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Journal of Pathology and Translational Medicine
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University'><label for="filter_Süleyman Demirel University_97_s">Süleyman Demirel University (1)</li><li><input type="checkbox" id='filter_Sumiko Kobayashi Marks Memorial Fund_98_s' name="p_filter_fund[]" value='Sumiko Kobayashi Marks Memorial Fund'><label for="filter_Sumiko Kobayashi Marks Memorial Fund_98_s">Sumiko Kobayashi Marks Memorial Fund (1)</li><li><input type="checkbox" id='filter_The Catholic University of Korea Bucheon St. Mary's Hospital_99_s' name="p_filter_fund[]" value='The Catholic University of Korea Bucheon St. Mary's Hospital'><label for="filter_The Catholic University of Korea Bucheon St. Mary's Hospital_99_s">The Catholic University of Korea Bucheon St. Mary's Hospital (1)</li><li><input type="checkbox" id='filter_The Korean Society for Cytopathology_100_s' name="p_filter_fund[]" value='The Korean Society for Cytopathology'><label for="filter_The Korean Society for Cytopathology_100_s">The Korean Society for Cytopathology (1)</li> </ul> <div class="btn"> <input type="submit" id='filter_layer_submit' value="Apply filters" class="btnDef"> <a href="javascript:;" id='filter_layer_close' class="btnGrey">Cancel</a> </div> </div> <div class="close"><a href="javascript:;" id='filter_layer_close'>Close</a></div> </div> </div> </form> </div> <div class="contents"> <div style="font-size: 15pt; color: #004F94;padding-top:20px;"></div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Original Articles</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-10-23f6.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-10-23.xml','')"--> <a href="/journal/view.php?number=17139"><img src="/upload/thumbnails/jptm-2024-10-23f6.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17139">Categorizing high-grade serous ovarian carcinoma into clinically relevant subgroups using deep learning–based histomic clusters</a></dt> <dd> Byungsoo Ahn, Eunhyang Park </dd> <dd> <em>J Pathol Transl Med.</em> 2025;59(2):91-104. <span class='list_publish_date'> Published online February 18, 2025</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.10.23"><font class="doi">https://doi.org/10.4132/jptm.2024.10.23</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Korea Health Industry Development Institute<span>, <span name='funded_link' style='cursor:pointer'>Ministry of Health and Welfare<span>, <span name='funded_link' style='cursor:pointer'>Yonsei University College of Medicine<span></dd> </dl> <ul class="articleData"> <li> <span>571</span> View </li> <li> <span>83</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17139', 'jptm-2024-10-23.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a><a href="/journal/view.php?number=17139#supplementary-material" style='cursor: pointer;font-size:12px;color:#6f6f6f;'><img src="/image/icon_attach.png" alt=''>Supplementary Material</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>High-grade serous ovarian carcinoma (HGSC) exhibits significant heterogeneity, posing challenges for effective clinical categorization. Understanding the histomorphological diversity within HGSC could lead to improved prognostic stratification and personalized treatment approaches. Methods: We applied the Histomic Atlases of Variation Of Cancers model to whole slide images from The Cancer Genome Atlas dataset for ovarian cancer. Histologically distinct tumor clones were grouped into common histomic clusters. Principal component analysis and K-means clustering classified HGSC samples into three groups: highly differentiated (HD), intermediately differentiated (ID), and lowly differentiated (LD). Results: HD tumors showed diverse patterns, lower densities, and stronger eosin staining. ID tumors had intermediate densities and balanced staining, while LD tumors were dense, patternless, and strongly hematoxylin-stained. RNA sequencing revealed distinct patterns in mitochondrial oxidative phosphorylation and energy metabolism, with upregulation in the HD, downregulation in the LD, and the ID positioned in between. Survival analysis showed significantly lower overall survival for the LD compared to the HD and ID, underscoring the critical role of mitochondrial dynamics and energy metabolism in HGSC progression. Conclusions: Deep learning-based histologic analysis effectively stratifies HGSC into clinically relevant prognostic groups, highlighting the role of mitochondrial dynamics and energy metabolism in disease progression. This method offers a novel approach to HGSC categorization.</dd> </dl> </div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2025-01-18f2.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2025-01-18.xml','')"--> <a href="/journal/view.php?number=17147"><img src="/upload/thumbnails/jptm-2025-01-18f2.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17147">Characteristics of <i>RET</i> gene mutations in Vietnamese medullary thyroid carcinoma patients: a single-center analysis</a></dt> <dd> Van Hung Pham, Quoc Thang Pham, Minh Nguyen, Hoa Nhat Ngo, Thao Thi Thu Luu, Nha Dao Thi Minh, Trâm Đặng, Anh Tu Thai, Hoang Anh Vu, Dat Quoc Ngo </dd> <dd> <em>J Pathol Transl Med.</em> 2025;59(2):125-132. <span class='list_publish_date'> Published online March 14, 2025</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2025.01.18"><font class="doi">https://doi.org/10.4132/jptm.2025.01.18</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>University of Medicine and Pharmacy<span></dd> </dl> <ul class="articleData"> <li> <span>509</span> View </li> <li> <span>45</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17147', 'jptm-2025-01-18.