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Article ; Online: Hong Kong-Macau Severe Hives and Angioedema Referral Pathway.

Li, Philip H / Au, Elaine Y L / Cheong, Si-Leong / Chung, Ling / Fan, Ka I / Ho, Marco H K / Leung, Agnes S Y / Chung, Martin M H / Wong, Jane C Y / Coelho, Ricardo

Frontiers in allergy

2023 Volume 4, Page(s) 1290021

Abstract: Background: Urticaria (defined as the presence of hives, angioedema, or both) can be caused by a variety of etiologies ranging from more common conditions such as chronic spontaneous urticaria (CSU) to rarer conditions such as hereditary angioedema (HAE) ...

Abstract	Background: Urticaria (defined as the presence of hives, angioedema, or both) can be caused by a variety of etiologies ranging from more common conditions such as chronic spontaneous urticaria (CSU) to rarer conditions such as hereditary angioedema (HAE). Specialist referral may be necessary in cases of severe urticaria or HAE, but access to specialist services remains limited in certain regions, such as the Greater Bay Area (GBA) of China. To address this, the Hong Kong-Macau Severe Hives and Angioedema Referral Pathway (SHARP) was initiated by the Hong Kong Institute of Allergy and Macau Society of Dermatology to promote multidisciplinary collaboration and regional exchange of expertise in the diagnosis and management of severe urticaria. Methods: A nominated task force of dermatologists and immunologists who manage patients with severe urticaria formulated the consensus statements (CS) using the Delphi method. The consensus was defined Results: A total of 24 CS were formulated, including four statements on classifications and definitions, seven statements on diagnosis, and 13 statements on management and referral. The definitions for acute/chronic urticaria and severe CSU were stated. Unnecessary investigations and inappropriate medications were discouraged. The characteristics and recommended approach to suspected bradykinergic angioedema were specified. Stepwise treatment options using second-generation antihistamines, omalizumab, or cyclosporin for patients with CSU were addressed, and the importance of access to HAE-specific medications was emphasized. Furthermore, an integrated referral pathway for patients with severe hives and angioedema was constructed. Conclusion: The SHARP provides guidance for the management and specialist referral of patients with severe hives and angioedema in Hong Kong and Macau.
Language	English
Publishing date	2023-12-06
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-6101
ISSN (online)	2673-6101
DOI	10.3389/falgy.2023.1290021
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Article ; Online: Rapid Breakpoint Mapping of a Novel Germline

Kwong, Ava / Au, Chun Hang / Shin, Vivian Y / Ho, Dona N / Wong, Elaine Y L / Ho, Cecilia Y S / Chung, Yvonne / Chan, Tsun Leung / Ma, Edmond S K

JCO precision oncology

2022 Volume 5, Page(s) 1044–1047

MeSH term(s)	Adult ; Breast Neoplasms/genetics ; Chromosome Mapping/methods ; Fanconi Anemia Complementation Group N Protein/genetics ; Female ; Gene Duplication ; Germ Cells ; Humans ; Polymerase Chain Reaction/methods ; Time Factors
Chemical Substances	Fanconi Anemia Complementation Group N Protein ; PALB2 protein, human
Language	English
Publishing date	2022-01-07
Publishing country	United States
Document type	Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2473-4284
ISSN (online)	2473-4284
DOI	10.1200/PO.20.00454
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Article ; Online: Natural Products from Singapore Soil-Derived

Chin, Elaine-Jinfeng / Ching, Kuan-Chieh / Tan, Zann Y / Wibowo, Mario / Leong, Chung-Yan / Yang, Lay-Kien / Ng, Veronica W P / Seow, Deborah C S / Kanagasundaram, Yoganathan / Ng, Siew-Bee

Molecules (Basel, Switzerland)

2023 Volume 28, Issue 15

Abstract: Natural products have long been used as a source of antimicrobial agents against various microorganisms. Actinobacteria are a group of bacteria best known to produce a wide variety of bioactive secondary metabolites, including many antimicrobial agents. ... ...

