antibacterial functions in scaffold or film-based PCL medical devices. In this study, process parameters for nanopillar fabrication were established through a simple thermal imprinting method with PCL. Finally, a PCL film with a flexible and transparent nanopillar structure was produced, and the mechano-bactericidal potential was demonstrated using only one PCL material. PCL with nanopillars showed bactericidal ability against Escherichia coli (E. coli) and Bacillus subtilis (B. subtilis) bacteria cultured on its surface that resulted in membrane damage and death due to contact with nanopillars. Additionally, bacteriostatic results were shown to inhibit bacterial growth and activity of Staphylococcus aureus (S. aureus) on PCL nanostructured columns. The fabricated nanopillar structure has confirmed that mechanically induced antibacterial function and can be applied to implantable medical devices.

4.
Materials (Basel) ; 15(11)2022 May 28.
Article in English | MEDLINE | ID: mdl-35683157

ABSTRACT

The development of an efficient and economic catalyst with high catalytic performance is always challenging. In this study, we report the synthesis of hollow CeO2 nanostructures and the crystallinity control of a CeO2 layer used as a support material for a CuO-CeO2 catalyst in CO oxidation. The hollow CeO2 nanostructures were synthesized using a simple hydrothermal method. The crystallinity of the hollow CeO2 shell layer was controlled through thermal treatment at various temperatures. The crystallinity of hollow CeO2 was enhanced by increasing the calcination temperature, but both porosity and surface area decreased, showing an opposite trend to that of crystallinity. The crystallinity of hollow CeO2 significantly influenced both the characteristics and the catalytic performance of the corresponding hollow CuO-CeO2 (H-Cu-CeO2) catalysts. The degree of oxygen vacancy significantly decreased with the calcination temperature. H-Cu-CeO2 (HT), which presented the lowest CeO2 crystallinity, not only had a high degree of oxygen vacancy but also showed well-dispersed CuO species, while H-Cu-CeO2 (800), with well-developed crystallinity, showed low CuO dispersion. The H-Cu-CeO2 (HT) catalyst exhibited significantly enhanced catalytic activity and stability. In this study, we systemically analyzed the characteristics and catalyst performance of hollow CeO2 samples and the corresponding hollow CuO-CeO2 catalysts.

5.
Materials (Basel) ; 13(6)2020 Mar 18.
Article in English | MEDLINE | ID: mdl-32197526

ABSTRACT

It is of great importance to remove toxic gases by efficient methods for recovering the atmosphere to safe levels. The adsorption of the toxic gas molecules on solid adsorbents is one of the most useful techniques because of its simple operation and economic feasibility. Here, we report the uniform Bead-Shaped Mesoporous Alumina (BSMA) with tunable particle size for use as an adsorbent for removal of toxic ammonia. The BSMA particles with tunable diameters were synthesized by means of a sol-gel reaction of Al(NO3)3∙9H2O as an alumina precursor in the presence of chitosan as a template. When the ammonia solution is added dropwise to the prepared viscose mixture containing chitosan, acetic acid, and the alumina precursor solution, the sol-gel condensation reaction of the alumina precursor occurs in the chitosan polymer metrics, resulting in bead-shaped chitosan-aluminum hydroxide particles. Then, final Bead-Shaped Mesoporous Alumina (BSMA) particles are obtained by calcination at a high temperature. During the synthesis, changing the mole ratio of the chitosan template to the alumina precursor allowed the particle diameter of the final bead sample to be finely controlled. In addition, the prepared BSMA particles have well-developed mesoporous characteristics with relatively large surface areas, which are beneficial for adsorption of gas molecules. In an ammonia adsorption experiment, the BSMA-1.5 sample, which has the smallest particle diameter among the bead samples, was the best in terms of adsorption capacity. In this manuscript, we systemically discuss the relationship between the characteristics of BSMA samples and their adsorption of ammonia.

