Eun Kyung Lee’s research while affiliated with National Cancer Center Korea and other places

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Publications (315)


Pediatric thyroid cancer: key considerations based on the 2024 Korean Thyroid Association Thyroid Cancer Management Guideline
  • Article

January 2025

Annals of Pediatric Endocrinology & Metabolism

Eun Kyung Lee

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Young Ah Lee


Complete genome of single locus sequence typing D1 strain Cutibacterium acnes CN6 isolated from healthy facial skin
  • Article
  • Full-text available

November 2024

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23 Reads

BMC Genomic Data

Ikwhan Kim

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Ryeong-Hui Kim

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[...]

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Objectives Cutibacterium acnes is a Gram-positive bacterium commonly found on human skin, particularly in sebaceous areas. While it is typically considered a commensal, specific strain types based on single locus sequence typing (SLST) have been associated with pathogenic conditions or healthy skin. Recently, SLST D1 strains, part of phylotype IA1, have received attention for their potential benefits related to skin health. However, their genetic characteristics remain underexplored. Therefore, the whole genome of C. acnes CN6, an SLST D1 strain isolated from the facial skin of a healthy individual, was sequenced to expand the understanding of SLST D1 strains and identify genomic features that may support skin health. Data description The whole genome sequencing of C. acnes CN6 was conducted using MinION reads based on de novo assembly, revealing a single circular complete chromosome. With the length of 2,550,458 bp and G + C content of 60.04%, the genome contains 2,492 genes, including 2,433 CDSs, 9 rRNAs, 46 tRNAs, 4 ncRNAs, and 134 pseudo genes. Previously predicted virulence proteins of C. ances were detected in the genome. Genome comparation with 200 C. acnes strains isolated from healthy facial skin revealed SLST D1 strain-specific genes and a unique variant of the znuC gene in D1 strains.

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Figure 4. Differences in functional profiles between age groups. (a) Procrustes analysis showing congruence between the taxonomic and functional compositions of the microbiome. The statistically significant Pearson correlation indicates that microbiomes had similar taxonomic composition and functions. (b) PCoA based on functional profiles, illustrating distinct differences between the
Figure 5. Heatmap of correlations between functional profiles and biomarkers. This heatmap illustrates the correlations between the identified microbial biomarkers and various functional profiles. Positive correlations are shown in red, indicating that an increase in microbial abundance is associated with an increase in the specific functional profile. Negative correlations are shown in blue, indicating that an increase in microbial abundance is associated with a decrease in the specific functional profile. Significance levels are indicated by asterisks (* p < 0.05, ** p < 0.01, *** p < 0.001).
Participant characteristics for age-related study of skin bacterial communities.
Aging-Induced Changes in Cutibacterium acnes and Their Effects on Skin Elasticity and Wrinkle Formation

October 2024

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45 Reads

Microorganisms

Skin aging involves biomechanical changes like decreased elasticity, increased wrinkle formation, and altered barrier function. The skin microbiome significantly impacts this process. Here, we investigated the effects of decreased Cutibacterium acnes abundance and increase in other skin microorganisms on skin biomechanical properties in 60 healthy Koreans from Seoul, divided into younger (20–29 years) and older (60–75 years) groups. Metagenomic sequencing and skin assessments showed that the older group exhibited decreased C. acnes dominance and increased microbial diversity, correlating with reduced skin elasticity and increased wrinkles. In the younger age group, the enriched pathways included zeatin biosynthesis, distinct biotin metabolism pathways, and cofactor and vitamin metabolism in the younger age group, whereas pathways related to lipid metabolism, energy metabolism, and responses to environmental stressors, including UV damage and pollution, were enriched in the older group, according to functional analysis results. Network analysis indicated higher microbial connectivity in the younger group, suggesting a more stable community, whereas the older group’s community displayed higher modularity, indicating more independent and specialized clusters. This study enhances our understanding of the impact of skin microbiome changes on skin aging, particularly the anti-aging effects of C. acnes. Future research should focus on the physiological mechanisms of skin microbiota on skin aging and explore therapeutic potentials to enhance skin health.