Abstract	Natural products have long been used as a source of antimicrobial agents against various microorganisms. Actinobacteria are a group of bacteria best known to produce a wide variety of bioactive secondary metabolites, including many antimicrobial agents. In this study, four actinobacterial strains found in Singapore terrestrial soil were investigated as potential sources of new antimicrobial compounds. Large-scale cultivation, chemical, and biological investigation led to the isolation of a previously undescribed tetronomycin A (
MeSH term(s)	Methicillin-Resistant Staphylococcus aureus ; Streptomycetaceae ; Biological Products/pharmacology ; Biological Products/chemistry ; Singapore ; Microbial Sensitivity Tests ; Anti-Bacterial Agents/pharmacology ; Anti-Infective Agents/pharmacology ; Bacteria
Chemical Substances	Biological Products ; tetronomycin (82206-10-8) ; Anti-Bacterial Agents ; Anti-Infective Agents
Language	English
Publishing date	2023-08-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	1413402-0
ISSN	1420-3049 ; 1431-5165 ; 1420-3049
ISSN (online)	1420-3049
ISSN	1431-5165 ; 1420-3049
DOI	10.3390/molecules28155832
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Article ; Online: Antibacterial Spirotetronate Polyketides from an

Ching, Kuan-Chieh / Chin, Elaine J / Wibowo, Mario / Tan, Zann Y / Yang, Lay-Kien / Seow, Deborah C / Leong, Chung-Yan / Ng, Veronica W / Ng, Siew-Bee / Kanagasundaram, Yoganathan

Molecules (Basel, Switzerland)

2022 Volume 27, Issue 23

Abstract: Large scale cultivation and chemical investigation of an extract obtained ... ...

Abstract	Large scale cultivation and chemical investigation of an extract obtained from
Language	English
Publishing date	2022-11-24
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	1413402-0
ISSN	1420-3049 ; 1431-5165 ; 1420-3049
ISSN (online)	1420-3049
ISSN	1431-5165 ; 1420-3049
DOI	10.3390/molecules27238196
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Article ; Online: Non-skilled occupation as a risk factor of diabetes among working population: A population-based study of community-dwelling adults in Hong Kong.

Hung, Heidi H Y / Chan, Emily Y Y / Chow, Elaine Y K / Chung, Gary K K / Lai, Francisco T T / Yeoh, Eng-Kiong

Health & social care in the community

2021 Volume 30, Issue 1, Page(s) e86–e94

Abstract: Diabetes among working population brings to society concerns on productivity and social welfare cost, in addition to healthcare burden. While lower socio-economic status has been recognised as a risk factor of diabetes; occupation, compared with other ... ...

Abstract	Diabetes among working population brings to society concerns on productivity and social welfare cost, in addition to healthcare burden. While lower socio-economic status has been recognised as a risk factor of diabetes; occupation, compared with other socio-economic status indicators (e.g., education and income), has received less attention. There is some evidence from studies conducted in Europe that occupation is associated with diabetes risk, but less is known in Asia, which has different organisational cultures and management styles from the West. This study examines the association between occupation and diabetes risk in a developed Asian setting, which is experiencing an increasing number of young onset of diabetes and aging working population at the same time. This is a cross-sectional study of working population aged up to 65 with data from a population-based survey collecting demographic, socio-economic, behavioural and metabolic data from Hong Kong residents, through both self-administered questionnaires and clinical health examinations (1,429 participants). Non-skilled occupation was found to be an independent risk factor for diabetes, with an odds ratio (OR) of 3.38 (p < 0.001) and adjusted OR of 2.59 (p = 0.022) after adjusting for demographic, behavioural and metabolic risk factors. Older age (adjusted OR = 1.08, p < 0.001), higher body mass index (adjusted OR = 1.23, p < 0.001) and having hypertriglyceridemia (adjusted OR = 1.93, p = 0.033) were also independently associated with diabetes. Non-skilled workers were disproportionately affected by diabetes with the highest age-standardized prevalence (6.3%) among all occupation groups (4.9%-5.0%). This study provides evidence that non-skilled occupation is an independent diabetes risk factor in a developed Asian setting. Health education on improving lifestyle practices and diabetes screening should prioritise non-skilled workers, in particular through company-based and sector-based diabetes screening programmes. Diabetes health service should respond to the special needs of non-skilled workers, including service at non-office hour and practical health advice in light of their work setting.
MeSH term(s)	Adult ; Aged ; Cross-Sectional Studies ; Diabetes Mellitus/epidemiology ; Hong Kong/epidemiology ; Humans ; Independent Living ; Occupations ; Risk Factors
Language	English
Publishing date	2021-06-24
Publishing country	England
Document type	Journal Article
ZDB-ID	1155902-0
ISSN	1365-2524 ; 0966-0410
ISSN (online)	1365-2524
ISSN	0966-0410
DOI	10.1111/hsc.13415
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Zs.A 3728: Show issues

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Article ; Online: Young-onset diabetes in women with Polycystic Ovary Syndrome: A territory-wide retrospective analysis in Hong Kong.