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a><a href="/journal/view.php?number=17147#supplementary-material" style='cursor: pointer;font-size:12px;color:#6f6f6f;'><img src="/image/icon_attach.png" alt=''>Supplementary Material</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>The RET gene point mutation is the main molecular alteration involved in medullary thyroid carcinoma (MTC) tumorigenesis. Previous studies in Vietnam mainly consisted of case reports, with limited data on larger sample sizes. In this study, we investigated RET gene mutations in exons 10, 11, and 16 and analyzed clinicopathological features of a series of Vietnamese MTC patients. Methods: We collected 33 tissue samples from patients with MTC and analyzed RET mutations using the Sanger sequencing method. The relationship between hotspot RET mutations (exons 10, 11, 16) and clinicopathological features were investigated. Results: Among the 33 analyzed cases, 17 tumors (52%) harbored RET mutations in exon 10, 11, or 16. A total of 10 distinct genetic alterations were identified, including eight missense mutations and two short indels. Of these, seven were classified as pathogenic mutations based on previous publications, with p.M918T being the most frequent (4 cases), followed by p.C634R (3 cases) and p.C618R (3 cases). Mutations were significantly associated with specific histological patterns, such as the nested/insular pattern (p=.026), giant cells (p=.007), nuclear pleomorphism (p=.018), stippled chromatin (p=.044), and amyloid deposits (p=.024). No mutations were found in germline analyses, suggesting these were somatic alterations. Conclusions: Our results provided the first comprehensive analysis of RET mutations in Vietnamese MTC patients. The most frequent mutation was p.M918T, followed by p.C634R and p.C618R. Mutations in these three exons were linked to specific histopathological features. Information on mutational profiles of patients with MTC will further aid in the development of targeted therapeutics to ensure effective disease management.</dd> </dl> </div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-09-26f5.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-09-26.xml','')"--> <a href="/journal/view.php?number=17129"><img src="/upload/thumbnails/jptm-2024-09-26f5.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17129">The combination of CDX2 expression status and tumor-infiltrating lymphocyte density as a prognostic factor in adjuvant FOLFOX-treated patients with stage III colorectal cancers</a></dt> <dd> Ji-Ae Lee, Hye Eun Park, Hye-Yeong Jin, Lingyan Jin, Seung Yeon Yoo, Nam-Yun Cho, Jeong Mo Bae, Jung Ho Kim, Gyeong Hoon Kang </dd> <dd> <em>J Pathol Transl Med.</em> 2025;59(1):50-59. <span class='list_publish_date'> Published online October 24, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.09.26"><font class="doi">https://doi.org/10.4132/jptm.2024.09.26</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>National Research Foundation of Korea<span>, <span name='funded_link' style='cursor:pointer'>Ministry of Science and ICT<span></dd> </dl> <ul class="articleData"> <li> <span>1,369</span> View </li> <li> <span>245</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17129', 'jptm-2024-09-26.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a><a href="/journal/view.php?number=17129#supplementary-material" style='cursor: pointer;font-size:12px;color:#6f6f6f;'><img src="/image/icon_attach.png" alt=''>Supplementary Material</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>Colorectal carcinomas (CRCs) with caudal-type homeobox 2 (CDX2) loss are recognized to pursue an aggressive behavior but tend to be accompanied by a high density of tumor-infiltrating lymphocytes (TILs). However, little is known about whether there is an interplay between CDX2 loss and TIL density in the survival of patients with CRC. <br/><b>Methods</b><BR>Stage III CRC tissues were assessed for CDX2 loss using immunohistochemistry and analyzed for their densities of CD8 TILs in both intraepithelial (iTILs) and stromal areas using a machine learning-based analytic method. <br/><b>Results</b><BR>CDX2 loss was significantly associated with a higher density of CD8 TILs in both intraepithelial and stromal areas. Both CDX2 loss and a high CD8 iTIL density were found to be prognostic parameters and showed hazard ratios of 2.314 (1.050–5.100) and 0.378 (0.175–0.817), respectively, for cancer-specific survival. A subset of CRCs with retained CDX2 expression and a high density of CD8 iTILs showed the best clinical outcome (hazard ratio of 0.138 [0.023–0.826]), whereas a subset with CDX2 loss and a high density of CD8 iTILs exhibited the worst clinical outcome (15.781 [3.939–63.230]). <br/><b>Conclusions</b><BR>Altogether, a high density of CD8 iTILs did not make a difference in the survival of patients with CRC with CDX2 loss. The combination of CDX2 expression and intraepithelial CD8 TIL density was an independent prognostic marker in adjuvant chemotherapy-treated patients with stage III CRC.</dd> </dl> </div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-09-14f5.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-09-14.xml','')"--> <a href="/journal/view.php?number=17130"><img src="/upload/thumbnails/jptm-2024-09-14f5.