6.
PLoS One ; 14(8): e0221065, 2019.
Article in English | MEDLINE | ID: mdl-31404103

ABSTRACT

OBJECTIVE: Research biopsies are an essential component of cancer clinical trials for studying drug efficacy and identifying biomarkers. Site-level clinical investigators, however, do not have access to results on the adequacy of research biopsies for histological or molecular assays, because samples are sent to central labs and the test results are seldom reported back to site-level investigators unless requested. We evaluated the feasibility, safety, and adequacy of research biopsies performed at an academic medical center. MATERIALS AND METHODS: We retrospectively reviewed the data on 122 research biopsy sessions conducted in 99 patients via percutaneous core needle biopsy for 39 clinical trials from January 2017 to February 2018 at a single institute. We asked the sponsors of each clinical trial for the adequacy of the biopsy samples for histological or molecular assays. RESULTS: The biopsy success rate was 93.4% (113/122), with nine samples categorized as inadequate for obtaining pathologic diagnosis. Post-biopsy complications occurred in 9.8% (12/122) of biopsies, all of which were mild and completely recovered by the day after the biopsy. The sponsors of clinical trials provided feedbacks on the adequacy of 76 biopsy samples, and noted that a total of 8 biopsy samples from 7 patients were inadequate for analysis, resulting in an adequacy rate of 89.5% (68/76): the reasons for inadequacy were insufficient tumor content for immunohistochemistry (n = 3) and low RNA yield for sequencing (n = 5). CONCLUSION: Research biopsies performed at an experienced, multidisciplinary center had acceptable safety for patients as well as practicality in terms of obtaining adequate tissue samples for molecular studies.


Subject(s)
Neoplasms/diagnosis , Neoplasms/pathology , Safety , Specimen Handling , Academic Medical Centers , Adult , Aged , Biopsy, Large-Core Needle , Feasibility Studies , Female , Humans , Male , Middle Aged , Retrospective Studies
7.
Invest New Drugs ; 37(4): 796, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30937691

ABSTRACT

The blots of control and docetaxel for caspase-9, caspase-3, caspase-8, Bcl-XL, and tubulin in the Figure 4f were reused from Figure 4 of our previous paper published in Journal of Urology in 2010 ( https://doi.org/10.1016/j.juro.2010.07.035 ).

8.
J Cancer Res Clin Oncol ; 144(8): 1487-1501, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29858683

ABSTRACT

PURPOSE: Although sorafenib enhances overall survival, sorafenib resistance has been reported to be a significant limiting factor for improved prognosis in patients with hepatocellular carcinoma (HCC). Therefore, it is important to identify the mechanism of sorafenib resistance. This study aimed to identify the causative factor of sorafenib resistance and suggest methods for overcoming it. METHODS: The sensitivity to sorafenib was compared in human HCC cell lines and patient-derived HCC primary cells. Based on its cytotoxicity, signaling pathways altered by sorafenib and the causative factors were examined through assays. The mechanism by which sorafenib modified the sorafenib-resistance inducer through gene or protein expression or stability was also investigated. We also designed a treatment option to overcome sorafenib resistance. RESULTS: Sorafenib activated the Raf/MEK/ERK pathway and caused sorafenib resistance in HCC cell lines and patient-derived HCC primary cells. Sorafenib reactivated the MAPK pathway by down-regulating RKIP at the post-translational level. Knockdown of RKIP increased phosphorylated ERK and thus suppressed sorafenib-mediated cell death. We also found that sorafenib-reactivated ERK maybe an attractive target for second-line therapy for patients with sorafenib resistance. Sequential combination treatment with sorafenib and PD98059 significantly reduced the viability and proliferation of sorafenib-resistant cells, while their increasing apoptosis efficacy. CONCLUSION: Reactivation of the Raf/MEK/ERK pathway through aberrant expression of RKIP is one of the mechanisms behind sorafenib resistance in HCC. Sequential combination treatment with sorafenib and PD98059 could provide a new strategy to overcome sorafenib resistance in future clinical studies.


