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Article ; Online: Harnessing the Transcriptional Signatures of CAR-T-Cells and Leukemia/Lymphoma Using Single-Cell Sequencing Technologies.

Liao, Yu-Mei / Hsu, Shih-Hsien / Chiou, Shyh-Shin

International journal of molecular sciences

2024 Volume 25, Issue 4

Abstract: Chimeric antigen receptor (CAR)-T-cell therapy has greatly improved outcomes for patients with relapsed or refractory hematological malignancies. However, challenges such as treatment resistance, relapse, and severe toxicity still hinder its widespread ... ...

Abstract	Chimeric antigen receptor (CAR)-T-cell therapy has greatly improved outcomes for patients with relapsed or refractory hematological malignancies. However, challenges such as treatment resistance, relapse, and severe toxicity still hinder its widespread clinical application. Traditional transcriptome analysis has provided limited insights into the complex transcriptional landscape of both leukemia cells and engineered CAR-T-cells, as well as their interactions within the tumor microenvironment. However, with the advent of single-cell sequencing techniques, a paradigm shift has occurred, providing robust tools to unravel the complexities of these factors. These techniques enable an unbiased analysis of cellular heterogeneity and molecular patterns. These insights are invaluable for precise receptor design, guiding gene-based T-cell modification, and optimizing manufacturing conditions. Consequently, this review utilizes modern single-cell sequencing techniques to clarify the transcriptional intricacies of leukemia cells and CAR-Ts. The aim of this manuscript is to discuss the potential mechanisms that contribute to the clinical failures of CAR-T immunotherapy. We examine the biological characteristics of CAR-Ts, the mechanisms that govern clinical responses, and the intricacies of adverse events. By exploring these aspects, we hope to gain a deeper understanding of CAR-T therapy, which will ultimately lead to improved clinical outcomes and broader therapeutic applications.
MeSH term(s)	Humans ; Receptors, Chimeric Antigen/genetics ; Receptors, Antigen, T-Cell/genetics ; T-Lymphocytes ; Immunotherapy, Adoptive/methods ; Leukemia/genetics ; Leukemia/therapy ; Lymphoma/etiology ; Tumor Microenvironment
Chemical Substances	Receptors, Chimeric Antigen ; Receptors, Antigen, T-Cell
Language	English
Publishing date	2024-02-19
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2019364-6
ISSN	1422-0067 ; 1422-0067 ; 1661-6596
ISSN (online)	1422-0067
ISSN	1422-0067 ; 1661-6596
DOI	10.3390/ijms25042416
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Article ; Online: Pineal/germ cell tumors and pineal parenchymal tumors.

Ogiwara, Hideki / Liao, Yu-Mei / Wong, Tai-Tong

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

2023 Volume 39, Issue 10, Page(s) 2649–2665

MeSH term(s)	Child ; Young Adult ; Humans ; Pinealoma/therapy ; Pinealoma/pathology ; Brain Neoplasms/pathology ; Pineal Gland ; Central Nervous System Neoplasms/pathology ; Neoplasms, Germ Cell and Embryonal/therapy ; Neoplasms, Germ Cell and Embryonal/pathology ; Hydrocephalus/pathology
Language	English
Publishing date	2023-10-13
Publishing country	Germany
Document type	Review ; Journal Article
ZDB-ID	605988-0
ISSN	1433-0350 ; 0302-2803 ; 0256-7040
ISSN (online)	1433-0350
ISSN	0302-2803 ; 0256-7040
DOI	10.1007/s00381-023-06081-1
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Article: Deferasirox Causes Leukaemia Cell Death through Nrf2-Induced Ferroptosis.

Hsu, Wan-Yi / Wang, Li-Ting / Lin, Pei-Chin / Liao, Yu-Mei / Hsu, Shih-Hsien / Chiou, Shyh-Shin

Antioxidants (Basel, Switzerland)

2024 Volume 13, Issue 4

Abstract: Acute lymphoblastic leukaemia (ALL) is the most prevalent cancer in children, and excessive iron buildup resulting from blood transfusions and chemotherapy potentially has a negative impact on treatment outcomes and prognosis in patients with ALL. ... ...