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17130">Diagnosis of invasive encapsulated follicular variant papillary thyroid carcinoma by protein-based machine learning</a></dt> <dd> Truong Phan-Xuan Nguyen, Minh-Khang Le, Sittiruk Roytrakul, Shanop Shuangshoti, Nakarin Kitkumthorn, Somboon Keelawat </dd> <dd> <em>J Pathol Transl Med.</em> 2025;59(1):39-49. <span class='list_publish_date'> Published online October 24, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.09.14"><font class="doi">https://doi.org/10.4132/jptm.2024.09.14</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Chulalongkorn University<span></dd> </dl> <ul class="articleData"> <li> <span>1,456</span> View </li> <li> <span>266</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17130', 'jptm-2024-09-14.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a><a href="/journal/view.php?number=17130#supplementary-material" style='cursor: pointer;font-size:12px;color:#6f6f6f;'><img src="/image/icon_attach.png" alt=''>Supplementary Material</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>Although the criteria for follicular-pattern thyroid tumors are well-established, diagnosing these lesions remains challenging in some cases. In the recent World Health Organization Classification of Endocrine and Neuroendocrine Tumors (5th edition), the invasive encapsulated follicular variant of papillary thyroid carcinoma was reclassified as its own entity. It is crucial to differentiate this variant of papillary thyroid carcinoma from low-risk follicular pattern tumors due to their shared morphological characteristics. Proteomics holds significant promise for detecting and quantifying protein biomarkers. We investigated the potential value of a protein biomarker panel defined by machine learning for identifying the invasive encapsulated follicular variant of papillary thyroid carcinoma, initially using formalin- fixed paraffin-embedded samples. <br/><b>Methods</b><BR>We developed a supervised machine-learning model and tested its performance using proteomics data from 46 thyroid tissue samples. <br/><b>Results</b><BR>We applied a random forest classifier utilizing five protein biomarkers (ZEB1, NUP98, C2C2L, NPAP1, and KCNJ3). This classifier achieved areas under the curve (AUCs) of 1.00 and accuracy rates of 1.00 in training samples for distinguishing the invasive encapsulated follicular variant of papillary thyroid carcinoma from non-malignant samples. Additionally, we analyzed the performance of single-protein/gene receiver operating characteristic in differentiating the invasive encapsulated follicular variant of papillary thyroid carcinoma from others within The Cancer Genome Atlas projects, which yielded an AUC >0.5. <br/><b>Conclusions</b><BR>We demonstrated that integration of high-throughput proteomics with machine learning can effectively differentiate the invasive encapsulated follicular variant of papillary thyroid carcinoma from other follicular pattern thyroid tumors.</dd> </dl> </div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-10-01f2.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-10-01.xml','')"--> <a href="/journal/view.php?number=17137"><img src="/upload/thumbnails/jptm-2024-10-01f2.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17137">Comparison of tissue-based and plasma-based testing for <i>EGFR</i> mutation in non–small cell lung cancer patients</a></dt> <dd> Yoon Kyung Kang, Dong Hoon Shin, Joon Young Park, Chung Su Hwang, Hyun Jung Lee, Jung Hee Lee, Jee Yeon Kim, JooYoung Na </dd> <dd> <em>J Pathol Transl Med.</em> 2025;59(1):60-67. <span class='list_publish_date'> Published online January 15, 2025</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.10.01"><font class="doi">https://doi.org/10.4132/jptm.2024.10.01</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Pusan National University<span></dd> </dl> <ul class="articleData"> <li> <span>844</span> View </li> <li> <span>128</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17137', 'jptm-2024-10-01.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>Epidermal growth factor receptor (EGFR) gene mutation testing is crucial for the administration of tyrosine kinase inhibitors to treat non–small cell lung cancer. In addition to traditional tissue-based tests, liquid biopsies using plasma are increasingly utilized, particularly for detecting T790M mutations. This study compared tissue- and plasma-based EGFR testing methods. <br/><b>Methods</b><BR>A total of 248 patients were tested for EGFR mutations using tissue and plasma samples from 2018 to 2023 at Pusan National University Yangsan Hospital. Tissue tests were performed using PANAmutyper, and plasma tests were performed using the Cobas EGFR Mutation Test v2. <br/><b>Results</b><BR>All 248 patients underwent tissue-based EGFR testing, and 245 (98.8%) showed positive results. Of the 408 plasma tests, 237 (58.1%) were positive. For the T790M mutation, tissue biopsies were performed 87 times in 69 patients, and 30 positive cases (38.6%) were detected. Plasma testing for the T790M mutation was conducted 333 times in 207 patients, yielding 62 positive results (18.6%). Of these, 57 (27.5%) were confirmed to have the mutation via plasma testing. Combined tissue and plasma tests for the T790M mutation were positive in nine patients (13.4%), while 17 (25.4%) were positive in tissue only and 12 (17.9%) in plasma only. This mutation was not detected in 28 patients (43.3%). <br/><b>Conclusions</b><BR>Although the tissue- and plasma-based tests showed a sensitivity of 37.3% and 32.8%, respectively, combined testing increased the detection rate to 56.7%. Thus, neither test demonstrated superiority, rather, they were complementary.