Subject(s)
Carcinoma, Hepatocellular/drug therapy , Carcinoma, Hepatocellular/metabolism , Liver Neoplasms/drug therapy , Liver Neoplasms/metabolism , Niacinamide/analogs & derivatives , Phenylurea Compounds/pharmacology , Phosphatidylethanolamine Binding Protein/biosynthesis , Antineoplastic Agents/pharmacology , Cell Line, Tumor , Down-Regulation , Drug Resistance, Neoplasm , Hep G2 Cells , Humans , MAP Kinase Signaling System/drug effects , Niacinamide/pharmacology , Phosphatidylethanolamine Binding Protein/metabolism , Protein Kinase Inhibitors/pharmacology , Sorafenib , Tumor Cells, Cultured
9.
PLoS One ; 13(5): e0196218, 2018.
Article in English | MEDLINE | ID: mdl-29727456

ABSTRACT

Tenebrio molitor (T. molitor) larvae provide food at low environmental cost and contribute positively to livelihoods. In this research, we compared the amino acids compositions and antioxidant activities of various extracts of T. molitor to enhance their quality as food. For the comparison, distilled water extracts, enzymatic hydrolysates, and condensed enzymatic hydrolysates of T. molitor larvae were prepared. Their amino acids (AAs) profiles and antioxidant activities, including ferric-reducing antioxidant power, oxygen radical absorption capacity, and DPPH, hydroxyl radical, and hydrogen peroxide radical scavenging properties assay were analyzed. DW extracts had the lowest AAs contents and antioxidant activity compared with enzymatic extracts. Condensed hydrolysates with a combination of alcalase and flavourzyme (C-A+F) exhibited the highest levels of total free AAs (11.1759 g/100 g). C-A+F produced higher total hydrolyzed AAs (32.5292 g/100 g) compared with the other groups. The C-A+F possessed the strongest antioxidant activity. Notably, the antioxidant activities of the hydrolysates and the total hydrolyzed AAs amount were correlated. Taken together, our findings showed that C-A+F was a promising technique for obtaining extracts of T. molitor larvae with antioxidant activity as potential nutritious functional food.


Subject(s)
Amino Acids/metabolism , Endopeptidases/metabolism , Free Radical Scavengers/metabolism , Larva/metabolism , Protein Hydrolysates/metabolism , Subtilisins/metabolism , Tenebrio/metabolism , Animals , Hydrolysis , Hydroxyl Radical/metabolism , Larva/growth & development , Lipid Peroxidation , Tenebrio/growth & development
10.
Hum Pathol ; 65: 21-30, 2017 07.
Article in English | MEDLINE | ID: mdl-28188750

ABSTRACT

Tumor budding (TB) in colorectal carcinoma (CRC) is related to epithelial-mesenchymal transition and has been recently characterized as an indicator of poor prognosis along with lymphovascular tumor emboli, perineural invasion, and an infiltrative growth pattern. Mutations in the genes of the Ras-mitogen-activated protein kinase and phosphatidylinositol-4,5-bisphosphate 3-kinase pathways are associated with epithelial-mesenchymal transition and an aggressive CRC phenotype and have been used in patient stratification for anti-epidermal growth factor receptor therapies; however, the impact of these mutations on CRC morphology and behavior remains unclear. In this study, using a multigene panel, we detected KRAS, NRAS, BRAF, PIK3CA, TP53, and POLE mutations in 90 CRCs and investigated their associations with clinicopathological parameters, including TB. Our results showed that 21 of 34 tumors with high-grade TB had KRAS mutations (P=.001) and KRAS G12D and PIK3CA exon 9 variants were significantly associated with high-grade TB (P=.002 and .006, respectively); furthermore, tumors with KRAS mutations in exons 3 and 4 tended to have lymphovascular tumor emboli and perineural invasion (P=.044 and .049, respectively). PIK3CA exon 9 mutations indicated a tendency for shorter disease-free survival (P=.030), whereas BRAF mutations were associated with extracellular mucin deposition (P=.016). Our study revealed a correlation of KRAS mutations with high-grade TB, an association of certain KRAS and PIK3CA variants with aggressive clinicopathological features, as well as a possible relationship between BRAF mutations and mucin production in CRC.