Abstract	Acute lymphoblastic leukaemia (ALL) is the most prevalent cancer in children, and excessive iron buildup resulting from blood transfusions and chemotherapy potentially has a negative impact on treatment outcomes and prognosis in patients with ALL. Therefore, initiating early iron chelation therapy during ALL treatment is a logical approach. Ideally, the selected iron chelator should also possess anti-leukaemia properties. The aim of the present study was to explore the potential impact and underlying mechanism of deferasirox (DFX) in ALL therapy. This study proved that DFX, an iron chelator, is capable of inducing leukaemia cell death through ferroptosis, which is achievable by increasing the expression of acetylated nuclear factor erythroid 2-related factor 2 (NRF2). More specifically, NRF2 acetylation on Lys599 was facilitated by acetyltransferase-p300/CBP. These findings indicate that DFX could serve as a potent adjunctive medication for patients with ALL. Moreover, DFX may offer dual benefits in ALL treatment, functioning as both an iron chelator and NRF2-modulating agent. Further research and clinical trials are necessary to fully elucidate the therapeutic potential of DFX in patients with ALL and incorporate it into treatment protocols.
Language	English
Publishing date	2024-03-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2704216-9
ISSN	2076-3921
ISSN	2076-3921
DOI	10.3390/antiox13040424
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Article ; Online: Decisional conflicts, anxiety, and perceptions of shared decision-making in cancer treatment trajectory among adolescents with cancer: A longitudinal study.

Wu, Li-Min / Chiou, Shyh-Shin / Lin, Pei-Chin / Liao, Yu Mei / Su, Hsiu-Lan

Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing

2022 Volume 54, Issue 5, Page(s) 589–597

Abstract: Purpose: To examine the trajectory of decisional conflict and anxiety experienced by adolescents after the cancer diagnosis, and explore their perceptions on participation in shared decision-making (SDM).: Design: This longitudinal study used ... ...

Abstract	Purpose: To examine the trajectory of decisional conflict and anxiety experienced by adolescents after the cancer diagnosis, and explore their perceptions on participation in shared decision-making (SDM). Design: This longitudinal study used incorporated data from questionnaires and interviews. Methods: Participants recruited from an academic hospital in southern Taiwan ranged in age from 13 to 20 years with a cancer diagnosis within 1 month and received cancer treatment. Each participant completed questionnaires on decisional conflict and anxiety at diagnosis, 1, 3, and 6 months later. Individual interviews were to gain an in-depth understanding of SDM. Findings: Total scores on decisional conflict changed significantly over time (F = 2.98, p = 0.039); the scores at 1 month were higher than 3 months (t = 2.18, p = 0.04) and 6 months (t = 2.97, p = 0.008). Participants perceived significantly different levels of values clarify (F = 9.49, p < 0.01) and support (F = 8.46, p < 0.01) over time. Only 27.3% of participants were anxiety-free. No significant differences were found in anxiety over time. The perception of SDM was a situational involvement. Conclusions: Decisional conflict changed over time. Participants experienced greater decisional conflict at 4-8 weeks after diagnosis and their anxiety did not decrease over time. The different levels of participation in SDM during their treatment trajectory were found. Clinical relevance: Participants experienced the highest decisional conflict during diagnosis, and highlighted how their roles in healthcare discussions varied from direct participation to indirect involvement. Further research is needed to develop an SDM model which accommodates different levels of needs and implements timely support.
MeSH term(s)	Adolescent ; Adult ; Conflict, Psychological ; Decision Making ; Decision Making, Shared ; Humans ; Longitudinal Studies ; Neoplasms/therapy ; Surveys and Questionnaires ; Young Adult
Language	English
Publishing date	2022-03-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2008214-9
ISSN	1547-5069 ; 1527-6546
ISSN (online)	1547-5069
ISSN	1527-6546
DOI	10.1111/jnu.12772
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Article ; Online: Prediction of miRNA‑mRNA network regulating the migration ability of cytarabine‑resistant HL60 cells.

Hsu, Wan-Yi / Chiou, Shyh-Shin / Lin, Pei-Chin / Liao, Yu-Mei / Yeh, Chung-Yu / Tseng, Yu-Hsin

Biomedical reports

2023 Volume 20, Issue 2, Page(s) 20

Abstract: Cytarabine is an important medicine for acute myeloid leukemia (AML) treatment, however, drug resistance hinders the treatment of AML. Although microRNA (miRNA or miR) alteration is one of the well-recognized mechanisms underlying drug resistance in AML, ...