Figure 1. SF3B4 is decreased in replicative senescent human fibroblasts. (A) Representative images of SA-β-gal staining (left) and quantification (right) in proliferating (P) and replicative senescent (RS) IMR-90 cells. Scale bar represents 300 μm. (B) Protein levels of p21 in proliferating and RS cells (IMR-90 cells or human fibroblasts). (C and D) SF3B4 mRNA (C) and protein (D) levels in proliferating and RS cells (IMR-90 cells or human fibroblasts). GAPDH served as a loading control. Statistical analysis was based on two-tailed Student's t-test. Error bars show standard deviation (SD); *p<0.1, ***p<0.001 and ****p<0.0001.
Figure 3. Knockdown of SF3B4 promotes p21-dependent cellular senescence. (A) Protein levels of p21 and SF3B4 in human fibroblasts transfected with non-targeting siRNA (siControl) or siRNAs against p21 or SF3B4. (B) Representative images of SA-β-gal staining for cells transfected with control, SF3B4 and/or p21 siRNAs as indicated (left) and the percentage of SA-β-gal positive cells (right). Scale bar represents 300 μm. Statistical analysis was performed using one-way ANOVA with Dunnett's multiple comparisons test. Error bars show standard deviation (SD). ****p<0.0001.
Figure 4. SF3B4 inhibits senescence induction in A549 cancer cells following chemotherapy. (A) Representative images of SA-β-gal staining for A549 cells transfected with non-targeting siRNA (siControl) or siRNA against SF3B4 (left) and the percentage of SA-β-gal positive cells (right). Scale bar represents 300 μm. Statistical analysis was based on two-tailed Student's t-test. (B) Relative mRNA levels of indicated genes in control and SF3B4 knockdown cells. Statistical analysis was performed using two-way ANOVA with Sidak's multiple comparisons test. (C) Representative images of SA-β-gal staining for proliferating and DOX-induced senescence (DIS) A549 cells (left) and the percentage of SA-β-gal positive cells (right). Scale bar represents 100 μm. Statistical analysis was based on two-tailed Student's t-test. (D and E) SF3B4 mRNA (D) and protein (E) levels in proliferating and DIS A549 cells. Statistical analysis was based on two-tailed Student's t-test. (F) Protein levels of SF3B4 in A549 cells stably expressing empty vector or SF3B4. GAPDH served as a loading control. (G) Representative images of SA-β-gal staining for control and SF3B4-overexpressing A549 cells following DOX treatment (left) and the percentage of SA-β-gal positive cells (right). Scale bar represents 300 μm. Statistical analysis was based on two-tailed Student's t-test. Error bars show standard deviation (SD); **p<0.01 and ****p<0.0001.
SF3B4 Regulates Cellular Senescence and Suppresses Therapy-induced Senescence of Cancer Cells

October 2024

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25 Reads

Cancer Genomics & Proteomics

Background/Aim Cellular senescence is a state in which cells permanently exit the cell cycle, preventing tumor growth, but it can also contribute to aging and chronic inflammation. Senescence induced by cancer therapies, known as therapy-induced senescence (TIS), halts cancer cell proliferation and prevents metastasis. TIS has been investigated as an important therapeutic approach that could minimize cytotoxicity effects. This study aimed to elucidate the role of splicing factor 3B subunit 4 (SF3B4) in cellular senescence and TIS in cancer cells. Materials and Methods β-galactosidase staining was used to examine senescence induction. SF3B4 and p21 expression were determined by RT-qPCR and western blot. Cell proliferation and cell death were evaluated. Results SF3B4 expression decreases in replicative senescent human fibroblasts and its knockdown induces senescence via a p21-dependent pathway. In A549 non-small cell lung cancer (NSCLC) cells, SF3B4 knockdown also increased senescence markers. Notably, SF3B4 overexpression mitigated doxorubicin-induced senescence in A549 cells. Conclusion SF3B4 regulates senescence, and this study highlights its potential as a therapeutic target for developing better cancer treatment strategies by leveraging TIS to suppress tumor growth and enhance treatment efficacy.




