95 results on '"Kee K, Kim"'
Search Results
52. RBM47-regulated alternative splicing of TJP1 promotes actin stress fiber assembly during epithelial-to-mesenchymal transition
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Kee K. Kim, Minho Won, Sung-Gwon Lee, Chang-Hwa Song, Yong-Eun Kim, and Chungoo Park
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0301 basic medicine ,Cancer Research ,Epithelial-Mesenchymal Transition ,Biology ,Stress fiber assembly ,03 medical and health sciences ,Exon ,0302 clinical medicine ,Cell Line, Tumor ,Neoplasms ,Stress Fibers ,Genetics ,Humans ,Epithelial–mesenchymal transition ,Molecular Biology ,Actin ,RNA recognition motif ,Alternative splicing ,RNA-Binding Proteins ,Cell migration ,Actins ,Cell biology ,Alternative Splicing ,030104 developmental biology ,HEK293 Cells ,A549 Cells ,030220 oncology & carcinogenesis ,RNA splicing ,Disease Progression ,MCF-7 Cells ,Zonula Occludens-1 Protein ,Protein Multimerization - Abstract
Morphological and functional changes in cells during the epithelial-mesenchymal transition (EMT) process are known to be regulated by alternative splicing. However, only a few splicing factors involved in EMT have been reported and their underlying mechanisms remain largely unknown. Here, we showed that an isoform of tight junction protein 1 (TJP1) lacking exon 20 (TJP1-α-) is predominantly expressed in tumor tissues and in A549 cells during transforming growth factor-β (TGF-β)-induced EMT. RBM47 promoted the inclusion of exon 20 of TJP1, the alternative exon encoding the α-domain, by which RBM47 recognizes to (U)GCAUG in the downstream intronic region of exon 20. We also found that the first RNA recognition motif (RRM) domain of RBM47 is critical in the regulation of alternative splicing and its recognition to pre-mRNA of TJP1. Furthermore, we demonstrated that the TJP1-α- isoform enhances the assembly of actin stress fibers, thereby promoting cellular migration in a wound healing assay. Our results suggest the regulatory mechanism for the alternative splicing of TJP1 pre-mRNA by RBM47 during EMT, providing a basis for studies related to the modulation of EMT via alternative splicing.
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- 2018
53. Pulsed Electromagnetic Fields Stimulate Cellular Proliferation in Different Types of Cells
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Kee K. Kim, Sun-Na Kim, Han-Wook Cho, Ki-Jung Kim, and Kyooneon Kim
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Electromagnetic field ,Cell type ,Materials science ,medicine.diagnostic_test ,Cell growth ,Solenoid ,Quantitative Biology::Cell Behavior ,Electronic, Optical and Magnetic Materials ,Flow cytometry ,03 medical and health sciences ,0302 clinical medicine ,Nuclear magnetic resonance ,Cell culture ,030220 oncology & carcinogenesis ,medicine ,Biophysics ,Electrical and Electronic Engineering ,Analytical design ,human activities ,030217 neurology & neurosurgery - Abstract
In this paper, we aimed to develop a pulsed electromagnetic field (PEMF) system and to investigate its effects on diverse cell types. To ensure uniform magnetic flux density in the space for cell culture, the PEMF system was designed with an efficient solenoid using an analytical design and finite-element analysis. We investigated its effects on diverse cell types by using cell proliferation assay and flow cytometry analysis. The results of this paper show promise in furthering the PEMF-related biomedical research and its applications in translational studies.
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- 2016
54. Transforming Growth Factor-β-Induced RBFOX3 Inhibition Promotes Epithelial-Mesenchymal Transition of Lung Cancer Cells
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Jong Ok Kim, Ki-Sun Park, Kee K. Kim, Kyoon Eon Kim, Minho Won, and Yong-Eun Kim
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0301 basic medicine ,Epithelial-Mesenchymal Transition ,Lung Neoplasms ,Rbfox3 ,Carcinogenesis ,RNA-binding protein ,RNA Splicing ,Adenocarcinoma of Lung ,Nerve Tissue Proteins ,Respiratory Mucosa ,Adenocarcinoma ,medicine.disease_cause ,Article ,Rbfox family ,03 medical and health sciences ,0302 clinical medicine ,Transforming Growth Factor beta ,Cell Line, Tumor ,Claudin-1 ,medicine ,Humans ,Epithelial–mesenchymal transition ,RNA, Small Interfering ,Lung cancer ,Molecular Biology ,biology ,Mesenchymal stem cell ,EMT ,Cancer ,Antigens, Nuclear ,Cell Biology ,General Medicine ,Transforming growth factor beta ,medicine.disease ,Cadherins ,Gene Expression Regulation, Neoplastic ,lung cancer ,030104 developmental biology ,030220 oncology & carcinogenesis ,Immunology ,Cancer research ,biology.protein ,Transforming growth factor ,Signal Transduction - Abstract
The RNA-binding protein Rbfox3 is a well-known splicing regulator that is used as a marker for post-mitotic neurons in various vertebrate species. Although recent studies indicate a variable expression of Rbfox3 in non-neuronal tissues, including lung tissue, its cellular function in lung cancer remains largely unknown. Here, we report that the number of RBFOX3-positive cells in tumorous lung tissue is lower than that in normal lung tissue. As the transforming growth factor-β (TGF-β) signaling pathway is important in cancer progression, we investigated its role in RBFOX3 expression in A549 lung adenocarcinoma cells. TGF-β1 treatment inhibited RBFOX3 expression at the transcriptional level. Further, RBFOX3 depletion led to a change in the expression levels of a subset of proteins related to epithelial-mesenchymal transition (EMT), such as E-cadherin and Claudin-1, during TGF-β1-induced EMT. In immunofluorescence microscopic analysis, mesenchymal morphology was more prominent in RBFOX3-depleted cells than in control cells. These findings show that TGF-β-induced RBFOX3 inhibition plays an important role in EMT and propose a novel role for RBFOX3 in cancer progression.
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- 2016
55. State-of-the-art housekeeping proteins for quantitative western blotting: Revisiting the first draft of the human proteome
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Kee K. Kim, Sung-Jin Cho, Jihoon Jo, Chungoo Park, Hyun Gwan Lee, Hyun Hee Hong, and Joong Ki Park
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Proteomics ,0301 basic medicine ,Proteome ,Mrna expression ,Blotting, Western ,Computational biology ,Biochemistry ,03 medical and health sciences ,0302 clinical medicine ,Tandem Mass Spectrometry ,Human proteome project ,Humans ,Protein Interaction Maps ,Databases, Protein ,Molecular Biology ,Glyceraldehyde 3-phosphate dehydrogenase ,biology ,Molecular biology ,Housekeeping gene ,Weak correlation ,Blot ,030104 developmental biology ,Housekeeping ,Homogeneous ,biology.protein ,030217 neurology & neurosurgery ,Chromatography, Liquid - Abstract
Western blotting (WB) analysis is the most popular and widely used methodology for protein detection and characterization over recent decades. In accordance with the advancement of the technologies for the acquisition of WB signals, a quantitative value is used to present the abundance of target proteins in a complex sample, thereby requiring the use of specific proteins as internal references that represent total proteins. Heretofore, proteins encoded by housekeeping genes such as GAPDH, β-tubulin and β-actin have been commonly used as loading controls without any hesitation because their mRNA expression levels tend to be high and constant in many different cells and tissues. Experimentally, however, some of the housekeeping reference proteins are often displayed with inconsistent expression levels in both homogeneous and heterogeneous tissues, and, in terms of mRNA levels, they have a weak correlation to the abundance of proteins. To estimate accurate, reliable, and reproducible protein quantifications, it is crucial to define appropriate reference controls. For this paper, we explored the recently released large-scale, human proteomic database ProteomicsDB including 16 857 liquid chromatography tandem-mass-spectrometry data from 27 human tissues, and suggest 20 ubiquitously- and constitutively-expressed, putative internal-reference controls for the quantification of differential protein expressions. Intriguingly, the most commonly used, known housekeeping genes were entirely excluded in our newly defined candidates. Although the applications of the candidates under many different biological conditions and in other organisms are yet to be empirically verified, we propose reliable, potential loading controls for a WB analysis in this paper.
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- 2016
56. Identification and characterization of the RNA-binding protein Rbfox3 in zebrafish embryo
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Hyunju Ro, Jung-Hwan Kim, Minho Won, Kee K. Kim, Kyoon Eon Kim, Siyeo Lee, Ki-Jung Kim, and Sunkyung Choi
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0301 basic medicine ,Embryo, Nonmammalian ,animal structures ,Molecular Sequence Data ,Biophysics ,RNA-binding protein ,Biology ,Biochemistry ,Epitope ,Structure-Activity Relationship ,03 medical and health sciences ,Exon ,Animals ,Amino Acid Sequence ,Molecular Biology ,Gene ,Zebrafish ,Peptide sequence ,Cells, Cultured ,Gene Expression Regulation, Developmental ,RNA-Binding Proteins ,Cell Biology ,Zebrafish Proteins ,Blastula ,biology.organism_classification ,Molecular biology ,030104 developmental biology ,embryonic structures ,biology.protein ,NeuN - Abstract
Rbfox3, an RNA-binding fox protein, binds to the antibody to pan-neuronal marker, neuronal nuclei (NeuN). Rbfox3 is expressed in neural tissues across a wide range of species including mammals, birds, and amphibians. However, the molecular identity of Rbfox3 in the zebrafish is largely unknown. In this study, we cloned two zebrafish Rbfox3 genes, Rbfox3a and Rbfox3b. We also cloned the Rbfox3-d31 isoform, which excludes a 93-nucleotide alternative exon within the RNA-recognition motif in both, Rbfox3a and Rbfox3b. Multiple protein sequence alignment revealed that the amino acid sequence for residues 1-20 of the zebrafish Rbfox3, which is the epitope region of NeuN antibody, was different from that of other species. Therefore, NeuN antibody lost its function as a neuronal marker antibody in zebrafish. Reverse transcriptase-polymerase chain reaction showed that both Rbfox3-d31 transcripts were abundant in the early blastula stage, after which they dramatically reduced, suggesting that these isoforms exist mainly as maternal transcripts. In contrast, full-length Rbfox3 transcripts were detected from the 24 h post-fertilization embryo, expression was also maintained at a constant level. Furthermore, full-length Rbfox3-expressing cells were located within the central nervous system during later stages of the zebrafish embryo. Our study provides insight into the molecular structure of zebrafish Rbfox3 as a step towards genetic association studies investigating the developmental role of Rbfox3.