</dd> </dl> </div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Review</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-main--1-11.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-11-04.xml','')"--> <a href="/journal/view.php?number=17140"><img src="/upload/thumbnails/jptm-main--1-11.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17140">Professional biobanking education in Korea based on ISO 20387</a></dt> <dd> Jong Ok Kim, Chungyeul Kim, Sangyong Song, Eunah Shin, Ji-Sun Song, Mee Sook Roh, Dong-chul Kim, Han-Kyeom Kim, Joon Mee Kim, Yeong Jin Choi </dd> <dd> <em>J Pathol Transl Med.</em> 2025;59(1):11-25. <span class='list_publish_date'> Published online January 15, 2025</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.11.04"><font class="doi">https://doi.org/10.4132/jptm.2024.11.04</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>The Korean Society for Pathologists<span></dd> </dl> <ul class="articleData"> <li> <span>787</span> View </li> <li> <span>126</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17140', 'jptm-2024-11-04.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'>To ensure high-quality bioresources and standardize biobanks, there is an urgent need to develop and disseminate educational training programs in accordance with ISO 20387, which was developed in 2018. The standardization of biobank education programs is also required to train biobank experts. The subdivision of categories and levels of education is necessary for jobs such as operations manager (bank president), quality manager, practitioner, and administrator. Essential training includes programs tailored for beginner, intermediate, and advanced practitioners, along with customized training for operations managers. We reviewed and studied ways to develop an appropriate range of education and training opportunities for standard biobanking education and the training of experts based on KS J ISO 20387. We propose more systematic and professional biobanking training programs in accordance with ISO 20387, in addition to the certification programs of the National Biobank and the Korean Laboratory Accreditation System. We suggest various training programs appropriate to a student’s affiliation or work, such as university biobanking specialized education, short-term job training at unit biobanks, biobank research institute symposiums by the Korean Society of Pathologists, and education programs for biobankers and researchers. Through these various education programs, we expect that Korean biobanks will satisfy global standards, meet the needs of users and researchers, and contribute to the advancement of science.</dd> </dl> </div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Original Article</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-11-27f8.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-11-27.xml','')"--> <a href="/journal/view.php?number=17145"><img src="/upload/thumbnails/jptm-2024-11-27f8.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17145">PLUNC downregulates the expression of PD-L1 by inhibiting the interaction of DDX17/β-catenin in nasopharyngeal carcinoma</a></dt> <dd> Ranran Feng, Yilin Guo, Meilin Chen, Ziying Tian, Yijun Liu, Su Jiang, Jieyu Zhou, Qingluan Liu, Xiayu Li, Wei Xiong, Lei Shi, Songqing Fan, Guiyuan Li, Wenling Zhang </dd> <dd> <em>J Pathol Transl Med.</em> 2025;59(1):68-83. <span class='list_publish_date'> Published online January 15, 2025</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.11.27"><font class="doi">https://doi.org/10.4132/jptm.2024.11.27</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>National Natural Science Foundation of China<span>, <span name='funded_link' style='cursor:pointer'>Hunan Province Natural Science Foundation<span></dd> </dl> <ul class="articleData"> <li> <span>884</span> View </li> <li> <span>105</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17145', 'jptm-2024-11-27.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a><a href="/journal/view.php?number=17145#supplementary-material" style='cursor: pointer;font-size:12px;color:#6f6f6f;'><img src="/image/icon_attach.png" alt=''>Supplementary Material</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>Nasopharyngeal carcinoma (NPC) is characterized by high programmed death-ligand 1 (PD-L1) expression and abundant infiltration of non-malignant lymphocytes, which renders patients potentially suitable candidates for immune checkpoint blockade therapies. Palate, lung, and nasal epithelium clone (PLUNC) inhibit the growth of NPC cells and enhance cellular apoptosis and differentiation. Currently, the relationship between PLUNC (as a tumor-suppressor) and PD-L1 in NPC is unclear. <br/><b>Methods</b><BR>We collected clinical samples of NPC to verify the relationship between PLUNC and PD-L1. PLUNC plasmid was transfected into NPC cells, and the variation of PD-L1 was verified by western blot and immunofluorescence. In NPC cells, we verified the relationship of PD-L1, activating transcription factor 3 (ATF3), and β-catenin by western blot and immunofluorescence. Later, we further verified that PLUNC regulates PD-L1 through β-catenin. Finally, the effect of PLUNC on β-catenin was verified by co-immunoprecipitation (Co-IP). <br/><b>Results</b><BR>We found that PLUNC expression was lower in NPC tissues than in paracancer tissues. PD-L1 expression was opposite to that of PLUNC. Western blot and immunofluorescence showed that β-catenin could upregulate ATF3 and PD-L1, while PLUNC could downregulate ATF3/PD-L1 by inhibiting the expression of β-catenin. PLUNC inhibits the entry of β-catenin into the nucleus. Co-IP experiments demonstrated that PLUNC inhibited the interaction of DEAD-box helicase 17 (DDX17) and β-catenin. <br/><b>Conclusions</b><BR>PLUNC downregulates the expression of PD-L1 by inhibiting the interaction of DDX17/β-catenin in NPC. </dd> </dl> </div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Case Study</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-08-14f1.