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      • KCI등재

        Development and Validation of 18F-FDG PET/CT-Based Multivariable Clinical Prediction Models for the Identification of Malignancy-Associated Hemophagocytic Lymphohistiocytosis

        Yang Xu,Lu Xia,Liu Jun,Kan Ying,Wang Wei,Zhang Shuxin,Liu Lei,Li Jixia,Yang Jigang 대한영상의학회 2022 Korean Journal of Radiology Vol.23 No.4

        Objective: 18F-fluorodeoxyglucose (FDG) PET/CT is often used for detecting malignancy in patients with newly diagnosed hemophagocytic lymphohistiocytosis (HLH), with acceptable sensitivity but relatively low specificity. The aim of this study was to improve the diagnostic ability of 18F-FDG PET/CT in identifying malignancy in patients with HLH by combining 18F-FDG PET/CT and clinical parameters. Materials and Methods: Ninety-seven patients (age ≥ 14 years) with secondary HLH were retrospectively reviewed and divided into the derivation (n = 71) and validation (n = 26) cohorts according to admission time. In the derivation cohort, 22 patients had malignancy-associated HLH (M-HLH) and 49 patients had non-malignancy-associated HLH (NM-HLH). Data on pretreatment 18F-FDG PET/CT and laboratory results were collected. The variables were analyzed using the Mann-Whitney U test or Pearson’s chi-square test, and a nomogram for predicting M-HLH was constructed using multivariable binary logistic regression. The predictors were also ranked using decision-tree analysis. The nomogram and decision tree were validated in the validation cohort (10 patients with M-HLH and 16 patients with NM-HLH). Results: The ratio of the maximal standardized uptake value (SUVmax) of the lymph nodes to that of the mediastinum, the ratio of the SUVmax of bone lesions or bone marrow to that of the mediastinum, and age were selected for constructing the model. The nomogram showed good performance in predicting M-HLH in the validation cohort, with an area under the receiver operating characteristic curve of 0.875 (95% confidence interval, 0.686–0.971). At an appropriate cutoff value, the sensitivity and specificity for identifying M-HLH were 90% (9/10) and 68.8% (11/16), respectively. The decision tree integrating the same variables showed 70% (7/10) sensitivity and 93.8% (15/16) specificity for identifying M-HLH. In comparison, visual analysis of 18F-FDG PET/CT images demonstrated 100% (10/10) sensitivity and 12.5% (2/16) specificity. Conclusion: 18F-FDG PET/CT may be a practical technique for identifying M-HLH. The model constructed using 18F-FDG PET/CT features and age was able to detect malignancy with better accuracy than visual analysis of 18F-FDG PET/CT images.

      • KCI등재

        Beyond Canonical PROTAC: Biological targeted protein degradation (bioTPD)

        Huifang Wang,Runhua Zhou,Fushan Xu,Kongjun Yang,Liuhai Zheng,Pan Zhao,Guangwei Shi,Lingyun Dai,Chengchao Xu,Le Yu,Zhijie Li,Jianhong Wang,Jigang Wang 한국생체재료학회 2023 생체재료학회지 Vol.27 No.00

        Targeted protein degradation (TPD) is an emerging therapeutic strategy with the potential to modulate disease associated proteins that have previously been considered undruggable, by employing the host destructionmachinery. The exploration and discovery of cellular degradation pathways, including but not limited toproteasomes and lysosome pathways as well as their degraders, is an area of active research. Since the conceptof proteolysis-targeting chimeras (PROTACs) was introduced in 2001, the paradigm of TPD has been greatlyexpanded and moved from academia to industry for clinical translation, with small-molecule TPD being particularlyrepresented. As an indispensable part of TPD, biological TPD (bioTPD) technologies including peptide-, fusionprotein-, antibody-, nucleic acid-based bioTPD and others have also emerged and undergone significantadvancement in recent years, demonstrating unique and promising activities beyond those of conventional small molecule TPD. In this review, we provide an overview of recent advances in bioTPD technologies, summarize theircompositional features and potential applications, and briefly discuss their drawbacks. Moreover, we present somestrategies to improve the delivery efficacy of bioTPD, addressing their challenges in further clinical development.

      • Scalable fabrication of micron-scale graphene nanomeshes for high-performance supercapacitor applications

        Kim, Hyun-Kyung,Bak, Seong-Min,Lee, Suk Woo,Kim, Myeong-Seong,Park, Byeongho,Lee, Su Chan,Choi, Yeon Jun,Jun, Seong Chan,Han, Joong Tark,Nam, Kyung-Wan,Chung, Kyung Yoon,Wang, Jian,Zhou, Jigang,Yang, Royal Society of Chemistry 2016 ENERGY AND ENVIRONMENTAL SCIENCE Vol.9 No.4

        <P>Graphene nanomeshes (GNMs) with nanoscale periodic or quasi-periodic nanoholes have attracted considerable interest because of unique features such as their open energy band gap, enlarged specific surface area, and high optical transmittance. These features are useful for applications in semiconducting devices, photocatalysis, sensors, and energy-related systems. Here, we report on the facile and scalable preparation of multifunctional micron-scale GNMs with high-density of nanoperforations by catalytic carbon gasification. The catalytic carbon gasification process induces selective decomposition on the graphene adjacent to the metal catalyst, thus forming nanoperforations. The pore size, pore density distribution, and neck size of the GNMs can be controlled by adjusting the size and fraction of the metal oxide on graphene. The fabricated GNM electrodes exhibit superior electrochemical properties for supercapacitor (ultracapacitor) applications, including exceptionally high capacitance (253 F g(-1) at 1 A g(-1)) and high rate capability (212 F g(-1) at 100 A g(-1)) with excellent cycle stability (91% of the initial capacitance after 50000 charge/discharge cycles). Further, the edge-enriched structure of GNMs plays an important role in achieving edge-selected and high-level nitrogen doping.</P>

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