Ng, Noel Y H / Wu, Hongjiang / Lau, Eric S H / Zhang, Xinge / Yang, Aimin / Tsang, Atta Y T / Yau, Tiffany T L / Kong, Alice P S / Ng, Karen / Chung, Jacqueline P W / Chow, Elaine Y K / Chan, Juliana C N / Cheung, Lai Ping / Luk, Andrea O Y / Ma, Ronald C W

Diabetes research and clinical practice

2023 Volume 199, Page(s) 110640

Abstract: Aim: To ascertain the risk of progression to diabetes among Chinese women with PCOS.: Methods: Women with PCOS (n = 3978) were identified from the Hong Kong Diabetes Surveillance Database based on the ICD-9 code for PCOS diagnosis and women without ... ...

Abstract	Aim: To ascertain the risk of progression to diabetes among Chinese women with PCOS. Methods: Women with PCOS (n = 3978) were identified from the Hong Kong Diabetes Surveillance Database based on the ICD-9 code for PCOS diagnosis and women without PCOS served as controls (n = 39780), matched 1:10 by age. Result(s): The mean follow-up was 6.28 ± 4.20 and 6.95 ± 4.33 years in women with PCOS and controls, respectively. The crude incidence rate of diabetes was 14.25/1000 person-years in women with PCOS compared with 3.45 in controls. The crude hazard ratio of diabetes in women with PCOS was 4.23 (95 % CI: 3.73-4.80, p < 0.001). Further stratified by age group, the risk of developing diabetes decreased with increasing age but it remained significantly higher in women with PCOS across all age groups. It also suggested that the incidence rate of diabetes in women with PCOS aged 20-29 is highly comparable to that in healthy women aged ≥ 40. More than half of the incident diabetes captured during the follow-up in women with PCOS cohort were young-onset diabetes. Conclusion: Women diagnosed with PCOS at a younger age have the highest relative risk of developing diabetes, suggesting frequent glycemic status screening is required to detect diabetes at an early stage.
MeSH term(s)	Female ; Humans ; Infant, Newborn ; Polycystic Ovary Syndrome/complications ; Polycystic Ovary Syndrome/epidemiology ; Polycystic Ovary Syndrome/diagnosis ; Retrospective Studies ; Hong Kong/epidemiology ; Diabetes Mellitus/epidemiology ; Risk ; Risk Factors
Language	English
Publishing date	2023-03-23
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	632523-3
ISSN	1872-8227 ; 0168-8227
ISSN (online)	1872-8227
ISSN	0168-8227
DOI	10.1016/j.diabres.2023.110640
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Zs.A 2047: Show issues

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Article ; Online: ETS1 phosphorylation at threonine 38 is associated with the cell of origin of diffuse large B cell lymphoma and sustains the growth of tumour cells.

Chung, Elaine Y L / Sartori, Giulio / Ponzoni, Maurilio / Cascione, Luciano / Priebe, Valdemar / Xu-Monette, Zijun Y / Fang, Xiaosheng / Zhang, Mingzhi / Visco, Carlo / Tzankov, Alexandar / Rinaldi, Andrea / Sgrignani, Jacopo / Zucca, Emanuele / Rossi, Davide / Cavalli, Andrea / Inghirami, Giorgio / Scott, David W / Young, Ken H / Bertoni, Francesco

British journal of haematology

2023 Volume 203, Issue 2, Page(s) 244–254

Abstract: The transcriptional factor ETS1 is upregulated in 25% of diffuse large B cell lymphoma (DLBCL). Here, we studied the role of ETS1 phosphorylation at threonine 38, a marker for ETS1 activation, in DLBCL cellular models and clinical specimens. p-ETS1 was ... ...