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-08-14.xml','')"--> <a href="/journal/view.php?number=17123"><img src="/upload/thumbnails/jptm-2024-08-14f1.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17123">Colorectal cancer with a germline <i>BRCA1</i> variant inherited paternally: a case report</a></dt> <dd> Kyoung Min Kim, Min Ro Lee, Ae Ri Ahn, Myoung Ja Chung </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(6):341-345. <span class='list_publish_date'> Published online September 5, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.08.14"><font class="doi">https://doi.org/10.4132/jptm.2024.08.14</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Biomedical Research Institute, Jeonbuk National University Hospital<span></dd> </dl> <ul class="articleData"> <li> <span>1,684</span> View </li> <li> <span>273</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17123', 'jptm-2024-08-14.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><i>BRCA</i> genes have well-known associations with breast and ovarian cancers. However, variations in the <i>BRCA</i> gene, especially germline variations, have also been reported in colorectal cancer (CRC). We present the case of a rectal cancer with a germline <i>BRCA</i>1 variation inherited from the paternal side. A 39-year-old male was admitted with rectal cancer. The patient underwent surgical resection and the pathologic diagnosis was adenocarcinoma. Next-generation sequencing was performed and a <i>BRCA</i>1 variant was detected. Reviewing the public database and considering the young age of the patient, the variant was suggested to be germline. The patient’s father had had prostate cancer and next-generation sequencing testing revealed an identical <i>BRCA</i>1 variant. In the <i>BRCA</i> cancer group, there is relatively little attention paid to male cancers. The accumulation of male CRC cases linked to <i>BRCA</i> variations may help clarify the potential pathological relationship between the two.</dd> </dl> </div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Original Articles</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-07-31f4.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-07-31.xml','')"--> <a href="/journal/view.php?number=17124"><img src="/upload/thumbnails/jptm-2024-07-31f4.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17124">Histopathologic classification and immunohistochemical features of papillary renal neoplasm with potential therapeutic targets</a></dt> <dd> Jeong Hwan Park, Su-Jin Shin, Hyun-Jung Kim, Sohee Oh, Yong Mee Cho </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(6):321-330. <span class='list_publish_date'> Published online September 12, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.07.31"><font class="doi">https://doi.org/10.4132/jptm.2024.07.31</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Korean Society of Pathologists<span></dd> </dl> <ul class="articleData"> <li> <span>1,731</span> View </li> <li> <span>327</span> Download </li> <li> <span class="trigger" id="trigger_c" style='cursor:pointer;color:#CB1D21;'>1</span> Crossref </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17124', 'jptm-2024-07-31.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>Papillary renal cell carcinoma (pRCC) is the second most common histological subtype of renal cell carcinoma and is considered a morphologically and molecularly heterogeneous tumor. Accurate classification and assessment of the immunohistochemical features of possible therapeutic targets are needed for precise patient care. We aimed to evaluate immunohistochemical features and possible therapeutic targets of papillary renal neoplasms <br/><b>Methods</b><BR>We collected 140 papillary renal neoplasms from three different hospitals and conducted immunohistochemical studies on tissue microarray slides. We performed succinate dehydrogenase B, fumarate hydratase, and transcription factor E3 immunohistochemical studies for differential diagnosis and re-classified five cases (3.6%) of papillary renal neoplasms. In addition, we conducted c-MET, p16, c-Myc, Ki-67, p53, and stimulator of interferon genes (STING) immunohistochemical studies to evaluate their pathogenesis and value for therapeutic targets. <br/><b>Results</b><BR>We found that c-MET expression was more common in pRCC (classic) (p = .021) among papillary renal neoplasms and Ki-67 proliferation index was higher in pRCC (not otherwise specified, NOS) compared to that of pRCC (classic) and papillary neoplasm with reverse polarity (marginal significance, p = .080). Small subsets of cases with p16 block positivity (4.5%) (pRCC [NOS] only) and c-Myc expression (7.1%) (pRCC [classic] only) were found. Also, there were some cases showing STING expression and those cases were associated with increased Ki-67 proliferation index (marginal significance, p = .063). <br/><b>Conclusions</b><BR>Our findings suggested that there are subsets of pRCC with c-MET, p16, c-MYC, and STING expression and those cases could be potential candidates for targeted therapy.