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- 2016
57. Characterisation of genes differentially expressed in macrophages by virulent and attenuated Mycobacterium tuberculosis through RNA-Seq analysis
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Soo-Na Cho, Junghwan Lee, Sung-Gwon Lee, Chungoo Park, Ji-Ae Choi, Yun-Ji Lim, Kee K. Kim, and Chang-Hwa Song
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0301 basic medicine ,Tuberculosis ,lcsh:Medicine ,Virulence ,RNA-Seq ,Article ,Microbiology ,Mycobacterium tuberculosis ,Transcriptome ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Animals ,lcsh:Science ,Gene ,Cells, Cultured ,Multidisciplinary ,Innate immune system ,biology ,Macrophages ,lcsh:R ,biology.organism_classification ,medicine.disease ,Solute carrier family ,Mice, Inbred C57BL ,030104 developmental biology ,Host-Pathogen Interactions ,Amino Acid Transport Systems, Basic ,lcsh:Q ,030217 neurology & neurosurgery - Abstract
Tuberculosis (TB) remains a global healthcare issue. Understanding the host-pathogen interactions in TB is vital to develop strategies and therapeutic tools for the control of Mycobacterium tuberculosis (Mtb). In this study, transcriptome analyses of macrophages infected with either the virulent Mtb strain H37Rv (Rv) or the avirulent Mtb strain H37Ra (Ra) were carried out and 750 differentially expressed genes (DEGs) were identified. As expected, the DEGs were mainly involved in the induction of innate immune responses against mycobacterial infections. Among the DEGs, solute carrier family 7 member 2 (Slc7a2) was more strongly expressed in Ra-infected macrophages. Induction of SLC7A2 was important for macrophages to control the intracellular survival of Mtb. Our results imply that SLC7A2 plays an important role in macrophages during Mtb infection. Our findings could prove useful for the development of new therapeutic strategies to control TB infection.
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- 2018
58. SAMHD1 post-transcriptionally controls the expression of Foxp3 and Helios in Human T regulatory Cells
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Yong Chan Kim, David W. Scott, Ethan M. Shevach, Kee K. Kim, and Jeongheon Yoon
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0301 basic medicine ,Untranslated region ,Adult ,Male ,Immunology ,Cell Culture Techniques ,Regulatory site ,chemical and pharmacologic phenomena ,T-Lymphocytes, Regulatory ,Article ,SAM Domain and HD Domain-Containing Protein 1 ,03 medical and health sciences ,Ikaros Transcription Factor ,0302 clinical medicine ,Immunology and Allergy ,Humans ,3' Untranslated Regions ,Cells, Cultured ,Aged ,Messenger RNA ,Chemistry ,T-cell receptor ,FOXP3 ,hemic and immune systems ,Forkhead Transcription Factors ,Middle Aged ,Cell biology ,030104 developmental biology ,Gene Expression Regulation ,Oligodeoxyribonucleotides ,Cell culture ,Phosphorylation ,Female ,030215 immunology ,SAMHD1 - Abstract
Clinical application of Ag-specific T regulatory cells (Tregs) offers promise for the treatment of undesirable immune diseases. To achieve this goal, long-term expansion of Tregs is required to obtain sufficient numbers of cells. However, human Tregs are not stable ex vivo. Therefore, we previously developed an innovative Treg expansion protocol using 25mer-phosphorothioated random oligonucleotides (ODNps25). The addition of ODNps25 successfully resulted in the stabilization of engineered Ag-specific Tregs; however, the mechanism is not fully characterized. We first identified sterile α motif histidine-aspartate–domain containing protein 1 (SAMHD1) as an ODNps25-binding protein using a UV–cross-linking pull-down strategy. SAMHD1 physically interacted with the 3′ untranslated region of Foxp3 mRNA and was translocated from nucleus to cytoplasm after ODNps25 treatment. Importantly, addition of ODNps25 enhanced the interaction of SAMHD1 and Foxp3 mRNA significantly, and this interaction was increased by TCR stimulation. Because ODNps25 binds to the nuclease (HD) domain of SAMHD1, we then established that overexpression of a dNTPase-deficient mutant (D137N) in Tregs significantly stabilized the expression level of the Foxp3 protein. Furthermore, we found that TCR stimulation upregulates phosphorylation of the threonine residue (Thr592), which is a regulatory site to control SAMHD1 activity, and phosphorylation of Thr592 is critical to control SAMHD1 activity to stabilize the expression of Foxp3 and Helios in Tregs. Taken together, we suggest that the interaction of ODNPs25 in HD or phosphorylation of Thr592 by TCR stimulation interferes with nuclease activity of SAMHD1, thereby stabilizing 3′ untranslated region of Foxp3 and Helios mRNAs in long-term culture.
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- 2018
59. Alternative splicing induces cytoplasmic localization of RBFOX2 protein in calcific tendinopathy
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Jong Ok Kim, Myung-Sup Ko, Jaewhan Kim, Seok-Jae Park, Siyeo Lee, Namjoon Cho, Sunkyung Choi, Jong-Hun Ji, and Kee K. Kim
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0301 basic medicine ,Gene isoform ,Male ,Cytoplasm ,Clinical Biochemistry ,RNA-binding protein ,Biology ,Pathology and Forensic Medicine ,Tendons ,03 medical and health sciences ,Exon ,0302 clinical medicine ,Gene expression ,Humans ,Protein Isoforms ,Amino Acid Sequence ,Molecular Biology ,Aged ,Cell Nucleus ,Sequence Homology, Amino Acid ,Alternative splicing ,Exons ,Middle Aged ,Cell biology ,Repressor Proteins ,Alternative Splicing ,030104 developmental biology ,030220 oncology & carcinogenesis ,RNA splicing ,Tendinopathy ,Female ,RNA Splicing Factors ,Nuclear localization sequence ,HeLa Cells - Abstract
Background Calcific tendinopathy (CT) is characterized by deposits of calcium, most commonly found in the shoulder tendons. The exact cause and pathogenesis of CT are not fully understood. This study analyzed the expression pattern of RNA-binding protein fox-1 homolog 2 (RBFOX2), a crucial splicing regulator in tissue differentiation. Methods Normal and calcific tendons were compared for RBFOX2 mRNA level using quantitative reverse-transcription polymerase chain reaction. Intracellular localization of RBFOX2 protein was investigated using immunofluorescence microscopy. Normal and calcific tendon cDNAs were used to clone RBFOX2. Sequencing analysis identified coding sequences of the RBFOX2 isoform. Results The intracellular localization of RBFOX2 protein differed with disease status, with RBFOX2 localized in the cytoplasm in calcific tendons and the nucleus in normal tendons. Analysis of the RBFOX2 protein-coding sequence showed that exon 10, responsible for nuclear localization, was absent in calcific tendons. Splicing of RBFOX2 target genes CHD2 and MBNL1 was significantly affected by cytoplasmic localization of RBFOX2 in calcific tendons. Discussion Given the function of RBFOX2 as a splicing regulator in the nucleus, cytoplasmic localization of RBFOX2 protein in calcific tendons may have affected overall splicing events and altered gene expression. These results provide insights for comprehension of CT pathogenesis.
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- 2018
60. Stress Granules Contain Rbfox2 with Cell Cycle-related mRNAs
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Sunkyung Choi, Siyeo Lee, Su-Hyung Park, Chungoo Park, Yong-Eun Kim, Sachiyo Kawamoto, Kee K. Kim, and Robert S. Adelstein
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0301 basic medicine ,Ubiquitin-Protein Ligases ,lcsh:Medicine ,Biology ,Cytoplasmic Granules ,Article ,03 medical and health sciences ,Stress granule ,Humans ,Immunoprecipitation ,Gene silencing ,RNA, Messenger ,lcsh:Science ,Messenger RNA ,Multidisciplinary ,Sequence Analysis, RNA ,Gene Expression Profiling ,lcsh:R ,Cell Cycle ,RNA ,Cell cycle ,Cell biology ,Repressor Proteins ,Gene expression profiling ,Retinoblastoma Binding Proteins ,030104 developmental biology ,Cytoplasm ,RNA splicing ,lcsh:Q ,RNA Splicing Factors ,HeLa Cells ,Protein Binding - Abstract
Rbfox RNA-binding proteins play important roles in the regulation of alternative pre-mRNA splicing, but their role in other gene regulatory mechanisms is not well understood. Here, we show that Rbfox2 is a novel constituent of cytoplasmic stress granules, the translational silencing machinery assembled in response to cellular stress. We also show that the RNA binding activity of the Rbfox family protein is crucial for its localization into stress granules. To investigate the role of Rbfox2 in stress granules we used RNA-immunoprecipitation sequencing to identify cytoplasmic transcriptome-wide targets of Rbfox2. We report that a subset of cell cycle-related genes including retinoblastoma 1 is the target of Rbfox2 in cytoplasmic stress granules, and Rbfox2 regulates the retinoblastoma 1 mRNA and protein expression levels during and following stress exposure. Our study proposes a novel function for Rbfox2 in cytoplasmic stress granules.
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- 2017
61. Bortezomib, a proteasome inhibitor, alleviates atopic dermatitis by increasing claudin 1 protein expression
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Kee K. Kim, Seonghye Cheon, Yong-Eun Kim, and Namjoon Cho
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0301 basic medicine ,Keratinocytes ,Male ,Biophysics ,Biology ,Biochemistry ,Cell Line ,Dermatitis, Atopic ,Tight Junctions ,Pathogenesis ,Bortezomib ,03 medical and health sciences ,Mice ,0302 clinical medicine ,Claudin-1 ,medicine ,Animals ,Humans ,Claudin ,Molecular Biology ,Mice, Inbred BALB C ,integumentary system ,Tight junction ,Dose-Response Relationship, Drug ,Cell Biology ,Atopic dermatitis ,medicine.disease ,HaCaT ,030104 developmental biology ,Treatment Outcome ,030220 oncology & carcinogenesis ,Paracellular transport ,Immunology ,Proteasome inhibitor ,Proteasome Inhibitors ,medicine.drug - Abstract
Atopic dermatitis (AD) is a chronic inflammatory skin disease. Many studies investigating AD pathogenesis and its therapy have been conducted but none have been successful. One of the causes of AD is dysfunction of tight junctions through reduction of claudin 1 expression in the epidermal barrier of the skin. In the present study, we investigated the role of bortezomib (BTZ) in the restoration of the reduced expression of claudin 1. Immunoblot and immunofluorescence analyses revealed that BTZ increased the protein expression level of claudin 1 in the human keratinocyte cell line HaCaT, thereby forming paracellular barriers. Furthermore, repeated application of BTZ alleviated atopic symptoms on the backs and ears of 2, 4-dinitrochlorobenzene (DNCB)-induced AD mice, and led to the formation of normal tight junctions in the epidermal barrier of DNCB-induced mice skin. Taken together, these results demonstrate that BTZ-induced claudin 1 expression may be a valuable therapeutic approach for AD.