Subject(s)
Adenocarcinoma/genetics , Biomarkers, Tumor/genetics , Class I Phosphatidylinositol 3-Kinases/genetics , Colorectal Neoplasms/genetics , Mutation , Proto-Oncogene Proteins p21(ras)/genetics , Adenocarcinoma/enzymology , Adenocarcinoma/secondary , Adenocarcinoma/surgery , Colorectal Neoplasms/enzymology , Colorectal Neoplasms/pathology , Colorectal Neoplasms/surgery , DNA Mutational Analysis , Disease-Free Survival , Exons , Female , Genetic Predisposition to Disease , Humans , Kaplan-Meier Estimate , Lymphatic Metastasis , Male , Middle Aged , Neoplasm Grading , Neoplasm Invasiveness , Peripheral Nervous System/pathology , Phenotype , Proto-Oncogene Proteins B-raf/genetics , Retrospective Studies , Time Factors , Treatment Outcome
11.
Histopathology ; 69(2): 198-210, 2016 Aug.
Article in English | MEDLINE | ID: mdl-26713412

ABSTRACT

AIMS: The aim of this study was to determine whether human mutL homologue 1 (hMLH1) inactivation precedes the progression of sessile serrated lesion (SSL) into SSL with cytological dysplasia (SSL/D) and to define the histological stage at which promoter methylation and inactivation of hMLH1 occur. METHODS AND RESULTS: Using the MassARRAY EpiTYPER assay and immunohistochemistry, we examined methylation levels and the protein expression status of hMLH1 in 33 SSL/Ds with conventional epithelial dysplasia and compared the results with those of control hyperplastic polyps (HPs) and SSLs. The methylation level of hMLH1 was higher in the dysplastic component than in the non-dysplastic component of SSL/Ds (P = 0.005), and differed significantly with regard to the degree of dysplasia (P = 0.002). The methylation levels of hMLH1 in the dysplastic component of SSL/Ds tended to be higher than those of control SSLs and HPs (P = 0.063 and P = 0.017, respectively). The loss of hMLH1 protein expression was identified in only 13 of 33 (39.39%) dysplastic components of SSL/Ds. CONCLUSION: Promoter methylation and loss of protein expression of hMLH1 are not parallel processes that occur concurrently. hMLH1 methylation is an early molecular event which occurs even in HP. However, the loss of hMLH1 expression is a much later step, found in approximately 40% of SSL/Ds at various histological stages. Notably, the loss of hMLH1 protein expression does not necessarily precede the development of cytological dysplasia in SSL.


Subject(s)
Adenoma/metabolism , Colonic Polyps/metabolism , Colorectal Neoplasms/metabolism , Hyperplasia/metabolism , MutL Protein Homolog 1/metabolism , Promoter Regions, Genetic/genetics , Adenoma/diagnosis , Adenoma/pathology , Adult , Aged , Aged, 80 and over , Colonic Polyps/diagnosis , Colonic Polyps/pathology , Colorectal Neoplasms/diagnosis , Colorectal Neoplasms/pathology , DNA Methylation , Female , Humans , Hyperplasia/diagnosis , Hyperplasia/pathology , Immunohistochemistry , Male , Middle Aged , MutL Protein Homolog 1/genetics
12.
Eur Radiol ; 26(1): 235-43, 2016 Jan.
Article in English | MEDLINE | ID: mdl-25991482

ABSTRACT

OBJECTIVES: To report radiologic findings with histopathologic correlations of humidifier disinfectant-associated children's interstitial lung disease (HD-chILD) and to compare computed tomography (CT) findings between survivors and non-survivors. METHODS: Forty-seven children with HD-chILD (27.4 ± 12.4 months old) were categorized as survivors (n = 25) and non-survivors (n = 22). The patterns, distributions, and chronological changes in lung lesions at follow-up CT were investigated. Histopathologic correlations were performed in 23 patients. RESULTS: CT features were characterized by chronological changes, from consolidation to centrilobular opacities, and lesions eventually became faint centrilobular nodules. Histopathologic features were bronchocentric-distributed fibro-inflammatory lesions, which were more profound in the advanced stage than the early stage. Consolidation ≥ 30 % [hazard ratio (HR), 2.932], centrilobular opacities ≥ 60 % of the total lung volume (TLV; HR, 0.206) and spontaneous air leaks (HR, 3.457) were significant factors associated with patient survival, as per univariate analysis. Consolidation ≥ 30 % (HR, 3.519), centrilobular opacities ≥ 60 % (HR, 0.205) and diffuse ground glass opacity (GGO) ≥ 70 % of the TLV (HR, 3.521) were significant factors associated with patient survival, as determined via multivariate analysis. CONCLUSION: Distinctive chronological CT features were observed in the HD-chILD images. Spontaneous air leaks, consolidation, GGO, and centrilobular opacities were prognostic factors. KEY POINTS: Chemical disinfectants can induce severe inhalation lung injury. Lung injury caused by inhaled disinfectants demonstrates chronologic changes in radiologic findings. Understanding of radiological characteristics is important to predict outcomes in chemical pneumonitis. Physicians should be aware of the potential risk of environmental chemicals.