</dd> <dd class="toggleCon" id="toggleCon_c" style='line-height:21px;background-color:#FFF;'> <p style='font-weight:bold;font-size:1.3em;'>Citations</p> <div style="font-size:11pt;color:#647BBD;padding-top:3px;padding-bottom:10px">Citations to this article as recorded by <img src="https://assets.crossref.org/logo/crossref-logo-landscape-200.svg" alt='' style="height:34px;" align="bottom" alt="Crossref logo"></div> <ul class='citations'><li><b>Tissue-Based Biomarkers Important for Prognostication and Management of Genitourinary Tumors, Including Surrogate Markers of Genomic Alterations</b><br/>Leonie Beauchamp, Shreeya Indulkar, Eric Erak, Mohammad Salimian, Andres Matoso<br/>Surgical Pathology Clinics</em>.2025; 18(1): 175. <a href="https://doi.org/10.1016/j.path.2024.10.002" target="_blank"><font style="font-size:10pt;color:#647BBD;text-decoration:underline">CrossRef</font></a></li></ul> </dd> </dl> </div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-07-25f7.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-07-25.xml','')"--> <a href="/journal/view.php?number=17126"><img src="/upload/thumbnails/jptm-2024-07-25f7.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17126">Diagnostic challenges in the assessment of thyroid neoplasms using nuclear features and vascular and capsular invasion: a multi-center interobserver agreement study</a></dt> <dd> Agnes Stephanie Harahap, Mutiah Mutmainnah, Maria Francisca Ham, Dina Khoirunnisa, Abdillah Hasbi Assadyk, Husni Cangara, Aswiyanti Asri, Diah Prabawati Retnani, Fairuz Quzwain, Hasrayati Agustina, Hermawan Istiadi, Indri Windarti, Krisna Murti, Muhammad Takbir, Ni Made Mahastuti, Nila Kurniasari, Nungki Anggorowati, Pamela Abineno, Yulita Pundewi Setyorini, Kennichi Kakudo </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(6):299-309. <span class='list_publish_date'> Published online September 12, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.07.25"><font class="doi">https://doi.org/10.4132/jptm.2024.07.25</font></a> </dd> <dd> <a href="/journal/view.php?number=17150"><b>Correction in:</b> <u>https://doi.org/</u></a> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Universitas Indonesia<span></dd> </dl> <ul class="articleData"> <li> <span>2,119</span> View </li> <li> <span>322</span> Download </li> <li> <span style='cursor:pointer;color:#691aff;'><a class='conLink' href='https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=m2pi2024&SrcAuth=WosAPI&KeyUT=WOS:001317301800001&DestLinkType=CitingArticles&DestApp=WOS' style='color:#691aff;' title='Web of Science' target='_blank'>1</a></span> Web of Science </li> <li> <span class="trigger" id="trigger_c" style='cursor:pointer;color:#CB1D21;'>1</span> Crossref </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17126', 'jptm-2024-07-25.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a><a href="/journal/view.php?number=17126#supplementary-material" style='cursor: pointer;font-size:12px;color:#6f6f6f;'><img src="/image/icon_attach.png" alt=''>Supplementary Material</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>The diagnosis of thyroid neoplasms necessitates the identification of distinct histological features. Various education/hospital centers located in cities across Indonesia likely result in discordances among pathologists when diagnosing thyroid neoplasms. <br/><b>Methods</b><BR>This study examined the concordance among Indonesian pathologists in assessing nuclear features and capsular and vascular invasion of thyroid tumors. Fifteen pathologists from different centers independently assessed the same 14 digital slides of thyroid tumor specimens. All the specimens were thyroid neoplasms with known <i>BRAFV600E</i> and <i>RAS</i> mutational status, from a single center. We evaluated the pre- and post-training agreement using the Fleiss kappa. The significance of the training was evaluated using a paired T-test. <br/><b>Results</b><BR>Baseline agreement on nuclear features was slight to fair based on a 3-point scoring system (k = 0.14 to 0.28) and poor to fair based on an eight-point system (k = –0.02 to 0.24). Agreements on vascular (κ = 0.35) and capsular invasion (κ = 0.27) were fair, whereas the estimated molecular type showed substantial agreement (κ = 0.74). Following the training, agreement using the eight-point system significantly improved (p = 0.001). <br/><b>Conclusions</b><BR>The level of concordance among Indonesian pathologists in diagnosing thyroid neoplasm was relatively poor. Consensus in pathology assessment requires ongoing collaboration and education to refine diagnostic criteria.</dd> <dd class="toggleCon" id="toggleCon_c" style='line-height:21px;background-color:#FFF;'> <p style='font-weight:bold;font-size:1.3em;'>Citations</p> <div style="font-size:11pt;color:#647BBD;padding-top:3px;padding-bottom:10px">Citations to this article as recorded by <img src="https://assets.crossref.org/logo/crossref-logo-landscape-200.svg" alt='' style="height:34px;" align="bottom" alt="Crossref logo"></div> <ul class='citations'><li><b>Nuclear pseudoinclusion is associated with BRAFV600E mutation: Analysis of nuclear features in papillary thyroid carcinoma</b><br/>Agnes Stephanie Harahap, Dina Khoirunnisa, Salinah, Maria Francisca Ham<br/>Annals of Diagnostic Pathology</em>.2025; 75: 152434. <a href="https://doi.org/10.1016/j.anndiagpath.2024.152434" target="_blank"><font style="font-size:10pt;color:#647BBD;text-decoration:underline">CrossRef</font></a></li></ul> </dd> </dl> </div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Review</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-10-11f1.