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- 2017
62. SFPQ, a multifunctional nuclear protein, regulates the transcription of PDE3A
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Sunkyung Choi, Dong Keun Rhee, Steven Hockman, Chungoo Park, Kee K. Kim, Yong-Eun Kim, and Vincent C. Manganiello
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0301 basic medicine ,Biophysics ,Phosphodiesterase ,Cell Biology ,Biology ,Biochemistry ,Molecular biology ,03 medical and health sciences ,Exon ,Splicing factor ,030104 developmental biology ,Transcription (biology) ,Complementary DNA ,Gene expression ,Transcriptional regulation ,Nuclear protein ,Molecular Biology - Abstract
Phosphodiesterase 3A (PDE3A), a member of the cGMP-inhibited cyclic nucleotide phosphodiesterase (PDE) family, plays important roles in oocyte maturation and vascular smooth muscle cell proliferation. However, the molecular mechanisms that regulate PDE3A gene expression remain largely unknown. In this study, we investigated the transcriptional regulation of PDE3A , and found that the splicing factor proline and glutamine rich (SFPQ) protein modulated PDE3A mRNA levels. Multiple transcription start sites (TSS1, 2, and 3) were identified within the first exon of PDE3A using 5'-rapid amplification of cDNA ends (RACE). Variable expression levels of three PDE3A variants were also observed in human tissues and HeLa cells. Several putative SFPQ-binding sites were identified upstream of the regulatory region of PDE3A -TSSs using chromatin immunoprecipitation sequencing (ChIP-seq). Serum-induced PDE3A expression was affected by increasing the amount of SFPQ binding to the upstream regulatory region of PDE3A In addition, transcription of PDE3A was lower in human cervical adenocarcinoma cells compared to normal cervical tissue. Furthermore, over-expression of PDE3A induced sensitivity to anti-cancer therapeutic agent, 6-(4-(diethylamino)-3-nitrophenyl)-5-methyl-4,5-dihydropyridazin-3(2H)-one (DNMDP), in HeLa cells. Taken together, these results suggest that SFPQ functions as a transcriptional activator of PDE3A, which is involved in the regulation of DNMDP sensitivity , offering a novel molecular target for the development of anticancer therapies.
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- 2017
63. Magnesium ions enhance infiltration of osteoblasts in scaffolds via increasing cell motility
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Kee K. Kim, Seok-Jo Yang, Yong Sang Cho, Sunkyung Choi, Ki-Jung Kim, and Young-Sam Cho
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0301 basic medicine ,Scaffold ,Materials science ,Polyesters ,Biomedical Engineering ,Biophysics ,Motility ,chemistry.chemical_element ,Biocompatible Materials ,Bioengineering ,02 engineering and technology ,Divalent ,Biomaterials ,03 medical and health sciences ,chemistry.chemical_compound ,Cell Movement ,Osteogenesis ,Cations ,Materials Testing ,Humans ,Magnesium ,Cytotoxicity ,Magnesium ion ,chemistry.chemical_classification ,Osteoblasts ,Tissue Engineering ,Tissue Scaffolds ,DNA ,021001 nanoscience & nanotechnology ,030104 developmental biology ,Microscopy, Fluorescence ,chemistry ,Bone Substitutes ,Polycaprolactone ,0210 nano-technology ,Porosity ,Intracellular ,Biomedical engineering - Abstract
Magnesium (Mg) ions are the most abundant intracellular divalent cations and play a pivotal role in numerous cellular processes. Biodegradable Mg-containing materials, including scaffolds, are promising candidates for orthopedic applications. Here, we investigated the effect of Mg ions on the cellular properties of osteoblasts. Cytotoxicity tests on osteoblasts confirmed that no cytotoxic effects were found up to a supplementing Mg ion concentration of 10 mM. Mg ions at a concentration of 5 mM increased the migration and invasiveness of osteoblasts. To investigate the stimulatory effect of Mg ions on cell motility in scaffolds, we fabricated 10 wt% Mg ion-containing polycaprolactone (PCL) scaffolds, using the wire-network molding (WNM) technique. Mg ion-containing scaffolds persistently released Mg ions at a concentration of 5 mM in the media after pre-incubation. Furthermore, increased cell motility was confirmed in Mg ion-containing scaffolds by quantification of genomic DNA and protein content. Our results provide an important basis for the function of Mg ions and their effect on cell motility, and propose a novel role for Mg ions in scaffold applications.
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- 2017
64. RBFOX3 regulates Claudin-1 expression in human lung tissue viaattenuation of proteasomal degradation
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Yong-Eun Kim, Jong Ok Kim, Sunkyung Choi, and Kee K. Kim
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0301 basic medicine ,Proteasome Endopeptidase Complex ,Lung Neoplasms ,tight junctions ,endocrine system diseases ,Biophysics ,Regulator ,Nerve Tissue Proteins ,Cycloheximide ,Biology ,Biochemistry ,03 medical and health sciences ,chemistry.chemical_compound ,Ubiquitin ,Claudin-1 ,Humans ,RNA, Messenger ,RBFOX3 ,Claudin ,Molecular Biology ,Lung ,Research Articles ,lung tissue ,Messenger RNA ,Ubiquitination ,Antigens, Nuclear ,Cell Biology ,Cell biology ,030104 developmental biology ,chemistry ,protein stability ,Cytoplasm ,A549 Cells ,RNA splicing ,Proteolysis ,biology.protein ,Immunostaining ,Research Article ,ubiquitin-proteasomal degradation - Abstract
RBFOX3, a nuclear RNA-binding protein, is well known as a regulator of alternative pre-mRNA splicing during neuronal development. However, other functions of RBFOX3 are poorly understood. Here, we investigated the function of RBFOX3 in the cytoplasm with respect to regulation of Claudin-1 expression. In human lung tissue, Claudin-1 is higher in RBFOX3-positive cells than in RBFOX3-negative cells. Immunostaining and mRNA quantification revealed that protein levels, but not mRNA levels, of Claudin-1 are increased by RBFOX3. In addition, cycloheximide treatment of human lung cancer cells revealed that RBFOX3 increases the stability of Claudin-1 through attenuation of its ubiquitination. Our study provides insights into the molecular mechanisms by which RBFOX3 regulates Claudin-1 expression in human lung tissue.
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- 2017
65. Rbfox3 controls the biogenesis of a subset of microRNAs
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Kee K. Kim, Robert S. Adelstein, Sachiyo Kawamoto, Yanqin Yang, and Jun Zhu
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RNA Splicing ,Regulator ,Nerve Tissue Proteins ,RNA-binding protein ,Biology ,Article ,Mice ,Structural Biology ,Cell Line, Tumor ,microRNA ,RNA Precursors ,Animals ,Immunoprecipitation ,Nucleotide Motifs ,RNA Processing, Post-Transcriptional ,RNA, Small Interfering ,Nuclear protein ,Molecular Biology ,Genetics ,Binding Sites ,Alternative splicing ,Intron ,Nuclear Proteins ,RNA-Binding Proteins ,Cell biology ,DNA-Binding Proteins ,MicroRNAs ,RNA splicing ,RNA Interference ,Biogenesis - Abstract
RNA-binding proteins (RBPs) regulate numerous aspects of gene expression; thus, identification of their endogenous targets is important for understanding their cellular functions. Here we identified transcriptome-wide targets of Rbfox3 in neuronally differentiated P19 cells and mouse brain by using photoactivatable ribonucleoside-enhanced cross-linking and immunoprecipitation (PAR-CLIP). Although Rbfox3 is known to regulate pre-mRNA splicing through binding the UGCAUG motif, PAR-CLIP analysis revealed diverse Rbfox3 targets including primary microRNAs (pri-miRNAs) that lack the UGCAUG motif. Induced expression and depletion of Rbfox3 led to changes in the expression levels of a subset of PAR-CLIP-detected miRNAs. In vitro analyses revealed that Rbfox3 functions as a positive and a negative regulator at the stage of pri-miRNA processing to precursor miRNA (pre-miRNA). Rbfox3 binds directly to pri-miRNAs and regulates the recruitment of the microprocessor complex to pri-miRNAs. Our study proposes a new function for Rbfox3 in miRNA biogenesis.
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- 2014
66. Isoform-specific proteasomal degradation of Rbfox3 during chicken embryonic development
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Sachiyo Kawamoto, Kee K. Kim, and Robert S. Adelstein
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Gene isoform ,Proteasome Endopeptidase Complex ,Biophysics ,Repressor ,Nerve Tissue Proteins ,Chick Embryo ,Protein degradation ,Biology ,Biochemistry ,Article ,chemistry.chemical_compound ,Exon ,MG132 ,Animals ,RNA, Messenger ,Molecular Biology ,DNA Primers ,Messenger RNA ,Base Sequence ,Reverse Transcriptase Polymerase Chain Reaction ,Alternative splicing ,Cell Biology ,Molecular biology ,Cell biology ,Isoenzymes ,chemistry ,Proteolysis ,RNA splicing - Abstract
Rbfox3, a neuron-specific RNA-binding protein, plays an important role in neuronal differentiation during development. An isoform Rbfox3-d31, which excludes the 93-nucleotide cassette exon within the RNA recognition motif of chicken Rbfox3, has been previously identified. However, the cellular functions of Rbfox3-d31 remain largely unknown. Here we find that Rbfox3-d31 mRNA is highly expressed during the early developmental stages of the chicken embryo, while Rbfox3-d31 protein is barely detected during the same stage due to its rapid degradation mediated by the ubiquitin-proteasome pathway. Importantly, this degradation is specific to the Rbfox3-d31 isoform and it does not occur with full-length Rbfox3. Furthermore, suppression of Rbfox3-d31 protein degradation with the proteasome inhibitor MG132 attenuates the splicing activity of another Rbfox family member Rbfox2 by altering the subcellular localization of Rbfox2. These results suggest that Rbfox3-d31 functions as a repressor for the splicing activity of the Rbfox family and its protein level is regulated in an isoform-specific manner in vivo.
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- 2014
67. Rbfox3-regulated alternative splicing of Numb promotes neuronal differentiation during development
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Sachiyo Kawamoto, Yoh-suke Mukouyama, Joseph Nam, and Kee K. Kim
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Neural Tube ,animal structures ,Neurogenesis ,Nerve Tissue Proteins ,Chick Embryo ,Biology ,Article ,Cell Line ,Mice ,Exon ,RNA Precursors ,Animals ,Protein Isoforms ,RNA, Messenger ,Regulatory Elements, Transcriptional ,Nuclear protein ,Research Articles ,Neurons ,Genetics ,Binding Sites ,fungi ,Alternative splicing ,Intron ,Membrane Proteins ,Nuclear Proteins ,Signal transducing adaptor protein ,Cell Biology ,Cell biology ,DNA-Binding Proteins ,Alternative Splicing ,nervous system ,embryonic structures ,RNA splicing ,Neuron differentiation ,NUMB ,hormones, hormone substitutes, and hormone antagonists - Abstract
Rbfox3 is required to promote neuronal differentiation of postmitotic neurons through Numb alternative splicing., Alternative premRNA splicing is a major mechanism to generate diversity of gene products. However, the biological roles of alternative splicing during development remain elusive. Here, we focus on a neuron-specific RNA-binding protein, Rbfox3, recently identified as the antigen of the widely used anti-NeuN antibody. siRNA-mediated loss-of-function studies using the developing chicken spinal cord revealed that Rbfox3 is required to promote neuronal differentiation of postmitotic neurons. Numb premRNA encoding a signaling adaptor protein was found to be a target of Rbfox3 action, and Rbfox3 repressed the inclusion of an alternative exon via binding to the conserved UGCAUG element in the upstream intron. Depleting a specific Numb splice isoform reproduced similar neuronal differentiation defects. Forced expression of the relevant Numb splice isoform was sufficient to rescue, in an isoform-specific manner, postmitotic neurons from defects in differentiation caused by Rbfox3 depletion. Thus, Rbfox3-dependent Numb alternative splicing plays an important role in the progression of neuronal differentiation during vertebrate development.