Abstract	Cytarabine is an important medicine for acute myeloid leukemia (AML) treatment, however, drug resistance hinders the treatment of AML. Although microRNA (miRNA or miR) alteration is one of the well-recognized mechanisms underlying drug resistance in AML, few studies have investigated the role and function of miRNAs in the development of cytarabine resistance. In the present study, total RNA was isolated from parental HL60 and cytarabine-resistant HL60 (R-HL60) cells. Subsequently, miRNAs and mRNAs were detected using small RNA sequencing and gene expression array, respectively. Differentially expressed mRNAs (DEMs) and differentially expressed genes (DEGs) with more than two-fold changes between HL60 and R-HL60 cells were screened out. Negatively associated miRNA-mRNA pairs were selected as candidate miRNA-mRNA target pairs according to the miRDB, Targetscan or miRTar databases. Functional enrichment analysis of DEGs included in the candidate miRNA-mRNA pairs was performed. The results indicated that 10 DEGs (
Language	English
Publishing date	2023-12-13
Publishing country	England
Document type	Journal Article
ZDB-ID	2763624-0
ISSN	2049-9442 ; 2049-9434
ISSN (online)	2049-9442
ISSN	2049-9434
DOI	10.3892/br.2023.1708
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Article: [Adsorption Effect and Mechanism of Aqueous Arsenic on FeMnNi-LDHs].

Liao, Yu-Mei / Yu, Jie / Wei, Shi-Qiang / Jiang, Zhen-Mao

Huan jing ke xue= Huanjing kexue

2020 Volume 42, Issue 1, Page(s) 293–304

Abstract: Removing As(Ⅲ)from water steadily and efficiently is still a challenging global issue. In this study, novel FeMnNi-LDHs were prepared by a co-precipitation method using Fe, Mn, and Ni as lamellar cations, and the structure were characterized by XRD, TEM, ...

Abstract	Removing As(Ⅲ)from water steadily and efficiently is still a challenging global issue. In this study, novel FeMnNi-LDHs were prepared by a co-precipitation method using Fe, Mn, and Ni as lamellar cations, and the structure were characterized by XRD, TEM, FT-IR, and XPS techniques, and the adsorption performance and mechanism of As(Ⅲ)was explored. The results showed that FeMnNi-LDHs have typical characteristic peaks of layered double hydroxides, with sharp peaks and high crystallinity. The TEM images also show obvious layered structures. The adsorption kinetics of As(Ⅲ)on FeMnNi-LDHs agree with the quasi second-order kinetic model, and the isotherm adsorption curve agrees with the Freundlich isotherm equation. The maximum adsorption capacity at 45℃ was 240.86 mg·g
Language	Chinese
Publishing date	2020-12-28
Publishing country	China
Document type	English Abstract ; Journal Article
ISSN	0250-3301
ISSN	0250-3301
DOI	10.13227/j.hjkx.202005012
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Article ; Online: Diagnostic value of endometrial volume and flow parameters under 3D ultrasound acquisition in combination with serum CA125 in endometrial lesions.

Liao, Yu-Mei / Li, Ya / Yu, Hong-Xia / Li, Yuan-Kun / Du, Jie-Hua / Chen, Hui

Taiwanese journal of obstetrics & gynecology

2021 Volume 60, Issue 3, Page(s) 492–497

Abstract: Objective: This study aims to discuss the differential diagnosis value of endometrial volume and flow parameters in combination with serum carbohydrate antigen 125 (CA125) in endometrial benign and malignant lesions.: Materials and methods: The data ... ...