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-10-11.xml','')"--> <a href="/journal/view.php?number=17133"><img src="/upload/thumbnails/jptm-2024-10-11f1.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17133">Cytologic hallmarks and differential diagnosis of papillary thyroid carcinoma subtypes</a></dt> <dd> Agnes Stephanie Harahap, Chan Kwon Jung </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(6):265-282. <span class='list_publish_date'> Published online November 7, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.10.11"><font class="doi">https://doi.org/10.4132/jptm.2024.10.11</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Korea Health Industry Development Institute<span>, <span name='funded_link' style='cursor:pointer'>Ministry of Health and Welfare<span></dd> </dl> <ul class="articleData"> <li> <span>2,112</span> View </li> <li> <span>308</span> Download </li> <li> <span style='cursor:pointer;color:#691aff;'><a class='conLink' href='https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=m2pi2024&SrcAuth=WosAPI&KeyUT=WOS:001356696900002&DestLinkType=CitingArticles&DestApp=WOS' style='color:#691aff;' title='Web of Science' target='_blank'>1</a></span> Web of Science </li> <li> <span class="trigger" id="trigger_c" style='cursor:pointer;color:#CB1D21;'>1</span> Crossref </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17133', 'jptm-2024-10-11.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'>Papillary thyroid carcinoma (PTC) is the most common thyroid malignancy, characterized by a range of subtypes that differ in their cytologic features, clinical behavior, and prognosis. Accurate cytologic evaluation of PTC using fine-needle aspiration is essential but can be challenging due to the morphologic diversity among subtypes. This review focuses on the distinct cytologic characteristics of various PTC subtypes, including the classic type, follicular variant, tall cell, columnar cell, hobnail, diffuse sclerosing, Warthin-like, solid/trabecular, and oncocytic PTCs. Each subtype demonstrates unique nuclear features, architectural patterns, and background elements essential for diagnosis and differentiation from other thyroid lesions. Recognizing these distinct cytologic patterns is essential for identifying aggressive subtypes like tall cell, hobnail, and columnar cell PTCs, which have a higher risk of recurrence, metastasis, and poorer clinical outcomes. Additionally, rare subtypes such as diffuse sclerosing and Warthin-like PTCs present unique cytologic profiles that must be carefully interpreted to avoid diagnostic errors. The review also highlights the cytologic indicators of lymph node metastasis and high-grade features, such as differentiated high-grade thyroid carcinoma. The integration of molecular testing can further refine subtype diagnosis by identifying specific genetic mutations. A thorough understanding of these subtype-specific cytologic features and molecular profiles is vital for accurate diagnosis, risk stratification, and personalized management of PTC patients. Future improvements in diagnostic techniques and standardization are needed to enhance cytologic evaluation and clinical decision-making in thyroid cancer.</dd> <dd class="toggleCon" id="toggleCon_c" style='line-height:21px;background-color:#FFF;'> <p style='font-weight:bold;font-size:1.3em;'>Citations</p> <div style="font-size:11pt;color:#647BBD;padding-top:3px;padding-bottom:10px">Citations to this article as recorded by <img src="https://assets.crossref.org/logo/crossref-logo-landscape-200.svg" alt='' style="height:34px;" align="bottom" alt="Crossref logo"></div> <ul class='citations'><li><b>Nuclear pseudoinclusion is associated with BRAFV600E mutation: Analysis of nuclear features in papillary thyroid carcinoma</b><br/>Agnes Stephanie Harahap, Dina Khoirunnisa, Salinah, Maria Francisca Ham<br/>Annals of Diagnostic Pathology</em>.2025; 75: 152434. <a href="https://doi.org/10.1016/j.anndiagpath.2024.152434" target="_blank"><font style="font-size:10pt;color:#647BBD;text-decoration:underline">CrossRef</font></a></li></ul> </dd> </dl> </div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Original Articles</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-06-24f5.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-06-24.xml','')"--> <a href="/journal/view.php?number=17119"><img src="/upload/thumbnails/jptm-2024-06-24f5.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17119">Educational exchange in thyroid core needle biopsy diagnosis: enhancing pathological interpretation through guideline integration and peer learning</a></dt> <dd> Agnes Stephanie Harahap, Chan Kwon Jung </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(5):205-213. <span class='list_publish_date'> Published online July 24, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.06.24"><font class="doi">https://doi.org/10.4132/jptm.2024.06.24</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Korea Health Industry Development Institute<span>, <span name='funded_link' style='cursor:pointer'>Ministry of Health and Welfare<span></dd> </dl> <ul class="articleData"> <li> <span>1,760</span> View </li> <li> <span>270</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17119', 'jptm-2024-06-24.