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- 2013
68. PPARα activation drives demethylation of the CpG islands of the Gadd45b promoter in the mouse liver
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Kee K. Kim, Frank J. Gonzalez, Jung-Hwan Kim, and Lilik Duwi Wahyudi
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0301 basic medicine ,Male ,Biophysics ,Biology ,Biochemistry ,Article ,Epigenesis, Genetic ,03 medical and health sciences ,Mice ,0302 clinical medicine ,Epigenetics of physical exercise ,Transcriptional regulation ,Animals ,PPAR alpha ,Epigenetics ,Promoter Regions, Genetic ,Molecular Biology ,Reporter gene ,Base Sequence ,Promoter ,Cell Biology ,DNA Methylation ,Molecular biology ,Antigens, Differentiation ,030104 developmental biology ,CpG site ,Liver ,030220 oncology & carcinogenesis ,DNA methylation ,CpG Islands ,GADD45B - Abstract
Growth arrest and DNA damage-inducible beta (GADD45b) plays a pivotal role in many intracellular events in both cell survival- and cell death-related signaling. To date, the study of GADD35b has mainly focused on investigation of its function, as well as interacting molecules. However, studies of Gadd45b gene regulation are limited. In this study, we investigated the transcriptional regulation mechanism of Gadd45b. Since Gadd45b mRNA is highly induced by the PPARα agonist Wy-14,643 in the mouse liver, we analyzed the Gadd45b promoter using an in vivo reporter assay. Interestingly, the naked Gadd45b-luciferase construct strongly induced luciferase activity without any stimulant in our in vivo system. Therefore, we investigated the epigenetic changes in the Gadd45b promoter region using mouse liver genomic DNA, the methylation-specific restriction enzyme (HpaII), and disulfide conversion. Our results showed that two possible CpG methylation sites were methylated and demethylated by Wy-14,643 treatment. This study indicates that epigenetic change at the Gadd45b promoter is critical for Gadd45b induction.
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- 2016
69. Insulin Represses Transcription of the Thyroid Stimulating Hormone β-Subunit Gene through Increased Recruitment of Nuclear Factor I
- Author
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Key Sun Park, Kyoon Eon Kim, Seok Bean Song, and Kee K. Kim
- Subjects
Transcription, Genetic ,Molecular Sequence Data ,Thyrotropin, beta Subunit ,Biology ,Biochemistry ,Mice ,Thyroid-stimulating hormone ,Anterior pituitary ,Pituitary Gland, Anterior ,Transcription (biology) ,medicine ,Animals ,Humans ,Insulin ,Gene Regulation ,Promoter Regions, Genetic ,Molecular Biology ,Transcription factor ,Cells, Cultured ,Regulation of gene expression ,Base Sequence ,General transcription factor ,Nuclear factor I ,Promoter ,Cell Biology ,Molecular biology ,NFI Transcription Factors ,medicine.anatomical_structure ,Sequence Alignment ,Transcription Factors - Abstract
Although the regulation of thyroid stimulating hormone β-subunit gene (TSHβ) has been intensively studied, the functions of transcription factors involved are not fully understood. The authors found that the −615/−516 promoter region of the TSHβ interacts specifically with nuclear proteins derived from pituitary tissue or from cultured thyrotroph cells. The actual binding site at the nucleotide level, as revealed by DNase I protection assay, includes the consensus sequence for nuclear factor I (NFI). RT-PCR analysis indicated that NFI-B expression is restricted to thyrotroph cells in the anterior pituitary. EMSA and ChIP analysis showed that NFI-B binds most efficiently to the −588/−560 region of TSHβ promoter. The forced expressions of NFI-B markedly reduced TSHβ promoter activity and its mRNA expression. Furthermore, it was also shown that the −588/−560 region is involved in the insulin-mediated repression of the TSHβ. It was of particular interest to observe that NFI-B was recruited to the −588/−560 region of the TSHβ promoter in an insulin-dependent manner. Taken together, this study provides new insights of the delicate regulations of energy metabolism and hormonal homeostasis.
- Published
- 2010
70. Simvastatin induces Foxp3+ T regulatory cells by modulation of transforming growth factor-β signal transduction
- Author
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Ethan M. Shevach, Yong Chan Kim, and Kee K. Kim
- Subjects
Immunology ,nutritional and metabolic diseases ,FOXP3 ,Transforming growth factor beta ,Biology ,Pharmacology ,Immune system ,Simvastatin ,medicine ,biology.protein ,Immunology and Allergy ,lipids (amino acids, peptides, and proteins) ,cardiovascular diseases ,Mevalonate pathway ,IL-2 receptor ,Signal transduction ,medicine.drug ,Transforming growth factor - Abstract
Statins are widely used drugs for the treatment of hypercholesterolaemia. A number of recent studies have suggested that statins also have pleiotropic effects on immune responses and statins have proven to be effective in the treatment of autoimmune diseases in animal models. Foxp3(+) T regulatory cells are a unique subset of CD4(+) T cells that mediate immunosuppression. Foxp3(+) T cells develop in the thymus, but can also be induced in peripheral sites in the presence of transforming growth factor-beta (TGF-beta). We demonstrate here that simvastatin blockade of the mevalonate pathway can mediate induction of mouse Foxp3(+) T cells and that simvastatin can synergize with low levels of TGF-beta to induce Foxp3(+) T cells. The effects of simvastatin are secondary to a blockade of protein geranylgeranylation, are mediated at late time-points after T-cell activation, and are associated with demethylation of the Foxp3 promoter. One major effect of simvastatin was inhibition of the induction of Smad6 and Smad7, inhibitory Smads that inhibit TGF-beta signalling. Our results suggest that one mechanism responsible for the immunosuppressive effects of statins is the ability to promote the generation of Foxp3(+) T regulatory cells.
- Published
- 2010
71. Up regulation of GW112 Gene by NFκB promotes an antiapoptotic property in gastric cancer cells
- Author
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Key Sun Park, Seok Bean Song, Kyoon Eon Kim, and Kee K. Kim
- Subjects
Regulation of gene expression ,Cancer Research ,Transfection ,IκB kinase ,Biology ,medicine.disease_cause ,Molecular biology ,Transcription (biology) ,Gene expression ,medicine ,Proteasome inhibitor ,Carcinogenesis ,Molecular Biology ,Gene ,medicine.drug - Abstract
To clarify the regulatory mechanism of GW112 gene expression, 5'-flanking region of the human GW112 gene was isolated and characterized in the present study. 5'-RACE analysis showed a single transcription start site, which is located 142 nucleotides upstream of the translation initiation site. Transient transfection studies with serial deletion constructs and close examination of the sequences identified a putative NF kappaB binding sequence between -442 and -430, which could be responsible for efficient expression of the GW112 gene. Indeed, GW112 gene was found to be regulated by NF kappaB signals including overexpressed p65 and I kappaB alpha, IKK inhibitor, and proteasome inhibitor. Binding of NF kappaB to its putative site was confirmed by EMSA and ChIP assays. These results suggest that NF kappaB is an essential regulatory factor for GW112 transcription. Based on this finding, we next confirmed that inhibition of GW112 expression could induce apoptosis in the presence of cytotoxic agent in gastric cancer cells. Furthermore, knocking-down or overexpression of GW112 gene in gastric cancer cells demonstrated that GW112 has an antiapoptotic property against the cytotoxic agents-induced apoptosis. Taken together, these results suggest that GW112 could be an important mediator in NF kappaB-dependent tumorigenesis of digestive tract tissues.
- Published
- 2009
72. Msx1 homeodomain transcription factor and TATA-binding protein interact to repress the expression of the glycoprotein hormone α subunit gene
- Author
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Kyoon Eon Kim, Kee K. Kim, and Ki-Sun Park
- Subjects
Transcription, Genetic ,MSX1 Transcription Factor ,Biophysics ,Biochemistry ,Cell Line ,Mice ,Gene expression ,Animals ,Humans ,Protein Interaction Maps ,Promoter Regions, Genetic ,Molecular Biology ,Transcription factor ,Regulation of gene expression ,Reporter gene ,biology ,Base Sequence ,Binding protein ,TATA-Box Binding Protein ,Cell Biology ,Molecular biology ,stomatognathic diseases ,Gene Expression Regulation ,Glycoprotein Hormones, alpha Subunit ,biology.protein ,TATA-binding protein - Abstract
Studying the regulatory mechanism of the glycoprotein hormone α subunit (αGSU) gene in thyrotropes is essential for understanding the synthesis of functional thyroid-stimulating hormone (TSH). Here, we investigated the influence of a homeodomain transcription factor Msx1 (Msh homeobox 1) on αGSU expression in thyrotropes. The transient expression of Msx1 inhibited the activity of an αGSU reporter gene, as well as its endogenous mRNA level in thyrotrope-derived αTSH cells. Luciferase reporter assays with serial deletion constructs and a close examination of the sequences revealed that the putative Msx1 binding site (PMS) in the αGSU promoter is not responsible for Msx1-mediated transcriptional repression. We also identified the TATA-box binding protein (TBP) as an interacting protein in thyrotropes. Interaction of TBP with Msx1 attenuates the inhibitory effect of Msx1 on αGSU gene expression in a DNA binding-independent manner. Furthermore, transient transfection studies with mutant Msx1 revealed that the interaction of TBP and Msx1 is critical for Msx1-mediated transcriptional repression of the αGSU. These results suggest that Msx1 functions as a transcriptional repressor of αGSU and that its interaction with TBP is an integral part of the mechanism by which Msx1 regulates the inhibition of αGSU gene expression.
- Published
- 2015
73. T Vectors With Endoglucanase A (celA) Gene for Direct Detection of PCR Clones
- Author
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Kee K. Kim, Kyoon Eon Kim, and Seok Bean Song
- Subjects
Clostridium ,clone (Java method) ,Genetics ,Base Sequence ,Genetic Vectors ,Molecular Sequence Data ,DNA, Recombinant ,Biology ,Molecular cloning ,Polymerase Chain Reaction ,Molecular biology ,General Biochemistry, Genetics and Molecular Biology ,Reverse transcriptase ,law.invention ,Plasmid ,Cellulase ,law ,Gene expression ,Escherichia coli ,Vector (molecular biology) ,Deoxyribonucleases, Type II Site-Specific ,Gene ,Polymerase chain reaction ,Biotechnology - Published
- 2002
74. Synthesis of 1-alkoxy-5-alkyluracils
- Author
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Dae‐Kee ‐K Kim, Key H. Kim, Jinsoo Lim, and Kim Ganghyeok
- Subjects
Chemistry ,Organic Chemistry ,Alkoxy group ,Organic chemistry - Abstract
1-Alkoxy-5-alkyluracils 2a-f have been prepared by the reaction of 2-alkyl-3-methoxyacryloyl isocyanates 8a-b with alkoxyamines 9a-c followed by cyclization of the resulting N-alkoxy-N'-(2-alkyl-3-methoxyacryloyl)ureas 10a-f. The isocyanates 8a-b were prepared from ethyl 2-alkylacrylates 3a-b in 5 steps.
