• Title/Summary/Keyword: Checkpoint

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Adrenal insufficiency development during chemotherapy plus anti-programmed death receptor-1 monoclonal antibody (tislelizumab) therapy in patients with advanced gastric cancer: two case reports

  • Baek, Jin Ho
    • Journal of Yeungnam Medical Science
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    • v.39 no.1
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    • pp.62-66
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    • 2022
  • Immune checkpoint inhibitor (ICI)-associated adrenal insufficiency is rare but may become a serious adverse event in patients treated with ICIs. The present case report documents two cases of adrenal insufficiency developed during chemotherapy plus tislelizumab (百泽安, Baize'an; BeiGene Ltd.) therapy in patients with advanced gastric cancer. Adrenal insufficiency developed after 6 and 13 cycles of treatment and was well controlled with hydrocortisone. The patients also developed hypothyroidism, which was managed with levothyroxine. Two patients showed a partial response, and one patient out of two achieved a near-complete response, sustaining over 11 months. Increased awareness of ICI-related adrenal insufficiency is crucial for early detection and prompt management of patients treated with ICIs.

Co-Stimulatory Receptors in Cancers and Their Implications for Cancer Immunotherapy

  • Seongju Jeong;Su-Hyung Park
    • IMMUNE NETWORK
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    • v.20 no.1
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    • pp.3.1-3.20
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    • 2020
  • Immune checkpoint inhibitors (ICIs), including anti-PD-1 and anti-CTLA-4 therapeutic agents, are now approved by the Food and Drug Administration for treatment of various types of cancer. However, the therapeutic efficacy of ICIs varies among patients and cancer types. Moreover, most patients do not develop durable antitumor responses after ICI therapy due to an ephemeral reversal of T-cell dysfunction. As co-stimulatory receptors play key roles in regulating the effector functions of T cells, activating co-stimulatory pathways may improve checkpoint inhibition efficacy, and lead to durable antitumor responses. Here, we review recent advances in our understating of co-stimulatory receptors in cancers, providing the necessary groundwork for the rational design of cancer immunotherapy.

Checkpoint-based Job Migration Technique in Mobile Grids (모바일 그리드에서 체크포인트 기반 작업 이주 기법)

  • Jung, Dae-Yong;Suh, Tae-Weon;Chung, Kwang-Sik;Yu, Heon-Chang
    • The Journal of Korean Association of Computer Education
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    • v.12 no.4
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    • pp.47-55
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    • 2009
  • There are many researches considering mobile devices as resources in mobile grids. However, the mobile device has some limitations: wireless connection and battery capacity. So, the grid operations using mobile devices have lower reliability and efficiency than those in fixed grid environments. In this paper, we propose a job migration scheme using mobile devices to overcome these limitations. The proposed job migration scheme predicts failure condition during execution and takes checkpoints. Then, if the failure occurs on mobile device during execution, the executing job can be migrated to other mobile device by checkpoint information. To perform the proposed migration scheme, we establish a mobile device manager on a proxy server and a status manager on a mobile device. Connection, wireless signal strength and battery capacity of mobile devices are identified through two managers. The simulation results show improvement of efficiency and reliability during execution.

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A Study on Quality Assurance(QA) Guideline for Diagnostic Monitor (판독용 모니터 정도관리 항목 및 시행기준안 개발 연구)

  • Son, Gi-Gyeong;Sung, Dong-Wook;Jung, Hae-Jo;Jeong, Jae-Ho;Kang, Hee-Doo;Shin, Jin-Ho;Lee, Sun-Geun;Kim, Yong-Hwan
    • Korean Journal of Digital Imaging in Medicine
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    • v.9 no.1
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    • pp.53-65
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    • 2007
  • PACS has been run at the Kyung Hee University Medical Center(KHMC) since 2001, and the installation and operation of PACS have contributed to automation and quantification of KHMC's medical environment During these five years our greatest concern is how to make our own guiding principle of diagnostic monitor QA which is adapted to international standards. In accordance with the terms of 'KHMC QA Guideline', 'AAPM TG18', 'SMPTE RP133', 'DICOM Part14', 'DIN V 6868-57', 'JESRA X-0093', 'JIS Z4752-2-5' and 'KCARE', concern about quality assurance of medical images are on the increase. With the investigation of acceptance testing and quality control of international standards for medical display devices, and data collection and analysis for recommended guideline, it is reported that acceptance testing(quality control), including geometrical distortion, display reflection, luminance response, luminance uniformity, display resolution, display noise, veiling glare and color chromaticity being adequate and effective to domestic hospital environments for medical display devices and assessment methods according to each performance. Accordingly, KHMC classified the checkpoint items by period, at the time of monitor setting, monthly, quarterly, half-yearly and annually. Periodic classification of checkpoint items for monitor QA makes a good guideline for image QA/QC and useful guideline for persistent good quality of monitor.