Subject(s)
Biopsy/methods , Disinfectants/adverse effects , Humidifiers , Lung Diseases, Interstitial/diagnosis , Lung/pathology , Tomography, X-Ray Computed/methods , Child, Preschool , Female , Humans , Infant , Lung/diagnostic imaging , Lung Diseases, Interstitial/chemically induced , Lung Diseases, Interstitial/mortality , Male , Republic of Korea/epidemiology , Retrospective Studies , Survival Rate/trends
14.
Diagn Pathol ; 10: 75, 2015 Jun 20.
Article in English | MEDLINE | ID: mdl-26088907

ABSTRACT

Sessile serrated adenoma/polyps (SSA/Ps) usually appear flat to sessile with a smooth-appearing surface. However, macroscopic appearances of SSA/P can vary from flat-elevated to nodular and can even show a pedunculated configuration as we previously reported. The aim of the current study was to evaluate the clinicopathologic features of another under-recognized form of SSA/P which shows a depressed surface. Among 634 cases of sessile serrated adenoma/polyp, a total of seven sessile serrated adenoma/polyps showing a depressed surface were identified in 6 patients during the review of endoscopic images between January 2013 and November 2013. One of these was found during the review of previous endoscopic images of the same patient. Patients were more often middle-aged to elderly men (83.3%) and had synchronous conventional adenomas and/or SSA/Ps except for one man. The polyps usually occurred in the proximal colon (71.4%) and the mean size of polyps was 9.3 mm (range; 6-13 mm). Most cases (71.4%) were of a flat-elevated type, and the remaining polyps (28.6%) were sessile. The majority of polyps (85.7%) showed a mucus cap. All but one of the cases (85.7%) showed BRAF-V600E mutations. Our findings are that SSA/Ps can show a central depression although such cases are rare. The endoscopic and clinicopathologic features of SSA/Ps showing a depressed surface appear to be similar to usual SSA/Ps except for the presence of a depressed surface and marked male preponderance. Virtual slides: The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1562070886167874 .


Subject(s)
Adenomatous Polyps/pathology , Colonic Neoplasms/pathology , Colonic Polyps/pathology , Adenomatous Polyps/genetics , Adenomatous Polyps/surgery , Adult , Aged , Biopsy , Colectomy , Colonic Neoplasms/genetics , Colonic Neoplasms/surgery , Colonic Polyps/genetics , Colonic Polyps/surgery , Colonoscopy , DNA Mutational Analysis , Female , Humans , Male , Middle Aged , Mutation , Proto-Oncogene Proteins B-raf/genetics , Tumor Burden
15.
Diagn Pathol ; 9: 212, 2014 Nov 25.
Article in English | MEDLINE | ID: mdl-25421018

ABSTRACT

BACKGROUND: Ectopic crypts, defined as abnormally positioned crypts that have lost their orientation toward the muscularis mucosae, have been suggested to be the best defining histologic feature of traditional serrated adenoma (TSA). However, the significance of ectopic crypt formation (ECF) in the distinction between TSA and conventional adenoma (CA) has rarely been studied. METHODS: We designed this study to determine if ECF can be found in CA and its presence is exclusive to TSA. We studied 107 TSAs and 191 CAs including 106 tubular adenomas (TAs), 66 tubulovillous adenomas (TVAs), and 19 villous adenomas (VAs). RESULTS: ECF was identified in most (79.4%) but not all TSAs. Additionally, ECF was not infrequent in CA (62 of 191, 32.5%), and its presence correlated with the presence of a villous component and larger tumor size (each p <0.001). CONCLUSIONS: Based on its strong association with the presence of a villous component and larger tumor size, ECF appears to be involved in the protuberant growth of colorectal CA. Because ECF can be found in CA, particularly in cases with a villous component, the possibility of CA should be considered before making a diagnosis of TSA when encountering colorectal polyps with ECF. VIRTUAL SLIDES: The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_212.