Abstract	Objective: This study aims to discuss the differential diagnosis value of endometrial volume and flow parameters in combination with serum carbohydrate antigen 125 (CA125) in endometrial benign and malignant lesions. Materials and methods: The data of 250 patients with endometrial lesions were retrospectively analyzed. Carbohydrate antigen 125 (CA125) was determined before the operation. The morphology, hemodynamics, volume and flow parameters of the endometrium were measured by transvaginal three-dimensional-power Doppler angiography (3D-PDA). The endometrial volume (EV), 3D-PDA vascular index (VI), flow index (FI) and vascularization flow index (VFI) were calculated using the virtual organ computer-aided analysis software (VOCAL). Results: According to the pathological results, 202 patients (80.8%) had benign endometrial lesions and 48 patients (19.2%) had endometrial cancer (EC). The endometrium of EC patients was thicker (15.64 ± 7.26 mm vs. 9.24 ± 5.06 mm, P < 0.001), the endometrial volume was larger (9.23 ± 4.08 ml vs. 2.26 ± 3.42 ml, P < 0.001), and the flow parameters VI, FI and VFI were higher, when compared to those of benign lesions (P < 0.001). The area under the receiver operating characteristic curve (AUROCC) of VI receptors was 0.86, while the AUC of endometrial thickness (ET) was only 0.66. Therefore, the best variable for distinguishing benign and malignant endometrial lesions was VI. The level of CA125 in the EC group significantly increased (40.57 ± 17.45 vs. 17.87 ± 7.64, P < 0.001), and the level of CA125 increased (P < 0.05) with the increase in clinical grade, degree of tumor differentiation, and pelvic lymph node metastasis (P < 0.05). However, the difference in myometrial invasion was not statistically significant (P > 0.05). Conclusion: Transvaginal 3D-PDA can clearly show the morphological and hemodynamic characteristics of endometrial lesions, and assist in the detection of EC in combination with serum CA125. This may have important clinical application value.
MeSH term(s)	Angiography/methods ; Area Under Curve ; CA-125 Antigen/blood ; Diagnosis, Differential ; Endometrial Neoplasms/diagnosis ; Endometrium/blood supply ; Endometrium/pathology ; Female ; Humans ; Imaging, Three-Dimensional/methods ; Membrane Proteins/blood ; Middle Aged ; Organ Size ; Predictive Value of Tests ; Pulse Wave Analysis ; ROC Curve ; Retrospective Studies ; Ultrasonography, Doppler/methods ; Uterine Diseases/diagnosis ; Vagina
Chemical Substances	CA-125 Antigen ; MUC16 protein, human ; Membrane Proteins
Language	English
Publishing date	2021-05-08
Publishing country	China (Republic : 1949- )
Document type	Evaluation Study ; Journal Article
ZDB-ID	2202946-1
ISSN	1875-6263 ; 1028-4559
ISSN (online)	1875-6263
ISSN	1028-4559
DOI	10.1016/j.tjog.2021.03.018
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Article ; Online: A cross-sectional follow-up study of physical morbidities, neurocognitive function, and attention problems in post-treatment childhood acute lymphoblastic leukemia survivors.

Chiou, Shyh-Shin / Lin, Pei-Chin / Liao, Yu-Mei / Yang, Pinchen

The Kaohsiung journal of medical sciences

2019 Volume 35, Issue 6, Page(s) 373–378

Abstract: Acute lymphoblastic leukemia (ALL) is the most common childhood cancer. While ALL therapies are highly effective, western studies have shown excesses late life effects of therapies in survivors. In this survey, we recruited subjects being diagnosed as ... ...

Abstract	Acute lymphoblastic leukemia (ALL) is the most common childhood cancer. While ALL therapies are highly effective, western studies have shown excesses late life effects of therapies in survivors. In this survey, we recruited subjects being diagnosed as ALL before the age of 18-year-old and had been in complete continuous remission for at least 3 years. Subjects were arranged to receive three cognitive tests (Wechsler intelligence test, Conners' continuous performance test, and Wisconsin card sorting test). Standardized questionnaires were used to inquiry about attention problem in real life context. Treatment outcome were compared between the standard risk and high/very high risk groups. Final survivors were 42 subjects (26 males, 16 females) with median current age of 17.8 years. Subjects were diagnosed to be with ALL at a median age of 4.8 years. The median survival time (from discontinuation of ALL treatment to the study date) was 8.4 years. Results indicated that 17 subjects (40.5%) had chronic physical conditions in need of clinical management and six subjects (14.3%) had mental condition. For the performance-based cognitive outcome, the average full scale intelligence quotient was 91.7 ± 13.8. Ten percent of the subjects had problem in test of attention, 20% had problem in test of impulsivity and 42.8% of the subject had problems in executive function. When judged from real life contexts, 19 subjects (42%) were with obvious attention problems. Group comparison between standard risk vs high/very high risk patients revealed no difference in neurocognitive outcomes. We hope that this information may benefit the implementation of follow-up program for Taiwanese pediatric leukemia survivors.
MeSH term(s)	Adolescent ; Adult ; Antineoplastic Agents/administration & dosage ; Antineoplastic Agents/adverse effects ; Antineoplastic Combined Chemotherapy Protocols/administration & dosage ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Attention/drug effects ; Cancer Survivors/psychology ; Child ; Child, Preschool ; Cognition/drug effects ; Cross-Sectional Studies ; Executive Function/drug effects ; Female ; Follow-Up Studies ; Humans ; Impulsive Behavior/drug effects ; Male ; Neuropsychological Tests ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/pathology ; Remission Induction ; Treatment Outcome
Chemical Substances	Antineoplastic Agents
Language	English
Publishing date	2019-03-26
Publishing country	China (Republic : 1949- )
Document type	Journal Article
ZDB-ID	639302-0
ISSN	2410-8650 ; 0257-5655
ISSN (online)	2410-8650
ISSN	0257-5655
DOI	10.1002/kjm2.12061
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Article ; Online: Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effective Mechanism in Preventing Infection Caused by Accompanying Caregivers During COVID-19-Experience of a City Medical Center in Taiwan.