Abstract	The transcriptional factor ETS1 is upregulated in 25% of diffuse large B cell lymphoma (DLBCL). Here, we studied the role of ETS1 phosphorylation at threonine 38, a marker for ETS1 activation, in DLBCL cellular models and clinical specimens. p-ETS1 was detected in activated B cell-like DLBCL (ABC), not in germinal centre B-cell-like DLBCL (GCB) cell lines and, accordingly, it was more common in ABC than GCB DLBCL diagnostic biopsies. MEK inhibition decreased both baseline and IgM stimulation-induced p-ETS1 levels. Genetic inhibition of phosphorylation of ETS1 at threonine 38 affected the growth and the BCR-mediated transcriptome program in DLBCL cell lines. Our data demonstrate that ETS1 phosphorylation at threonine 38 is important for the growth of DLBCL cells and its pharmacological inhibition could benefit lymphoma patients.
Language	English
Publishing date	2023-08-16
Publishing country	England
Document type	Journal Article
ZDB-ID	80077-6
ISSN	1365-2141 ; 0007-1048
ISSN (online)	1365-2141
ISSN	0007-1048
DOI	10.1111/bjh.19018
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Article: Incidence and Predictors for Oncologic Etiologies in Chinese Children with Pituitary Stalk Thickening.

Li, Mario W T / Poon, Sarah W Y / Cheung, Claudia / Wong, Chris K C / Shing, Matthew M K / Chow, Terry T W / Lee, Samantha L K / Pang, Gloria S W / Kwan, Elaine Y W / Poon, Grace W K / Yau, Ho-Chung / Tung, Joanna Y L / Liu, Anthony P Y

Cancers

2023 Volume 15, Issue 15

Abstract: Background: With the increasing use of magnetic resonance imaging (MRI) in the evaluation of children with endocrine disorders, pituitary stalk thickening (PST) poses a clinical conundrum due to the potential for underlying neoplasms and challenges in ... ...

Abstract	Background: With the increasing use of magnetic resonance imaging (MRI) in the evaluation of children with endocrine disorders, pituitary stalk thickening (PST) poses a clinical conundrum due to the potential for underlying neoplasms and challenges in obtaining a tissue biopsy. The existing literature suggests Langerhans cell histiocytosis (LCH) to be the commonest (16%) oncologic cause for PST, followed by germ cell tumors (GCTs, 13%) (CCLG 2021). As the cancer epidemiology varies according to ethnicity, we present herein the incidence and predictors for oncologic etiologies in Hong Kong Chinese children with PST. Methods: Based on a territory-wide electronic database, we reviewed patients aged < 19 years who presented to three referral centers with endocrinopathies between 2010 and 2022. Records for patients who underwent at least one MRI brain/pituitary were examined ( Results: Twenty-eight patients (M:F = 10:18) were identified. The median age at diagnosis of PST was 10.9 years (range: 3.8-16.5), with central diabetes insipidus (CDI) and growth hormone deficiency (GHD) being the most frequent presenting endocrine disorders. At a median follow-up of 4.8 years, oncologic diagnoses were made in 14 patients (50%), including 13 GCTs (46%; germinoma = 11, non-germinoma = 2) and one LCH (4%). Among patients with GCTs, 10 were diagnosed based on histology, two by abnormal tumor markers and one by a combination of histology and tumor markers. Three patients with germinoma were initially misdiagnosed as hypophysitis/LCH. The cumulative incidence of oncologic diagnoses was significantly higher in boys and patients with PST at presentation ≥6.5 mm, CDI or ≥2 pituitary hormone deficiencies at presentation and evolving hypopituitarism (all Conclusions: A higher rate of GCTs was observed in Chinese children with endocrinopathy and isolated PST. The predictors identified in this study may guide healthcare providers in Asia in clinical decision making. Serial measurement of tumor markers is essential in management.
Language	English
Publishing date	2023-08-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers15153935
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Article ; Online: Circulating metabolomic markers linking diabetic kidney disease and incident cardiovascular disease in type 2 diabetes: analyses from the Hong Kong Diabetes Biobank.

Jin, Qiao / Lau, Eric S H / Luk, Andrea O / Tam, Claudia H T / Ozaki, Risa / Lim, Cadmon K P / Wu, Hongjiang / Chow, Elaine Y K / Kong, Alice P S / Lee, Heung Man / Fan, Baoqi / Ng, Alex C W / Jiang, Guozhi / Lee, Ka Fai / Siu, Shing Chung / Hui, Grace / Tsang, Chiu Chi / Lau, Kam Piu / Leung, Jenny Y /

Diabetologia

2024 Volume 67, Issue 5, Page(s) 837–849

Abstract: Aims/hypothesis: The aim of this study was to describe the metabolome in diabetic kidney disease (DKD) and its association with incident CVD in type 2 diabetes, and identify prognostic biomarkers.: Methods: From a prospective cohort of individuals ... ...