Subject(s)
Aberrant Crypt Foci/pathology , Adenomatous Polyps/pathology , Colonic Polyps/pathology , Aberrant Crypt Foci/genetics , Aberrant Crypt Foci/surgery , Adenomatous Polyps/genetics , Adenomatous Polyps/surgery , Adult , Aged , Aged, 80 and over , Biopsy , Colonic Polyps/genetics , Colonic Polyps/surgery , DNA Mutational Analysis , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Mutation , Predictive Value of Tests , Proto-Oncogene Proteins/genetics , Proto-Oncogene Proteins B-raf/genetics , Proto-Oncogene Proteins p21(ras) , Tumor Burden , ras Proteins/genetics
16.
Mod Pathol ; 27(5): 731-9, 2014 May.
Article in English | MEDLINE | ID: mdl-24186137

ABSTRACT

Intrahepatic cholangiocarcinomas occur mostly in the normal liver but they also arise in chronic advanced liver diseases. However, genetic differences between two groups have yet to be examined. High throughput mass spectrometry-based platform was used to interrogate mutations in intrahepatic cholangiocarcinomas and to compare the mutation profiles between 43 intrahepatic cholangiocarcinomas with normal liver and 38 with chronic advanced liver diseases. Forty seven mutations in 11 genes were identified in 38 of 81 cases (46.9%). The most commonly mutated gene was KRAS (11/81, 13.6%), followed by MLH1 (7/81, 8.6%), NRAS (7/81, 8.6%), GNAS (6/81, 7.4%), and EGFR (6/81, 7.4%). BRAF, APC, PIK3CA, CDKN2A, PTEN, and TP53 mutations were found with less than 5%. Overall mutation rate of intrahepatic cholangiocarcinomas with chronic advanced liver disease (15/38, 39.5%, 95% confidence interval: 23.9-55.0) was lower than that of intrahepatic cholangiocarcinomas with normal liver (23/43, 53.5%, 95% confidence interval: 38.5-68.3). Intrahepatic cholangiocarcinomas with chronic advanced liver disease showed higher EGFR mutation rate (5/38, 13.2% vs 1/43, 2.3%) and lower mutation rates of KRAS (3/38, 7.9% vs 8/43, 18.6%), MLH1 (2/38, 5.3% vs 5/43, 11.6%), and GNAS (1/38, 2.6% vs 5/43, 11.6%), compared with those in intrahepatic cholangiocarcinomas with normal liver. Mutations in PIK3CA, PTEN, CDKN2A, and TP53 were harbored only in intrahepatic cholangiocarcinomas with normal liver. KRAS (P=0.0075) or GNAS mutations (P=0.0256) were associated with poor overall survival in all patients with intrahepatic cholangiocarcinoma. Differential mutation patterns of intrahepatic cholangiocarcinomas with chronic advanced liver disease suggest different cholangiocarcinogenesis depending upon the predisposing factors, and support that different strategy for targeted therapy should be applied in intrahepatic cholangiocarcinoma subtypes.


Subject(s)
Bile Duct Neoplasms/genetics , Cholangiocarcinoma/genetics , Liver Diseases/genetics , Mutation , Adaptor Proteins, Signal Transducing/genetics , Adult , Aged , Bile Duct Neoplasms/pathology , Bile Ducts, Intrahepatic/pathology , Cholangiocarcinoma/pathology , Chromogranins , DNA Mutational Analysis , ErbB Receptors/genetics , Female , GTP Phosphohydrolases/genetics , GTP-Binding Protein alpha Subunits, Gs/genetics , Humans , Liver Diseases/pathology , Male , Mass Spectrometry , Membrane Proteins/genetics , Middle Aged , MutL Protein Homolog 1 , Nuclear Proteins/genetics , Proto-Oncogene Proteins/genetics , Proto-Oncogene Proteins p21(ras) , ras Proteins/genetics
17.
Am J Respir Crit Care Med ; 189(1): 48-56, 2014 Jan 01.
Article in English | MEDLINE | ID: mdl-24199596