Tiao, Chi-Hui / Tsai, Ling-Chin / Chen, Li-Chin / Liao, Yu-Mei / Sun, Li-Chen

Quality management in health care

2020 Volume 30, Issue 1, Page(s) 61–68

Abstract: Background and objectives: In response to the COVID-19 pandemic outbreak and to ensure the safety of epidemic prevention in the hospital, the hospital has established mitigation strategies in advance including risk assessment and effect analysis to ... ...

Abstract	Background and objectives: In response to the COVID-19 pandemic outbreak and to ensure the safety of epidemic prevention in the hospital, the hospital has established mitigation strategies in advance including risk assessment and effect analysis to control hospital visitors and accompanying persons. The study aims to assess the effectiveness of mitigation strategies implemented to effectively prevent the invasion and spread of the virus. Method: Conduct a status analysis in accordance with the Healthcare Failure Mode and Effect Analysis (HFMEA) 4-step model, construct a response workflow, confirm the failure mode and potential causes, perform hazard matrix analysis and decision tree analysis, and formulate risk control management measures. Results: For the 4 main processes and 9 subprocesses of the accompanying carers and contract caregivers entering the hospital, 26 potential failure modes and 42 potential causes of failure were analyzed. Following implementing improvement measures including strategies targeting the accompanying person, mitigation workflow failure rates decreased from 42 to 13 items, the pass rate for the maximum body temperature cutoff increased from 53.1% to 90.8%, and the compliance rate of hand washing increased from 89.5% to 100%. Conclusion: The HFMEA model can effectively implement preventive risk assessment and workflow management of high-risk medical procedures. The model can adjudicate the health of hospital visitors during the epidemic/pandemic, provide epidemic/pandemic education training and preventive measure health education guidance for hospital visits, and improve their epidemic prevention cognition. When combined, these strategies can prevent nosocomial infection to achieve the best anti-epidemic effect.
MeSH term(s)	COVID-19/prevention & control ; COVID-19/transmission ; Caregivers ; Cross Infection/prevention & control ; Cross Infection/transmission ; Hand Disinfection ; Healthcare Failure Mode and Effect Analysis/methods ; Healthcare Failure Mode and Effect Analysis/organization & administration ; Hospitals, Urban/organization & administration ; Humans ; Models, Organizational ; Organizational Policy ; Risk Assessment ; Taiwan/epidemiology ; Visitors to Patients
Language	English
Publishing date	2020-12-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	1162319-6
ISSN	1550-5154 ; 1063-8628
ISSN (online)	1550-5154
ISSN	1063-8628
DOI	10.1097/QMH.0000000000000295
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Article: Low Expression of IL-15 and NKT in Tumor Microenvironment Predicts Poor Outcome of MYCN-Non-Amplified Neuroblastoma.

Liao, Yu-Mei / Hung, Tsai-Hsien / Tung, John K / Yu, John / Hsu, Ya-Ling / Hung, Jung-Tung / Yu, Alice L

Journal of personalized medicine

2021 Volume 11, Issue 2

Abstract: Immune tumor microenvironment (TME) in neuroblastoma (NBL) contributes to tumor behavior and treatment response. T cells and natural killer (NK) cells have been shown to play important roles in the neuroblastoma TME. However, few reports address the ... ...

Abstract	Immune tumor microenvironment (TME) in neuroblastoma (NBL) contributes to tumor behavior and treatment response. T cells and natural killer (NK) cells have been shown to play important roles in the neuroblastoma TME. However, few reports address the clinical relevance of natural killer T cells (NKTs) and interleukin-15 (IL-15), one of the crucial cytokines controlling the activation and expansion of NK/NKT cells, in NBL. In this study, we examined NKT immunoscores and IL-15 expression in both MYCN-amplified and MYCN-non-amplified NBL to correlate with clinical outcomes such as event-free survival (EFS) and overall survival (OS). From Gene Expression Omnibus (GEO) datasets GSE45480 (
Language	English
Publishing date	2021-02-13
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm11020122
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