- Published
- 1995
75. Olfactomedin 4 suppresses tumor growth and metastasis of mouse melanoma cells through downregulation of integrin and MMP genes
- Author
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Yong Chan Kim, Mi Kyung Kim, Hyun Jean Lee, Kyoon Eon Kim, Key Sun Park, Jeung-Hoon Lee, Kee K. Kim, Zheng-Hao Piao, and Ki-Sung Lee
- Subjects
Integrins ,Cell Survival ,Integrin ,Integrin alpha1 ,Melanoma, Experimental ,Down-Regulation ,MMP9 ,Integrin alpha6 ,Metastasis ,Extracellular matrix ,Mice ,Downregulation and upregulation ,medicine ,Tumor Cells, Cultured ,Animals ,Humans ,Neoplasm Metastasis ,Molecular Biology ,Glycoproteins ,Extracellular Matrix Proteins ,biology ,Melanoma ,Cell Biology ,General Medicine ,Articles ,medicine.disease ,Primary tumor ,Mice, Inbred C57BL ,Matrix Metalloproteinase 9 ,Tumor progression ,biology.protein ,Cancer research - Abstract
Olfactomedin 4 (OLFM4) is highly expressed in gastrointestinal cancers and has an anti-apoptotic function. The roles of OLFM4 in tumor growth and metastasis and how it functions in these processes remain elusive. We investigated the function of OLFM4 in tumor growth and metastasis using B16F10 mouse melanoma cells as an experimental system. Our results showed that OLFM4 had no positive effect on cell viability or cell cycle progression in B16F10 cells. However, it significantly suppressed the tumorigenicity of B16F10 cells, i.e., intradermal primary tumor growth and lung metastasis. OLFM4 also suppressed the migration and invasion of B16F10 cells in vitro. For further insight into the mechanisms underlying OLFM4-mediated suppression of tumor progression, we examined the effect of OLFM4 on the expression of integrin and matrix metalloproteinase (MMP), both of which are involved in tumor progression. Overexpression of OLFM4 clearly reduced the expression levels of integrin α1, integrin α4, integrin α5, integrin α6, and MMP9. Moreover, forced expression of MMP9 attenuated the inhibitory activity of OLFM4 on migration and invasiveness. Our findings provide the experimental evidence that OLFM4 may function as a tumor suppressor and an anti-metastatic gene during tumor progression.
- Published
- 2012
76. Histone modification-mediated Lhx2 gene expression
- Author
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Kee K. Kim, Key Sun Park, and Kyoon Eon Kim
- Subjects
Transcriptional Activation ,LIM-Homeodomain Proteins ,Molecular Sequence Data ,Biophysics ,SAP30 ,Biology ,Hydroxamic Acids ,Biochemistry ,Histone Deacetylases ,Cell Line ,Histones ,Mice ,Histone code ,Animals ,Humans ,Immunoprecipitation ,Tissue Distribution ,Promoter Regions, Genetic ,Molecular Biology ,Regulation of gene expression ,Histone deacetylase 5 ,Base Sequence ,HDAC11 ,Histone deacetylase 2 ,HDAC9 ,Acetylation ,Cell Biology ,HDAC4 ,Molecular biology ,Histone Deacetylase Inhibitors ,Gene Expression Regulation ,embryonic structures ,E2F1 Transcription Factor ,Transcription Factors - Abstract
Lhx2, a member of LIM homeobox transcription factors, plays a key role in central nervous system (CNS) and embryonic tissue development. However, molecular mechanism of Lhx2 gene regulation remains largely unknown. Here, we identified and characterized a regulatory region of Lhx2 gene which mediates responses to two different signals such as inhibition of HDAC3 and stimulation by E2F1. In particular, the promoter region of −229 to −126 was responsible not only for basal expression but also for a inhibitor of histone deacetylase, trichostatin A (TSA)-mediated activation of Lhx2 gene. Intriguingly, transcription factor E2F1 also activates Lhx2 gene via direct binding to the same −229 to −126 region. Based on these observations, we could have demonstrated that E2F1 is necessary for TSA-mediated activation of Lhx2 gene and acetylation of histone 3 is involved in this event. This study provides evidence that the histone modification and E2F1 binding are integral parts of the mechanism for Lhx2 gene expression.
- Published
- 2012
77. Fox-3 and PSF interact to activate neural cell-specific alternative splicing
- Author
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Yong Chan Kim, Sachiyo Kawamoto, Robert S. Adelstein, and Kee K. Kim
- Subjects
RNA Splicing Factors ,Central Nervous System ,animal diseases ,Nerve Tissue Proteins ,FOX proteins ,Biology ,Gene Regulation, Chromatin and Epigenetics ,Exon ,Splicing factor ,Mice ,parasitic diseases ,Genetics ,Animals ,PTB-Associated Splicing Factor ,Neurons ,Nonmuscle Myosin Type IIB ,Myosin Heavy Chains ,Alternative splicing ,Intron ,virus diseases ,food and beverages ,Nuclear Proteins ,RNA-Binding Proteins ,Forkhead Transcription Factors ,Cell biology ,DNA-Binding Proteins ,Alternative Splicing ,Polypyrimidine tract ,RNA splicing ,population characteristics ,RNA - Abstract
Fox-1 family (Fox) proteins, which consist of Fox-1 (A2BP1), Fox-2 (Rbm9) and Fox-3 (NeuN) in mammals, bind to the RNA element UGCAUG and regulate alternative pre-mRNA splicing. However the mechanisms for Fox-regulated splicing are largely unknown. We analyzed the expression pattern of the three Fox proteins as well as neural cell-specific alternative splicing of a cassette exon N30 of nonmuscle myosin heavy chain (NMHC) II-B in the mouse central nervous system. Histological and biochemical analyses following fluorescence-activated cell sorting demonstrate a positive correlation of N30 inclusion and Fox-3 expression. Further, we identified polypyrimidine tract binding protein-associated splicing factor (PSF) as an interacting protein with Fox-3 by affinity-chromatography. In cultured cells, enhancement of N30 inclusion by Fox-3 depends on the presence of PSF. PSF enhances N30 inclusion in a UGCAUG-dependent manner, although it does not bind directly to this element. Fox-3 is recruited to the UGCAUG element downstream of N30 in the endogenous NMHC II-B transcript in a PSF-dependent manner. This study is the first to identify PSF as a coactivator of Fox proteins and provides evidence that the Fox-3 and PSF interaction is an integral part of the mechanism by which Fox proteins regulate activation of alternative exons via a downstream intronic enhancer.
- Published
- 2010
78. ChemInform Abstract: Synthesis of 1-Alkoxy-5-alkyluracils
- Author
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Kim Ganghyeok, Dae‐Kee ‐K Kim, Key H. Kim, and Jinsoo Lim
- Subjects
Chemistry ,Alkoxy group ,Organic chemistry ,Nanotechnology ,General Medicine - Abstract
1-Alkoxy-5-alkyluracils 2a-f have been prepared by the reaction of 2-alkyl-3-methoxyacryloyl isocyanates 8a-b with alkoxyamines 9a-c followed by cyclization of the resulting N-alkoxy-N'-(2-alkyl-3-methoxyacryloyl)ureas 10a-f. The isocyanates 8a-b were prepared from ethyl 2-alkylacrylates 3a-b in 5 steps.
- Published
- 2010
79. Up regulation of GW112 Gene by NF kappaB promotes an antiapoptotic property in gastric cancer cells
- Author
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Kee K, Kim, Key S, Park, Seok B, Song, and Kyoon E, Kim
- Subjects
Chromatin Immunoprecipitation ,Reverse Transcriptase Polymerase Chain Reaction ,Blotting, Western ,Immunoblotting ,NF-kappa B ,Apoptosis ,Electrophoretic Mobility Shift Assay ,Flow Cytometry ,Transfection ,Up-Regulation ,Gene Expression Regulation, Neoplastic ,Stomach Neoplasms ,Granulocyte Colony-Stimulating Factor ,Tumor Cells, Cultured ,Humans ,Immunoprecipitation ,RNA, Messenger ,Transcription Initiation Site ,Luciferases ,Promoter Regions, Genetic ,Cell Proliferation - Abstract
To clarify the regulatory mechanism of GW112 gene expression, 5'-flanking region of the human GW112 gene was isolated and characterized in the present study. 5'-RACE analysis showed a single transcription start site, which is located 142 nucleotides upstream of the translation initiation site. Transient transfection studies with serial deletion constructs and close examination of the sequences identified a putative NF kappaB binding sequence between -442 and -430, which could be responsible for efficient expression of the GW112 gene. Indeed, GW112 gene was found to be regulated by NF kappaB signals including overexpressed p65 and I kappaB alpha, IKK inhibitor, and proteasome inhibitor. Binding of NF kappaB to its putative site was confirmed by EMSA and ChIP assays. These results suggest that NF kappaB is an essential regulatory factor for GW112 transcription. Based on this finding, we next confirmed that inhibition of GW112 expression could induce apoptosis in the presence of cytotoxic agent in gastric cancer cells. Furthermore, knocking-down or overexpression of GW112 gene in gastric cancer cells demonstrated that GW112 has an antiapoptotic property against the cytotoxic agents-induced apoptosis. Taken together, these results suggest that GW112 could be an important mediator in NF kappaB-dependent tumorigenesis of digestive tract tissues.
- Published
- 2009
80. Identification of neuronal nuclei (NeuN) as Fox-3, a new member of the Fox-1 gene family of splicing factors
- Author
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Robert S. Adelstein, Sachiyo Kawamoto, and Kee K. Kim
- Subjects
Synapsin I ,RNA Splicing ,Molecular Sequence Data ,Nerve Tissue Proteins ,Biochemistry ,Gene product ,Mice ,Molecular Basis of Cell and Developmental Biology ,parasitic diseases ,Animals ,Humans ,Amino Acid Sequence ,Nuclear protein ,Molecular Biology ,Cells, Cultured ,Neurons ,Messenger RNA ,Nonmuscle Myosin Type IIB ,biology ,Myosin Heavy Chains ,Alternative splicing ,Brain ,Nuclear Proteins ,RNA-Binding Proteins ,Cell Biology ,Molecular biology ,DNA-Binding Proteins ,Protein Transport ,nervous system ,Multigene Family ,RNA splicing ,biology.protein ,NeuN ,Sequence Alignment ,Immunostaining - Abstract
NeuN (neuronal nuclei) is a neuron-specific nuclear protein which is identified by immunoreactivity with a monoclonal antibody, anti-NeuN. Anti-NeuN has been used widely as a reliable tool to detect most postmitotic neuronal cell types in neuroscience, developmental biology, and stem cell research fields as well as diagnostic histopathology. To date, however, the identity of its antigen, NeuN itself, has been unknown. Here, we identify NeuN as the Fox-3 gene product by providing the following evidence: 1) Mass spectrometry analysis of anti-NeuN immunoreactive protein yields the Fox-3 amino acid sequence. 2) Recombinant Fox-3 is recognized by anti-NeuN. 3) Short hairpin RNAs targeting Fox-3 mRNA down-regulate NeuN expression. 4) Fox-3 expression is restricted to neural tissues. 5) Anti-Fox-3 immunostaining and anti-NeuN immunostaining overlap completely in neuronal nuclei. We also show that a protein cross-reactive with anti-NeuN is the synaptic vesicle protein, synapsin I. Anti-NeuN recognizes synapsin I in immunoblots with one order of magnitude lower affinity than Fox-3, and does not recognize synapsin I using immunohistology. Fox-3 (also called hexaribonucleotide-binding protein 3 and D11Bwg0517e) contains an RNA recognition motif and is classified as a member of the Fox-1 gene family that binds specifically to an RNA element, UGCAUG. We demonstrate that Fox-3 functions as a splicing regulator using neural cell-specific alternative splicing of the non-muscle myosin heavy chain II-B pre-mRNA as a model. Identification of NeuN as Fox-3 clarifies an important element of neurobiology research.