Figure 2. Analysis of microbial diversity in untreated skin pre-ESWT and post-ESWT. (A) Alpha diversity measures of the burn scar microbiome at baseline (0M) and after 3 months (3M). The indices included Faith's phylogenetic diversity, the Shannon index, observed features, and evenness index. * P < 0.05 and ** P < 0.01 are considered statistically significant. (B) The beta diversity of the microbiome was analyzed using weighted and unweighted UniFrac distances depicted in PCoA plots. The ellipses represent 95% CI around the centroid of each group. ESWT, extracorporeal shock wave therapy; PCoA, principal coordinate analysis.
Demographic characteristics of the patients enrolled in this study.
Effect of extracorporeal shock wave therapy on the microbial community in burn scars: retrospective case-control study

September 2024

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9 Reads

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1 Citation

International Journal of Surgery

Background The effectiveness of extracorporeal shock wave therapy (ESWT) has been demonstrated in various medical fields, including burn medicine. It promotes wound healing, improves blood flow, and modulates the inflammatory responses. The recovery speed and outcomes of skin diseases are influenced by the skin microbiome; however, studies examining the effects of specific treatments on the skin microbiome are lacking. This study investigated the impact of ESWT on the skin microbiome of burn patients, focusing on the microbial diversity and community structure within burn scars. Materials and Methods In the retrospective case-control study, nineteen patients with burn scars were treated with ESWT, and changes in their skin microbiome were evaluated. ESWT was administered weekly for three months, and samples were collected from the ESWT-treated burn scars and untreated normal skin. Blood chemistry, and pain and itching scores were evaluated during sample collection. The collected samples were then subjected to 16S rRNA sequencing. Microbial community analysis was conducted using the QIIME2 and R packages. Results After ESWT, changes in alpha diversity indices were observed in burn scars. Faith phylogenetic diversity ( P <0.05) and observed features ( P <0.01) increased, whereas the evenness index decreased ( P <0.01); no marked changes were noted in untreated skin. Beta diversity analysis showed stable microbial community structures in both the treated and untreated areas. A considerable increase in Micrococcus and Staphylococcus abundance was observed. Network analysis revealed a more open microbial network structure after ESWT, indicating adaptive changes in the microbial community. Conclusion ESWT enhances microbial diversity and modifies microbial community structure in burn scars, promoting a more balanced and functionally supportive microbiome. ESWT aids in scar remodeling and positively influences skin microbiome dynamics, contributing to improved skin health and recovery.


Systemic therapy for differentiated thyroid cancer with distant metastasis

July 2024

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2 Reads

Journal of Korean Medical Association

Background: Thyroid cancer is a slow-growing tumor with excellent oncological outcomes. However, few patients with unexpectedly severe outcomes are usually ignored.Current Concepts: Radioactive iodine therapy is the mainstay treatment for differentiated thyroid cancer with distant metastasis. The refractoriness to radioactive iodine therapy has been overcome by the emergence of targeted agents. First, multikinase inhibitors (sorafenib and lenvatinib) targeting the growth factor pathway were developed and approved as anticancer agents for patients with advanced differentiated thyroid cancer, regardless of their genetic features. With progress in sequencing techniques, the genetic backgrounds of tumors have unveiled new targets, including rearrangements during transformation and tropomyosin receptor kinase. Special attention should be paid to the national health insurance coverage of systemic therapeutics and genetic studies.Discussion and Conclusion: New drugs were introduced to treat previously untreatable advanced thyroid cancers. However, the cost of these drugs has increased with new developments, and only first-line drugs for thyroid cancer are still covered by insurance. These medical advances will remain an illusion for clinics and patients if improvements in healthcare policies do not accompany them.



Citations (56)


... Similarly, the donor site for the split-thickness partial graft can be managed with a single round of ESWT immediately after harvest, significantly accelerating donor site healing [146]. Several studies investigated the effects of ESWT on pain, pruritus, quality of life, burn scars, and their microbiome, with significantly reduced scar pain, positive influences on the skin's supportive microbiome, and improved healing outcomes in burn patients [147][148][149]. ...