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Stable Recovery Strategy According to Mobility of Mobile Host (모바일 호스트의 이동성에 따른 안정적인 복구 기법)

  • Choi Ca-Hyun;Hwang Byung-Yeon
    • Journal of Korea Multimedia Society
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    • v.8 no.7
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    • pp.953-960
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    • 2005
  • The Network can be easily damaged in the mobile computing environment. Mobile Support Station (MSS) which supports the Mobile Host(MH) could also be unstable too. Therefore, when a critical error occurs the repairing cost can be high. For stable repair, the hand-off strategy should be considered to save the continuing message and checkpoint information, and to reduce the cost of network repair. In this paper, we propose the Switching Trickle(ST) strategy which reduces the repairing cost for the MH's mobility. ST strategy changes the way which stores the information in connection with the number of write events(r) that occur from the hands-off strategy. Accumulated cost by increased mobility has been simulated too. From the results of simulation, the proposed strategy has shown more cost effective than the conventional strategy. The proposed strategy also has shown very supportive in saving checkpoint and message log information stably.

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Coiled-Coil Domain-Containing Protein 98 (CCDC98) Regulates Cyclin B1 Expression by Affecting WTAP Protein Stability (WTAP 단백질의 안정성을 통한 CCDC98 단백질의 cyclin B1 발현 조절)

  • Oh, Yun-Jung;Lee, Eun-Hee;Lee, Il-Kyu;Kim, Kyung-Soo;Kim, Hong-Tae
    • Journal of Life Science
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    • v.21 no.8
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    • pp.1067-1075
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    • 2011
  • Coiled-coil domain-containing protein 98 (CCDC98) plays a role in G2/M DNA damage checkpoint pathways by recruiting breast cancer 1 (BRCA1)-A complex to the DNA-damaged sites. However, the molecular mechanism of CCDC98 on the DNA damage-induced G2/M checkpoint pathways is unclear. In this study, we identifed Wilms tumor 1-associating protein (WTAP) as a novel CCDC98-binding protein, using tandem affinity purification. We confirmed the association between CCDC98 and WTAP using in vivo and in vitro binding assays. We demonstrated that CCDC98 regulates cyclin B1 expression by affecting WTAP protein stability. Based on these results, we suggest that CCDC98 may act as a novel cell cycle regulator by regulating the expression level of cyclin B1.

Knock-down of human MutY homolog (hMYH) decreases phosphorylation of checkpoint kinase 1 (Chk1) induced by hydroxyurea and UV treatment

  • Hahm, Soo-Hyun;Park, Jong-Hwa;Ko, Sung-Il;Lee, You-Ri;Chung, In-Sik;Chung, Ji-Hyung;Kang, Lin-Woo;Han, Ye-Sun
    • BMB Reports
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    • v.44 no.5
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    • pp.352-357
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    • 2011
  • The effect of human MutY homolog (hMYH) on the activation of checkpoint proteins in response to hydroxyurea (HU) and ultraviolet (UV) treatment was investigated in hMYH-disrupted HEK293 cells. hMYH-disrupted cells decreased the phosphorylation of Chk1 upon HU or UV treatment and increased the phosphorylation of Cdk2 and the amount of Cdc25A, but not Cdc25C. In siMYH-transfected cells, the increased rate of phosphorylated Chk1 upon HU or UV treatment was lower than that in siGFP-transfected cells, meaning that hMYH was involved in the activation mechanism of Chk1 upon DNA damage. The phosphorylation of ataxia telangiectasia and Rad3-related protein (ATR) upon HU or UV treatment was decreased in hMYH-disrupted HEK293 and HaCaT cells. Co-immunoprecipitation experiments showed that hMYH was immunoprecipitated by anti-ATR. These results suggest that hMYH may interact with ATR and function as a mediator of Chk1 phosphorylation in response to DNA damage.

Effect of DPBll Gene for the Transcriptional Induction by DNA Damage During Cell Cycle in Saccharomyces cerevisiae (출아효모의 세포주기동안 DNA 상해에 의한 발현 유도에 미치는 DPB11 유전자의 영향)

  • 선우양일;임선희;배호정;김중현;김은아;김승일;김수현;박정은;김재우
    • Korean Journal of Microbiology
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    • v.38 no.2
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    • pp.96-102
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    • 2002
  • The S-phase checkpoint mechanisms response to DNA damage or inhibition of DNA replication for maintenance of genetic stability in eukaryotic cells. These roles include cell cycle control arrest at S-phase and Iranscriptional induction of repair genes. To characterize the defects of dpbll mutant for both these responses, we examined the over-expression effect of DPBll gene, the sensitivity to HU, MMS, and the transcriptional pattern by DNA damage agent for RNRS mRNA. RNRS transcript is induced in response to a wide variety of agents that either damage D7A directly through chemical modification or induce stress by blocking DNA synthesis. As results, dpbll-1 cells are sensitive to DNA damage agents and the level of RNR3 mRNA is reduced approximately 40% than wild type cells. Moreover, we found the same results in dpb2-1 cells. Therefore, we propose that DPB2 and DPBll act as a sensor of replication that coordinates the transcriptional and cell cycle responses to replication blocks.