- Published
- 2009
81. Activation of the thyroid-stimulating hormone beta-subunit gene by LIM homeodomain transcription factor Lhx2
- Author
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Myungchull Rhee, Kyoon Eon Kim, Kee K. Kim, Kwang I. Kang, and Seok Bean Song
- Subjects
medicine.medical_specialty ,Chromatin Immunoprecipitation ,Recombinant Fusion Proteins ,EMX2 ,Blotting, Western ,LIM-Homeodomain Proteins ,Electrophoretic Mobility Shift Assay ,Thyrotropin, beta Subunit ,Biology ,Cell Line ,Mice ,Endocrinology ,Transcription (biology) ,Internal medicine ,Gene expression ,medicine ,Cyclic AMP ,Animals ,Deoxyribonuclease I ,Electrophoretic mobility shift assay ,RNA, Messenger ,Luciferases ,Promoter Regions, Genetic ,Gene ,Transcription factor ,Homeodomain Proteins ,Reporter gene ,Binding Sites ,Hypothalamic Hormones ,Dose-Response Relationship, Drug ,Reverse Transcriptase Polymerase Chain Reaction ,Molecular biology ,Gene Expression Regulation ,embryonic structures ,Signal transduction ,Protein Binding ,Transcription Factors - Abstract
Although there is evidence that the LIM homeodomain transcription factor, Lhx2, can stimulate transcription of the glycoprotein hormone alpha-subunit gene, the role of Lhx2 in regulating TSH beta-subunit has not been established. In the present studies, the ability of Lhx2 to regulate transcription of the TSH beta-subunit gene was examined. In the thyrotrope-derived TalphaT1 cell line, Lhx2 expression was found to be induced by treatment with either TRH or cAMP, consistent with the possibility that Lhx2 may play a role in mediating the ability of this signaling pathway to stimulate TSH gene expression. Transient, forced overexpression of Lhx2 stimulated activity of a TSH beta-subunit reporter gene. Deletion studies provided evidence that the -177 to -79 region of the TSH beta-subunit promoter was necessary for stimulation of reporter gene activity by Lhx2. A gel mobility shift assay provided the evidence that Lhx2 can bind to this region of DNA. DNase I footprinting studies demonstrated that two distinct regions of the TSHbeta promoter, -118 to -108 and -86 to -68, are protected by Lhx2 from nuclease digestion. These regions contain repeats of the sequence, 5'-(G/T)CAAT(T/A)-3'. Mutation of this sequence, especially in the -86 to -68 region, substantially decreased Lhx2 responsiveness of the TSH beta-subunit reporter gene. In addition, a DNA fragment containing the -177 to -79 region of the TSHbeta promoter was found to confer Lhx2 responsiveness to a minimal promoter. These results provide multiple lines of evidence consistent with a role for Lhx2 in modulating expression of the TSH beta-subunit gene.
- Published
- 2007
82. RBFOX3 regulates Claudin-1 expression in human lung tissue via attenuation of proteasomal degradation.
- Author
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Yong-Eun Kim, Sunkyung Choi, Jong Ok Kim, and Kee K. Kim
- Abstract
RBFOX3, a nuclear RNA-binding protein, is well known as a regulator of alternative pre-mRNA splicing during neuronal development. However, other functions of RBFOX3 are poorly understood. Here, we investigated the function of RBFOX3 in the cytoplasm with respect to regulation of Claudin-1 expression. In human lung tissue, Claudin-1 is higher in RBFOX3-positive cells than in RBFOX3-negative cells. Immunostaining and mRNA quantification revealed that protein levels, but not mRNA levels, of Claudin-1 are increased by RBFOX3. In addition, cycloheximide treatment of human lung cancer cells revealed that RBFOX3 increases the stability of Claudin-1 through attenuation of its ubiquitination. Our study provides insights into the molecular mechanisms by which RBFOX3 regulates Claudin-1 expression in human lung tissue. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
83. Structural and functional changes in salivary glands during aging
- Author
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Sun‐Kee ‐K Kim and Edward D. Allen
- Subjects
Senescence ,medicine.medical_specialty ,Aging ,Histology ,Stromal cell ,Biology ,Salivary Glands ,Lipofuscin ,Diabetes Mellitus, Experimental ,stomatognathic system ,Internal medicine ,Parenchyma ,Protein biosynthesis ,medicine ,Animals ,Humans ,Insulin ,Salivary Proteins and Peptides ,Instrumentation ,Messenger RNA ,Salivary gland ,Rats ,Medical Laboratory Technology ,Secretory protein ,Endocrinology ,medicine.anatomical_structure ,Anatomy - Abstract
Various salivary glands in senescent humans and other animals have been examined extensively to characterize the structural and functional changes that occur during aging. Although a wide range of different structural changes, involving both the parenchymal and stromal tissues, have been described, it is unclear how any of these changes affects the function of the salivary glands. One major change in structure is the reduction in the volume of acini with a concomitant increase in the ductal volume. Despite this loss of functional acini, the salivary output and the contents seem to be unaltered, or minimally altered, due to aging. One consistent change observed in many salivary glands of aged animals is the decline in the rate of synthesis of proteins and their messenger RNA (mRNA). However, the salivary acinar cells from aged animals can synthesize secretory proteins at an elevated rate just as effectively as those from their younger counterparts in response to external stimuli, which are known to enhance the rate of protein synthesis. Thus, it appears that the salivary acinar cells, which remain structurally intact during aging, seem to retain their functional efficiency. Furthermore, these acinar cells, although reduced in number, are sufficient in quantity to carry out most of the salivary gland functions.
- Published
- 1994
84. Systematic Review of Peptide CAQK: Properties, Applications, and Outcomes.
- Author
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Castillo JA Jr, Le MN, Ratcliff A, Soufi K, Huang K, Vatoofy S, Ghaffari-Rafi A, Emerson S, Reynolds E, Pivetti C, Clark K, Martin A, Price R, Kim K, Wang A, and Russo R
- Subjects
- Animals, Humans, Chondroitin Sulfate Proteoglycans metabolism, Spinal Cord Injuries drug therapy, Spinal Cord Injuries metabolism, Rats, Central Nervous System Diseases drug therapy, Central Nervous System Diseases metabolism, Mice, Nanoparticles chemistry, Disease Models, Animal, Peptides chemistry, Peptides pharmacology, Peptides therapeutic use
- Abstract
Many central nervous system (CNS) disorders lack approved treatment options. Previous research demonstrated that peptide CAQK can bind to chondroitin sulfate proteoglycans (CSPGs) in the extracellular matrix of the CNS. In vivo studies have investigated CAQK conjugated to nanoparticles containing therapeutic agents with varying methodologies/outcomes. This paper presents the first systematic review assessing its properties, applications, and outcomes secondary to its use. Following PRISMA guidelines, a comprehensive search was performed across multiple databases. Studies utilizing CAQK as a therapeutic agent/homing molecule in animal/human models were selected. Sixteen studies met the inclusion criteria. Mice and rats were the predominant animal models. All studies except one used CAQK to deliver a therapeutic agent. The reviewed studies mostly included models of brain and spinal cord injuries. Most studies had intravenous administration of CAQK. All studies demonstrated various benefits and that CAQK conjugation facilitated localization to target tissues. No studies directly evaluated the effects of CAQK alone. The data are limited by the heterogeneity in study methodologies and the lack of direct comparison between CAQK and conjugated agents. Overall, these findings present CAQK utilization to deliver a therapeutic agent as a promising targeting strategy in the management of disorders where CSPGs are upregulated.
- Published
- 2024
- Full Text
- View/download PDF
85. Headache relief 10 years after cervical disc arthroplasty: multicenter randomized clinical trial post hoc analysis.
- Author
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Zhou J, Ho A, Ghaffari-Rafi A, Castillo J, and Kim K
- Subjects
- Humans, Treatment Outcome, Prospective Studies, Cervical Vertebrae surgery, Diskectomy adverse effects, Arthroplasty, Headache etiology, Headache surgery, Intervertebral Disc Degeneration surgery, Total Disc Replacement adverse effects, Spinal Fusion adverse effects
- Abstract
Objective: Headache relief after anterior cervical spine surgery has been reported. No study, however, has followed patients out to 10 years to assess the durability of headache improvement. The authors analyzed a group of patients with a 10-year follow-up after one- or two-level cervical disc arthroplasty (CDA) from an FDA investigational device exemption (IDE) study., Methods: The authors performed a post hoc analysis of 189 patients treated with CDA from the 9 highest enrolling sites in a prospective multicenter randomized US FDA IDE clinical trial. Patients had one- or two-level CDA at contiguous levels from C3 to C7 using the Mobi-C device. The authors evaluated headache scores from the headache section of the Neck Disability Index (NDI), along with associated demographic variables (age, sex, race, ethnicity, and BMI). Preoperative and 10-year postoperative headache scores were analyzed. Primary analysis was conducted via the Wilcoxon rank-sum test, followed by univariate and multivariable logistic regression., Results: After accounting for age, BMI, race, ethnicity, and sex, there was sustained headache improvement 10 years after CDA (p = 0.04). Preoperatively, the median NDI score was 3.00 (IQR 1.00-4.00) and after 10 years it was 1.00 (IQR 0.00-2.00), with a decrease in the NDI score by 1.00 point (95% CI 0.00-2.00, p = 0.04). For one-level CDA, the median NDI score was 3.00 (IQR 1.00-4.00) preoperatively but 1.00 (IQR 0.00-2.00) at 10 years, with an estimated reduction in the NDI score of 1 point (95% CI 1.00-2.00, p < 0.0001). For two-level CDA, the median NDI score was 3.00 (IQR 1.75-4.00) preoperatively and 1.00 (IQR 0.00-2.00) at 10 years, with an estimated reduction in the NDI score of 1 point (95% CI 1.00-2.00, p < 0.0001)., Conclusions: Headache relief provided by cervical CDA, for symptomatic C3-7 cervical spondylosis, was sustained even 10 years after surgery. There was no difference in headache improvement between the one- and two-level CDA groups, or among BMI, sex, race, and ethnicity strata.
- Published
- 2023
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- View/download PDF
86. Patient Characteristics, Injury Types, and Costs Associated with Secondary Over-Triage of Isolated Cervical Spine Fractures.