Reference:

Strategies for Optimizing Acute Burn Wound Therapy: A Comprehensive Review
Effect of extracorporeal shock wave therapy on the microbial community in burn scars: retrospective case-control study

International Journal of Surgery

... Bayesian Optimized Local Training Pace Control for Energy-Efficient Federated Learning: To overcome the challenge of individual node's heterogeneous processing units (GPU, CPU, memory, and their expensive energy usage during AI models training phases, we investigated an energy-efficient training pace control framework, called BoFL, of federated learning (FL) workloads over multi-axes of DVFS (Dynamic Voltage and Frequency Scaling) configurations [130] and with energy-efficient FL straggler handling (FedCore) [131]. The training speed and energy efficiency can be drastically affected by different operational frequencies of CPU, GPU, and memory controller. ...

FedCore: Straggler-Free Federated Learning with Distributed Coresets
  • Citing Conference Paper
  • June 2024

... Under normal conditions, they are usually activated for food digestion only after they enter the small intestine. However, in AP, these enzymes are abnormally activated inside the pancreas and digest the pancreatic tissues, leading to necrosis and hemorrhage (24,25). In addition, activation of these enzymes in the pancreas triggers a strong local or systemic inflammatory response, which exacerbates the damage to the pancreatic tissues and leads to changes such as vasodilatation, increased vascular permeability, and local edema (12). ...

The Pivotal Role of Macrophages in the Pathogenesis of Pancreatic Diseases

International Journal of Molecular Sciences

... Batching requests during token generation in the decoding phase is essential for maximizing accelerator resource usage, reducing the memory bandwidth pressure during these otherwise bandwidth-limited tasks (Recasens et al., 2024). This results in the preservation of a low TBT . ...

Towards Pareto Optimal Throughput in Small Language Model Serving
  • Citing Conference Paper
  • April 2024

... We have experimented with the impact of paring down a GPU via slicing and power capping to understand the relationship between performance and energy for training workloads [50]. Our experiments suggest that power increases proportionally to the size of a GPU slice to a point, after which it saturates despite the share of the GPU continuing to increase. ...

Characterizing Training Performance and Energy for Foundation Models and Image Classifiers on Multi-Instance GPUs
  • Citing Conference Paper
  • April 2024

... Among the miRNAs significantly upregulated in SSc, miRNA-21-5p has been extensively studied for its role in skin fibrosis. Elevated miRNA-21-5p levels are observed in the serum of SSc patients, and its expression is increased by TGF-β stimulation in skin fibroblasts [86]. ...

MicroRNA-21a-5p inhibition alleviates systemic sclerosis by targeting STAT3 signaling

Journal of Translational Medicine

... Another innovation in ultrasound technology is the erector spinae plane block (ESPB), introduced by Forero and colleagues in 2016 specifically for thoracic neuralgia (Forero et al. 2016). This technique involves the ultrasound-guided injection of local anesthetics between the deep fascia of the erector spinae muscle and the transverse processes, effectively providing postoperative analgesia for thoracic, abdominal, and spinal surgeries (Li et al. 2023;Bang et al. 2024;Oh et al. 2022). Compared to TEA, fascial plane blocks offer a simpler procedure, more defined effects, and fewer complications, establishing them as a favorable alternative for laparoscopic colorectal surgery. ...

Analgesic efficacy of erector spinae plane block in patients undergoing major gynecologic surgery: A randomized controlled study
  • Citing Article
  • December 2023

Journal of Clinical Anesthesia

... In our cohort, there were no statistically significant differences in age, gender, and tumor location among different risk groups. Regarding tumor size, a recent metaanalysis found that no cutoff value can be recommended as a decision-making parameter for diagnostic surgery in Bethesda IV thyroid nodules (27). At our medical center, malignant tumors appear to have smaller tumor diameters. ...

Malignancy Risk of Follicular Neoplasm (Bethesda IV) With Variable Cutoffs of Tumor Size: A Systemic Review and Meta-Analysis
  • Citing Article
  • December 2023

The Journal of Clinical Endocrinology and Metabolism

... The reverse MR analysis once again indicates that hypertrophic scars alter the skin microbiome. The presence of Paracoccus, a member of the Family Rhodobacteraceae, has been observed to be increased with burn severity, indicating an increased likelihood of more severe scarring [31]. Our study revealed an bidirectional causal relationship between Future research should focus on validation of our findings. ...

Effects of Factors Influencing Scar Formation on the Scar Microbiome in Patients with Burns

International Journal of Molecular Sciences