ABSTRACT

RATIONALE: Beginning in 2006, epidemics of a fatal lung injury of unknown cause in children were observed in Korea every spring. A recent study demonstrated that this type of children's interstitial lung disease (chILD) is associated with humidifier disinfectant use. OBJECTIVES: To determine the clinical characteristics of this type of chILD and to assess whether the nationwide suspension of humidifier disinfectant sales in the autumn of 2011 affected its incidence. METHODS: The clinical characteristics of suspected cases between 2006 and 2011 were determined by a nationwide retrospective study. The potential causal relationship with humidifier disinfectants was examined by a prospective surveillance study after humidifier disinfectant sales were suspended. MEASUREMENTS AND MAIN RESULTS: In total, 138 children were diagnosed with this type of chILD, which was characterized by rapid progression, high mortality, predominance in the spring season, and a familial tendency. The annual incidence increased in 2011 and then dropped to zero in 2012. The children were on average 30.4 months old. The most frequent symptoms at admission were cough and dyspnea. As the disease progressed, the typical complication was spontaneous air leak. Eighty children (58%) died. Two years after humidifier disinfectant-sale suspension, no more new cases were found. CONCLUSIONS: This study suggests that humidifier disinfectant inhalation causes an idiopathic type of chILD that is characterized by spontaneous air leak, rapid progression, lack of response to treatment, and high mortality. Further safety studies must be performed on common environmental compounds, particularly those that enter the human body by an unusual route.


Subject(s)
Disinfectants/adverse effects , Household Articles , Lung Diseases, Interstitial/chemically induced , Child, Preschool , Epidemics , Female , Humans , Lung/diagnostic imaging , Lung/pathology , Lung Diseases, Interstitial/diagnostic imaging , Lung Diseases, Interstitial/epidemiology , Lung Diseases, Interstitial/mortality , Lung Diseases, Interstitial/pathology , Male , Prospective Studies , Radiography , Republic of Korea/epidemiology , Retrospective Studies , Seasons
18.
Am J Clin Pathol ; 140(6): 898-911, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24225759

ABSTRACT

OBJECTIVES: To investigate the clinicopathologic and endoscopic features of precursor lesions associated with traditional serrated adenomas (TSAs). METHODS: Mutation studies for BRAF, KRAS, PIK3CA, and EGFR and immunohistochemical staining for Ki-67 were performed on 107 TSAs from 104 patients. RESULTS: Nondysplastic hyperplastic polyp (HP) or sessile serrated adenoma/polyp (SSA/P) precursor lesions were found in 56 (52.3%) TSAs, among which 32 (57.1%) cases showed a flat-elevated lesion with a type II pit pattern during endoscopy. TSAs with an SSA/P precursor lesion were usually found in the proximal colon, while TSAs with an HP or with no precursor lesion were mainly located in the distal colon and rectum (P < .001). TSAs with a precursor lesion showed a lower frequency of conventional epithelial dysplasia and KRAS mutation as well as a higher frequency of BRAF mutation compared with those with no precursor lesion (P = .002, P < .001, and P < .001, respectively). CONCLUSIONS: A significant proportion of HP or SSA/P precursor lesions accompanied by TSAs can be detected by endoscopy based on both their flat-elevated growth and type II pit patterns. The heterogeneity of TSAs in terms of clinicopathologic and molecular features correlated with the status or type of precursor lesions.


Subject(s)
Adenoma/pathology , Colorectal Neoplasms/pathology , Precancerous Conditions/pathology , Adenoma/genetics , Adenoma/metabolism , Adult , Aged , Aged, 80 and over , Class I Phosphatidylinositol 3-Kinases , Colonic Polyps/genetics , Colonic Polyps/metabolism , Colonic Polyps/pathology , Colorectal Neoplasms/genetics , Colorectal Neoplasms/metabolism , DNA Mutational Analysis , Endoscopy, Digestive System , ErbB Receptors/genetics , Female , Humans , Immunohistochemistry , Ki-67 Antigen/biosynthesis , Male , Middle Aged , Oligonucleotide Array Sequence Analysis , Phosphatidylinositol 3-Kinases/genetics , Polymerase Chain Reaction , Precancerous Conditions/genetics , Precancerous Conditions/metabolism , Proto-Oncogene Proteins/genetics , Proto-Oncogene Proteins B-raf/genetics , Proto-Oncogene Proteins p21(ras) , ras Proteins/genetics
19.
Histopathology ; 63(6): 833-40, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24024590