- Author
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Wick J, Le H, Wick K, Peddada K, Bacon A, Han G, Carroll T, Swinford S, Javidan Y, Roberto R, Martin A, Ebinu J, Kim K, and Klineberg E
- Subjects
- Cervical Vertebrae diagnostic imaging, Cervical Vertebrae injuries, Cervical Vertebrae surgery, Humans, Retrospective Studies, Triage, Neck Injuries, Spinal Fractures diagnostic imaging, Spinal Fractures surgery
- Abstract
Study Design: Retrospective cohort., Objective: To aim of this study was to identify patient variables, injury characteristics, and costs associated with operative and non-operative treatment following inter-facility transfer of patients with isolated cervical spine fractures., Summary of Background Data: Patients with isolated cervical spine fractures are subject to inter-facility transfer for surgical assessment, yet are often treated nonoperatively. The American College of Surgeons' benchmark rate of "secondary over-triage" is <50%. Identifying patient and injury characteristics as well as costs associated with treatment following transfer of patients with isolated cervical spine fractures may help reduce rates of secondary over-triage and healthcare expenditures., Methods: Patients transferred to a Level-1 trauma center with isolated cervical spine fractures between January 2015 and September 2020 were identified. Patient demographics, comorbidities, insurance data, injury characteristics, imaging workup, treatment, and financial data were collected for all patients. Multivariable logistic regression models were constructed to identify patient and injury characteristics associated with surgical treatment., Results: Nearly 75% of patients were treated non-operatively. Over 97% of transfers were accepted by the general surgery trauma service. Multivariable modeling found that higher BMI, presence of any neurologic deficit including spinal cord or isolated spinal nerve root injuries, present smoking status, or cervical spine magnetic resonance imaging obtained post-transfer, were associated with surgical treatment for isolated cervical spine fractures. Among patients with type II dens fractures, increased fracture displacement was associated with surgical treatment. Median charges to patients treated operatively and nonoperatively were $380,890 and $90,734, respectively. Median hospital expenditures for patients treated operatively and nonoperatively were $55,115 and $12,131, respectively., Conclusion: A large proportion of patients with isolated cervical spine fractures are subject to over-triage. Injury characteristics are important for determining need for surgical treatment, and therefore interfacility transfer. Improving communication with spine surgeons when deciding to transfer patients may significantly reduce health care costs and resource use.Level of Evidence: 4., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2022
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87. Cost-Effectiveness of Peptide Enhanced Bone Graft i-Factor versus Use of Local Autologous Bone in Anterior Cervical Discectomy and Fusion Surgery.
- Author
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Thaci B, Yee R, Kim K, Vokshoor A, Johnson JP, and Ament J
- Abstract
Study Design: We conducted decision analytical modeling using a Markov model to determine the ICER of i-factor compared to autograft in ACDF surgery., Objective: The efficacy and safety of traditional anterior cervical discectomy and fusion (ACDF) surgery has improved with the introduction of new implants and compounds. Cost-effectiveness of these innovations remains an often-overlooked aspect of this effort. To evaluate the cost-effectiveness of i-FACTOR compared to autograft for patients undergoing ACDF surgery., Methods: The patient cohort was extracted from a prospective, multicenter randomized control trial (RCT) from twenty-two North American centers. Patients randomly received either autograft (N = 154) or i-Factor (N = 165). We analyzed various real-world scenarios, including inpatient and outpatient surgical settings as well as private versus public insurances. Two primary outcome measures were assessed: cost and utility. In the base-case analysis, both health and societal system costs were evaluated. Health-related utility outcome was expressed in quality-adjusted life years (QALYs). Cost-effectiveness was expressed as an incremental cost-effectiveness ratio (ICER)., Results: In all scenarios, i-FACTOR reduced costs within the first year by 1.4% to 2.1%. The savings proved to be incremental over time, increasing to 3.7% over an extrapolated 10 years. The ICER at 90 days was $13,333 per QALY and became negative ("dominated") relative to the control group within one year and onwards. In a threshold sensitivity analysis, the cost of i-FACTOR could theoretically be increased 70-fold and still remain cost-effective., Conclusion: The novel i-FACTOR is not only cost-effective compared to autograft in ACDF surgery but is the dominant economic strategy., Competing Interests: Dr Amir Vokshoor reports Globus Spine Cervical Disc Implant royalties. The analysis of IDE trial data to conduct a cost-effectiveness evaluation of the i-factor product was funded by Cerapedics Inc. Cerapedics directly paid Dr. Ament’s healthcare economics think-tank, Neuronomics LLC. Cerapedics did not have input regarding the creation, critical revision, or fundamental production of this manuscript., (© 2021 Thaci et al.)
- Published
- 2021
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88. Ten-Year Outcomes of 1- and 2-Level Cervical Disc Arthroplasty From the Mobi-C Investigational Device Exemption Clinical Trial.
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Kim K, Hoffman G, Bae H, Redmond A, Hisey M, Nunley P, Jackson R, Tahernia D, and Araghi A
- Subjects
- Adult, Arthroplasty methods, Female, Follow-Up Studies, Humans, Intervertebral Disc diagnostic imaging, Intervertebral Disc surgery, Male, Middle Aged, Neck Pain diagnostic imaging, Neck Pain surgery, Prospective Studies, Range of Motion, Articular physiology, Time Factors, Total Disc Replacement methods, Total Disc Replacement trends, Treatment Outcome, Arthroplasty trends, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae surgery, Intervertebral Disc Degeneration diagnostic imaging, Intervertebral Disc Degeneration surgery
- Abstract
Background: Short- and mid-term studies have shown the effectiveness of cervical disc arthroplasty (CDA) to treat cervical disc degeneration., Objective: To report the 10-yr outcomes of a multicenter experience with cervical arthroplasty for 1- and 2-level pathology., Methods: This was a prospective study of patients treated with CDA at 1 or 2 contiguous levels using the Mobi-C® Cervical Disc (Zimmer Biomet). Following completion of the 7-yr Food and Drug Administration postapproval study, follow-up continued to 10 yr for consenting patients at 9 high-enrolling centers. Clinical and radiographic endpoints were collected out to 10 yr., Results: At 10 yr, patients continued to have significant improvement over baseline Neck Disability Index (NDI), neck and arm pain, neurologic function, and segmental range of motion (ROM). NDI and pain outcomes at 10 yr were significantly improved from 7 yr. Segmental and global ROM and sagittal alignment also were maintained from 7 to 10 yr. Clinically relevant adjacent segment pathology was not significantly different between 7 and 10 yr. The incidence of motion restricting heterotopic ossification at 10 yr was not significantly different from 7 yr for 1-level (30.7% vs 29.6%) or 2-level (41.7% vs 39.2%) patients. Only 2 subsequent surgeries were reported after 7 yr., Conclusion: Our results through 10 yr were comparable to 7-yr outcomes, demonstrating that CDA with Mobi-C continues to be a safe and effective surgical treatment for patients with 1- or 2-level cervical degenerative disc disease., (Copyright © 2020 by the Congress of Neurological Surgeons.)
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- 2021
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89. Allogeneic mesenchymal precursor cells treatment for chronic low back pain associated with degenerative disc disease: a prospective randomized, placebo-controlled 36-month study of safety and efficacy.
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Amirdelfan K, Bae H, McJunkin T, DePalma M, Kim K, Beckworth WJ, Ghiselli G, Bainbridge JS, Dryer R, Deer TR, and Brown RD
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- Adult, Australia, Humans, Prospective Studies, Treatment Outcome, Hematopoietic Stem Cell Transplantation, Intervertebral Disc Degeneration complications, Intervertebral Disc Degeneration therapy, Low Back Pain drug therapy, Low Back Pain etiology
- Abstract
Background Context Purpose: Evaluate the safety and efficacy of a single intradiscal injection of STRO-3+ adult allogeneic mesenchymal precursor cells (MPCs) combined with hyaluronic acid (HA) in subjects with chronic low back pain (CLBP) associated with degenerative disc disease (DDD) through 36-month follow-up., Study Design/setting: A multicenter, randomized, controlled study conducted at 13 clinical sites (12 in the United States and 1 in Australia)., Subject Sample: A total of 100 subjects with chronic low back pain associated with moderate DDD (modified Pfirrmann score of 3-6) at one level from L1 to S1 for at least 6 months and failing 3 months of conservative treatment, including physical therapy were randomized in a 3:3:2:2 ratio to receive 6 million MPCs with HA, 18 million MPCs with HA, HA vehicle control, or saline control (placebo) treatment., Outcome Measures: Subjects were clinically and radiographically evaluated at 1, 3, 6, 12, 24, and 36 months postinjection. Subject-reported outcomes including adverse events, LBP on a Visual Analog Scale (VAS), Oswestry Disability Index (ODI), SF-36 and Work Productivity and Activity Index were collected., Methods: Clinical and radiographic measures were collected at each visit. All randomized subjects were included in the safety assessments and analyzed based on the treatment received. Safety assessments included assessments of AEs, physical and radiographic examinations and laboratory testing. Efficacy assessments evaluated changes in VAS, ODI, and modified Pfirrmann (MP) scores between all active and control groups, respectively. Assessments included least squares mean (Mean), LS mean change from baseline (Mean Change) and responder analyses in order to assess the clinical significance of observed changes from baseline. The population for efficacy assessments was adjusted for the confounding effects of post-treatment interventions (PTIs). This study was conducted under an FDA Investigational New Drug application sponsored and funded by Mesoblast., Results: There were significant differences between the control and MPC groups for improvement in VAS and ODI. The PTI-corrected VAS and ODI Means and Mean Change analyses; the proportion of subjects with VAS ≥30% and ≥50% improvement from baseline; absolute VAS score ≤20; and ODI reduction ≥10 and ≥15 points from baseline showed MPC therapy superior to controls at various time points through 36 months. Additionally, the proportion of subjects achieving the minimally important change and clinically significant change composite endpoints for the MPC groups was also superior compared with controls at various time points from baseline to 36 months. There were no significant differences in change in MP score from baseline across the groups. There were also no statistically significant differences in change in modified MP score at the level above or below the level treated between study arms. Both the procedure and treatment were well tolerated and there were no clinical symptoms of immune reaction to allogeneic MPCs. There was a low rate of Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events, and the rates of these events in the MPC groups were not significantly different from the control groups. One TEAE of severe back pain was possibly related to study agent and one TEAE of implantation site infection was considered to be related to the study procedure., Conclusions: Results provide evidence that intradiscal injection of MPCs could be a safe, effective, durable, and minimally invasive therapy for subjects who have CLBP associated with moderate DDD., (Copyright © 2020. Published by Elsevier Inc.)
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- 2021
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90. Glioblastoma Multiforme of the Conus Medullaris-Management Strategies and Complications.
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Goodarzi A, Thaci B, Toussi A, Karnati T, Kim K, and Fragoso R
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Primary spinal glioblastoma multiforme (GBM) of the conus medullaris is a rare and devastating pathologic entity. The presenting symptoms commonly include progressive neurologic deficits in the lower extremities, bowel and bladder dysfunction, and low back pain. Histologically, these tumors have high-grade features similar to their intracranial counterparts. However, recent advancements in the field of molecular oncology have been beginning to elucidate a unique molecular blueprint for these spinal gliomas. Given the lack of standardized treatment strategies, we have presented our institutional experience in treating a small series of patients with conus medullaris GBM and have reviewed the reported data on the relevant molecular markers, management strategies, and complication avoidance for this malignant pathologic entity., (Copyright © 2019 Elsevier Inc. All rights reserved.)