Abstract	Aims/hypothesis: The aim of this study was to describe the metabolome in diabetic kidney disease (DKD) and its association with incident CVD in type 2 diabetes, and identify prognostic biomarkers. Methods: From a prospective cohort of individuals with type 2 diabetes, baseline sera (N=1991) were quantified for 170 metabolites using NMR spectroscopy with median 5.2 years of follow-up. Associations of chronic kidney disease (CKD, eGFR<60 ml/min per 1.73 m Results: At false discovery rate (FDR)<0.05, 156 metabolites were associated with DKD (151 for CKD and 128 for severely increased albuminuria), including apolipoprotein B-containing lipoproteins, HDL, fatty acids, phenylalanine, tyrosine, albumin and glycoprotein acetyls. Over 5.2 years of follow-up, 75 metabolites were associated with incident CVD at FDR<0.05. A model comprising age, sex and three metabolites (albumin, triglycerides in large HDL and phospholipids in small LDL) performed comparably to conventional risk factors (C statistic 0.765 vs 0.762, p=0.893) and adding the three metabolites further improved CVD prediction (C statistic from 0.762 to 0.797, p=0.014) and improved discrimination and reclassification. The 3-metabolite score was validated in independent Chinese and Dutch cohorts. Conclusions/interpretation: Altered metabolomic signatures in DKD are associated with incident CVD and improve CVD risk stratification.
MeSH term(s)	Humans ; Diabetic Nephropathies/metabolism ; Diabetes Mellitus, Type 2 ; Cardiovascular Diseases/complications ; Prospective Studies ; Hong Kong/epidemiology ; Albuminuria ; Biological Specimen Banks ; Glomerular Filtration Rate ; Renal Insufficiency, Chronic ; Biomarkers ; Albumins
Chemical Substances	Biomarkers ; Albumins
Language	English
Publishing date	2024-02-27
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1694-9
ISSN	1432-0428 ; 0012-186X
ISSN (online)	1432-0428
ISSN	0012-186X
DOI	10.1007/s00125-024-06108-5
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Zs.A 279: Show issues

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Article: Genome-Wide DNA Methylation Profiling as Frontline Diagnostics for Central Nervous System Embryonal Tumors in Hong Kong.

Tam, Otto C H / Ho, Ronnie S L / Chan, Shing / Li, Kay K W / Lam, Tit-Leung / Cheung, Elaine T Y / Cheung, Oi-Yee / Ho, Wilson W S / Cheng, Kevin K F / Shing, Matthew M K / Ku, Dennis T L / Chung, Brian H Y / Yang, Wanling / Chan, Godfrey C F / Ng, Ho-Keung / Liu, Anthony P Y

Cancers

2023 Volume 15, Issue 19

Abstract: This paper examines the link between CNS tumor biology and heterogeneity and the use of genome-wide DNA methylation profiling as a clinical diagnostic platform. CNS tumors are the most common solid tumors in children, and their prognosis remains poor. ... ...

Abstract	This paper examines the link between CNS tumor biology and heterogeneity and the use of genome-wide DNA methylation profiling as a clinical diagnostic platform. CNS tumors are the most common solid tumors in children, and their prognosis remains poor. This study retrospectively analyzed pediatric patients with CNS embryonal tumors in Hong Kong between 1999 and 2017, using data from the territory-wide registry and available formalin-fixed paraffin-embedded tumor tissue. After processing archival tumor tissue via DNA extraction, quantification, and methylation profiling, the data were analyzed by using the web-based DKFZ classifier (Molecular Neuropathology (MNP) 2.0 v11b4) and t-SNE analysis. Methylation profiles were deemed informative in 85 samples. Epigenetic data allowed molecular subgrouping and confirmed diagnosis in 65 samples, verified histologic diagnosis in 8, and suggested an alternative diagnosis in 12. This study demonstrates the potential of DNA methylation profiling in characterizing pediatric CNS embryonal tumors in a large cohort from Hong Kong, which should enable regional and international collaboration in future pediatric neuro-oncology research.
Language	English
Publishing date	2023-10-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers15194880
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