ABSTRACT

AIMS: To identify histopathological and immunohistochemical findings that aid diagnosis of metastatic endometrial stromal sarcoma (ESS) in small biopsy specimens of the lung. METHODS AND RESULTS: We reviewed the histology of 46 lung nodules from 10 cases of pulmonary metastatic ESS. Biopsy sections were analysed by immunohistochemistry to highlight blood and lymphatic vasculature, and for expression of CD10 and oestrogen receptor (ER). Various histological changes were identified that could mislead in making a diagnosis on small biopsy samples: haemangiopericytomatous blood vessels (39%), absence of characteristic spiral arteriole-like vasculature (26%), intratumoral cysts formed by dilatation of airways (22%) or intratumoral myxoid change (11%), prominent interstitial collagen deposits (48%), foam cell infiltration (4%) and smooth muscle differentiation (2%). Peribronchial/peribronchiolar distribution of tumour cells with juxtaepithelial growth was a frequent feature, observed in 59% of nodules. In two very small nodules the lesion was barely recognizable histologically; tumour cells were detected only by expression of ER and CD10. CONCLUSIONS: Combined staining for ER and CD10 can be helpful in avoiding an erroneous diagnosis. As lymphatics are not normally present in the juxtaepithelial bronchial/bronchiolar wall, juxtaepithelial tumour growth beneath the bronchial epithelium in early metastatic lesions indicates a haematogenous metastastic route through the bronchial artery.


Subject(s)
Endometrial Neoplasms/pathology , Lung Neoplasms/secondary , Sarcoma, Endometrial Stromal/secondary , Actins/metabolism , Adult , Endometrial Neoplasms/metabolism , Female , Humans , Immunohistochemistry , Lung/blood supply , Lung/metabolism , Lung/pathology , Lung Neoplasms/metabolism , Lung Neoplasms/pathology , Middle Aged , Neprilysin/metabolism , Platelet Endothelial Cell Adhesion Molecule-1/metabolism , Receptors, Estrogen/metabolism , Sarcoma, Endometrial Stromal/metabolism , Sarcoma, Endometrial Stromal/pathology
20.
Exp Mol Med ; 45: e31, 2013 Jul 12.
Article in English | MEDLINE | ID: mdl-23846333

ABSTRACT

Long intergenic non-coding RNAs (lincRNAs) have historically been ignored in cancer biology. However, thousands of lincRNAs have been identified in mammals using recently developed genomic tools, including microarray and high-throughput RNA sequencing (RNA-seq). Several of the lincRNAs identified have been well characterized for their functions in carcinogenesis. Here we performed RNA-seq experiments comparing gastric cancer with normal tissues to find differentially expressed transcripts in intergenic regions. By analyzing our own RNA-seq and public microarray data, we identified 31 transcripts, including a known expressed sequence tag, BM742401. BM742401 was downregulated in cancer, and its downregulation was associated with poor survival in gastric cancer patients. Ectopic overexpression of BM742401 inhibited metastasis-related phenotypes and decreased the concentration of extracellular MMP9. These results suggest that BM742401 is a potential lincRNA marker and therapeutic target.


Subject(s)
Expressed Sequence Tags/metabolism , RNA, Long Noncoding/genetics , Stomach Neoplasms/genetics , Stomach Neoplasms/pathology , Animals , DNA, Intergenic/genetics , Extracellular Space/metabolism , Gene Expression Profiling , Gene Expression Regulation, Neoplastic , Genetic Predisposition to Disease , Humans , Male , Matrix Metalloproteinase 9/metabolism , Mice , Mice, Inbred C57BL , Multivariate Analysis , Neoplasm Metastasis , Neoplasm Staging , Phenotype , Proportional Hazards Models , RNA, Long Noncoding/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reproducibility of Results , Survival Analysis
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