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- 2019
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91. Adult Thoracic Intradural Exophytic Mature Teratoma: Case Report and Literature Review.
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Danison AP, Ramanathan D, Matin M, Kim K, and Panchal RR
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Mature thoracic intraspinal teratomas are rare tumors in adults. In this case study, we present a case of intradural, extramedullary teratoma, which was surgically resected. A 50 year old man presented with progressive bilateral leg pain, severe myelopathy and weakness. Magnetic Resonance Imaging (MRI) revealed a cystic mass lesion in the T11-12 region region. Microsurgical resection of the tumor using CO
2 laser with neuromonitoring was performed. Postoperatively, the patient had a remarkable clinical improvement. Mature spinal teratomas are rare, slow growing spinal tumors. Surgical resection provides excellent recovery, and recurrence rates are low., Competing Interests: There are no conflicts of interest.- Published
- 2018
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92. Anterior and Lateral Lumbar Interbody Fusion With Supplemental Interspinous Process Fixation: Outcomes from a Multicenter, Prospective, Randomized, Controlled Study.
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Panchal R, Denhaese R, Hill C, Strenge KB, DE Moura A, Passias P, Arnold P, Cappuccino A, Dennis MD, Kranenburg A, Ventimiglia B, Martin K, Ferry C, Martineck S, Moore C, and Kim K
- Abstract
Background: Rigid interspinous process fixation (ISPF) has received consideration as an efficient, minimally disruptive technique in supporting lumbar interbody fusion. However, despite advantageous intraoperative utility, limited evidence exists characterizing midterm to long-term clinical outcomes with ISPF. The objective of this multicenter study was to prospectively assess patients receiving single-level anterior (ALIF) or lateral (LLIF) lumbar interbody fusion with adjunctive ISPF., Methods: This was a prospective, randomized, multicenter (11 investigators), noninferiority trial. All patients received single-level ALIF or LLIF with supplemental ISPF (n = 66) or pedicle screw fixation (PSF; n = 37) for degenerative disc disease and/or spondylolisthesis (grade ≤2). The randomization patient ratio was 2:1, ISPF/PSF. Perioperative and follow-up outcomes were collected (6 weeks, 3 months, 6 months, and 12 months)., Results: For ISPF patients, mean posterior intraoperative outcomes were: blood loss, 70.9 mL; operating time, 52.2 minutes; incision length, 5.5 cm; and fluoroscopic imaging time, 10.4 seconds. Statistically significant improvement in patient Oswestry Disability Index scores were achieved by just 6 weeks after operation ( P < .01) and improved out to 12 months for the ISPF cohort. Patient-reported 36-Item Short Form Health Survey and Zurich Claudication Questionnaire scores were also significantly improved from baseline to 12 months in the ISPF cohort ( P < .01). A total of 92.7% of ISPF patients exhibited interspinous fusion at 12 months. One ISPF patient (1.5%) required a secondary surgical intervention of possible relation to the posterior instrumentation/procedure., Conclusion: ISPF can be achieved quickly, with minimal tissue disruption and complication. In supplementing ALIF and LLIF, ISPF supported significant improvement in early postoperative (≤12 months) patient-reported outcomes, while facilitating robust posterior fusion., Competing Interests: Disclosures and COI: Institutional review board approval was obtained at each center (Western IRB, Puyallup, Washington), and informed consent was obtained from all study participants. R.P., R.D., C.H., B.S., A.C., S.M., C.M., and K.K. have received financial compensation from the study funding source with respect to consultancy (hourly). B.V., K.M., and C.F. are employees (salary) of the study funding source. No authors have a direct financial relationship with the investigational device (ie, royalties, design surgeon).
- Published
- 2018
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93. Multi-center, prospective, randomized, controlled investigational device exemption clinical trial comparing Mobi-C Cervical Artificial Disc to anterior discectomy and fusion in the treatment of symptomatic degenerative disc disease in the cervical spine.
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Hisey MS, Bae HW, Davis R, Gaede S, Hoffman G, Kim K, Nunley PD, Peterson D, Rashbaum R, and Stokes J
- Abstract
Background: Anterior cervical discectomy and fusion (ACDF) is the gold standard for treating symptomatic cervical disc degeneration. Cervical total disc replacements (TDRs) have emerged as an alternative for some patients. The purpose of this study was to evaluate the safety and effectiveness of a new TDR device compared with ACDF for treating single-level cervical disc degeneration., Methods: This was a prospective, randomized, controlled, multicenter Food and Drug Administration (FDA) regulated Investigational Device Exemption (IDE) study. A total of 245 patients were treated (164 TDR: 81 ACDF). The primary outcome measure was overall success based on improvement in Neck Disability Index (NDI), no subsequent surgical interventions, and no adverse events (AEs) classified as major complications. Secondary outcome measures included SF-12, visual analog scale (VAS) assessing neck and arm pain, patient satisfaction, radiographic range of motion, and adjacent level degeneration. Patients were evaluated preoperatively and postoperatively at 6 weeks, 3, 6, 12, 18, and 24 months. The hypothesis was that the TDR success rate was non-inferior to ACDF at 24 months., Results: Overall success rates were 73.6% for TDR and 65.3% for ACDF, confirming non-inferiority (p < 0.0025). TDR demonstrated earlier improvements with significant differences in NDI scores at 6 weeks and 3 months, and VAS neck pain and SF-12 PCS scores at 6 weeks (p<0.05). Operative level range of motion in the TDR group was maintained throughout follow-up. Radiographic evidence of inferior adjacent segment degeneration was significantly greater with ACDF at 12 and 24 months (p < 0.05). AE rates were similar., Conclusions: Mobi-C TDR is a safe and effective treatment for single-level disc degeneration, producing outcomes similar to ACDF with less adjacent segment degeneration., Level of Evidence: Level I., Clinical Relevance: This study adds to the literature supporting cervical TDR as a viable option to ACDF in appropriately selected patients with disc degeneration.
- Published
- 2014
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94. The value of cervical magnetic resonance imaging in the evaluation of the obtunded or comatose patient with cervical trauma, no other abnormal neurological findings, and a normal cervical computed tomography.
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Khanna P, Chau C, Dublin A, Kim K, and Wisner D
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Cervical Vertebrae diagnostic imaging, Cervical Vertebrae pathology, Child, Child, Preschool, Coma etiology, Diagnosis, Differential, Female, Glasgow Coma Scale, Humans, Infant, Male, Middle Aged, Neck Injuries complications, Reproducibility of Results, Retrospective Studies, Spinal Fractures complications, Trauma Centers, Young Adult, Cervical Vertebrae injuries, Coma diagnosis, Magnetic Resonance Imaging methods, Neck Injuries diagnosis, Spinal Fractures diagnosis, Tomography, X-Ray Computed methods, Wounds, Nonpenetrating diagnosis
- Abstract
Background: The value of magnetic resonance imaging (MRI) in the evaluation of the obtunded or comatose patient with a potential neck injury is a controversial subject. Some authors have suggested that MRI of the cervical spine adds no value in the evaluation of patients with a normal computed tomography (CT) of the neck. However, others have suggested that MRI is the gold standard for clearing the cervical spine in a clinically suspicious or unevaluatable blunt trauma patient. The purpose of this study is to evaluate our data in regard to these conflicting hypotheses., Methods: Five consecutive years of data from 17,000 patients seen at our Level I trauma center yielded 512 individuals who underwent both CT and MRI of the cervical spine. Of the latter group, 150 individuals met three strict inclusion criteria for this study: (1) obtundation (Glasgow Coma Scale ≤13, with 94 of this group comatose [Glasgow Coma Scale ≤8]); (2) no obvious neurologic deficits; and (3) a normal cervical CT. The effect of MRI on the clinical management of these patients was evaluated., Results: Among the 150 obtunded or comatose patients with a negative CT, the majority (51%) had a normal MRI. Among the patients with a positive MRI, the most common MRI-positive findings were ligamentous and soft tissue injury (81%). However, no MRI findings were deemed unstable, and no surgical intervention or change in the clinical management aside from collar immobilization of these individuals occurred after MRI., Conclusions: The addition of a cervical MRI to the evaluation protocol of obtunded or comatose patients with an otherwise normal neurologic examination and a normal cervical CT did not provide any additional useful information to change the management of these patients.
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- 2012
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95. Kinematics of progressive circumferential ligament resection (decompression) in conjunction with cervical disc arthroplasty in a spondylotic spine model.
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Roberto RF, McDonald T, Curtiss S, Neu CP, Kim K, and Pennings F
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- Aged, Aged, 80 and over, Arthroplasty methods, Arthroplasty standards, Biomechanical Phenomena physiology, Cervical Vertebrae physiology, Humans, Longitudinal Ligaments physiology, Middle Aged, Models, Anatomic, Postoperative Complications etiology, Postoperative Complications prevention & control, Arthroplasty adverse effects, Cervical Vertebrae surgery, Intervertebral Disc Displacement surgery, Longitudinal Ligaments surgery, Spondylosis surgery
- Abstract
Study Design: Benchtop biomechanics study examining kinematic effects of progressive resection in a human cadaveric spine model., Objective: To determine the effects of posterior longitudinal ligament (PLL) resection, unilateral and bilateral foraminotomy, and laminectomy on cervical intervertebral rotation and translation after cervical disc arthroplasty (CDA)., Summary of Background Data: Although the clinical results after CDA have been studied, there remain unanswered questions regarding the surgical techniques used at the time of device insertion. For example, it is unclear whether a surgeon should retain or resect the PLL and uncinate processes at the time of primary surgical intervention. Further, the effect of a subsequent posterior decompression (foraminotomy or laminectomy) on the stability of a motion segment containing a disc arthroplasty is unknown., Methods: Three-dimensional intervertebral motion was measured by biplanar videography in human cadaveric spines at C4-C5 or at C5-C6 subjected to a 1.5-Nm moment applied to induce motion in the sagittal plane. Coupled motions were not constrained. After measuring intact spine motion, disc arthroplasty with bilateral ventral foraminotomy was performed without PLL resection. Sequentially, rotations and translations were measured after PLL resection, unilateral foraminotomy, bilateral foraminotomy, and laminectomy., Results: CDA with bilateral ventral foraminotomy increased sagittal rotation by 0.4 degrees (16%) compared with the intact spine. The addition of PLL resection increased rotation by 0.5 degrees (14% increase). Unilateral and bilateral foraminotomy had negligible effects on sagittal rotation or anteroposterior (AP) translation. Laminectomy resulted in an additional sagittal plane rotation of 2 degrees. The sagittal-plane interverterbal rotation resultant after all interventions was 6 degrees , with 1.5 mm of AP translation occurring only., Conclusion: Given that a greater degree of motion was seen with PLL resection combined with ventral foraminotomy, we recommend that PLL resection be performed when performing CDA. In our benchtop model, unilateral and bilateral posterior foraminotomies were not associated with the creation of significant sagittal rotational or AP translational instability.
- Published
- 2010
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