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>While fine needle aspiration cytology (FNAC) plays an essential role in the screening of thyroid nodules, core needle biopsy (CNB) acts as an alternative method to address FNAC limitations. However, diagnosing thyroid CNB samples can be challenging due to variations in background and levels of experience. Effective training is indispensable to mitigate this challenge. We aim to evaluate the impact of an educational program on improving the accuracy of CNB diagnostics. <br/><b>Methods</b><BR>The 2-week observational program included a host mentor pathologist with extensive experience and a visiting pathologist. The CNB classification by The Practice Guidelines Committee of the Korean Thyroid Association was used for the report. Two rounds of reviewing the case were carried out, and the level of agreement between the reviewers was analyzed. <br/><b>Results</b><BR>The first-round assessment showed a concordance between two pathologists for 247 thyroid CNB specimens by 84.2%, with a kappa coefficient of 0.74 (indicating substantial agreement). This finding was attributed to the discordance in the use of categories III and V. After peer learning, the two pathologists evaluated 30 new cases, which showed an overall improvement in the level of agreement. The percentage of agreement between pathologists on thyroid CNB diagnosis was 86.7%, as measured by kappa coefficient of 0.80. <br/><b>Conclusions</b><BR>This educational program, consisting of guided mentorship and peer learning, can substantially enhance the diagnostic accuracy of thyroid CNB. It is useful in promoting consistent diagnostic standards and contributes to the ongoing development of global pathology practices.</dd> </dl> </div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-07-13f6.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-07-13.xml','')"--> <a href="/journal/view.php?number=17120"><img src="/upload/thumbnails/jptm-2024-07-13f6.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17120">Artificial intelligence algorithm for neoplastic cell percentage estimation and its application to copy number variation in urinary tract cancer</a></dt> <dd> Jinahn Jeong, Deokhoon Kim, Yeon-Mi Ryu, Ja-Min Park, Sun Young Yoon, Bokyung Ahn, Gi Hwan Kim, Se Un Jeong, Hyun-Jung Sung, Yong Il Lee, Sang-Yeob Kim, Yong Mee Cho </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(5):229-240. <span class='list_publish_date'> Published online August 9, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.07.13"><font class="doi">https://doi.org/10.4132/jptm.2024.07.13</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Ministry of Science, ICT and Future Planning<span>, <span name='funded_link' style='cursor:pointer'>Asan Institute for Life Sciences, Asan Medical Center<span></dd> </dl> <ul class="articleData"> <li> <span>2,030</span> View </li> <li> <span>241</span> Download </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17120', 'jptm-2024-07-13.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a><a href="/journal/view.php?number=17120#supplementary-material" style='cursor: pointer;font-size:12px;color:#6f6f6f;'><img src="/image/icon_attach.png" alt=''>Supplementary Material</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>Bladder cancer is characterized by frequent mutations, which provide potential therapeutic targets for most patients. The effectiveness of emerging personalized therapies depends on an accurate molecular diagnosis, for which the accurate estimation of the neoplastic cell percentage (NCP) is a crucial initial step. However, the established method for determining the NCP, manual counting by a pathologist, is time-consuming and not easily executable. <br/><b>Methods</b><BR>To address this, artificial intelligence (AI) models were developed to estimate the NCP using nine convolutional neural networks and the scanned images of 39 cases of urinary tract cancer. The performance of the AI models was compared to that of six pathologists for 119 cases in the validation cohort. The ground truth value was obtained through multiplexed immunofluorescence. The AI model was then applied to 41 cases in the application cohort that underwent next-generation sequencing testing, and its impact on the copy number variation (CNV) was analyzed. <br/><b>Results</b><BR>Each AI model demonstrated high reliability, with intraclass correlation coefficients (ICCs) ranging from 0.82 to 0.88. These values were comparable or better to those of pathologists, whose ICCs ranged from 0.78 to 0.91 in urothelial carcinoma cases, both with and without divergent differentiation/ subtypes. After applying AI-driven NCP, 190 CNV (24.2%) were reclassified with 66 (8.4%) and 78 (9.9%) moved to amplification and loss, respectively, from neutral/minor CNV. The neutral/minor CNV proportion decreased by 6%. <br/><b>Conclusions</b><BR>These results suggest that AI models could assist human pathologists in repetitive and cumbersome NCP calculations.</dd> </dl> </div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/jptm-2024-07-12f5.jpg" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2024-07-12.xml','')"--> <a href="/journal/view.php?number=17121"><img src="/upload/thumbnails/jptm-2024-07-12f5.jpg" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17121">Paricalcitol prevents MAPK pathway activation and inflammation in adriamycin-induced kidney injury in rats</a></dt> <dd> Amanda Lima Deluque, Lucas Ferreira de Almeida, Beatriz Magalhães Oliveira, Cláudia Silva Souza, Ana Lívia Dias Maciel, Heloísa Della Coletta Francescato, Cleonice Giovanini, Roberto Silva Costa, Terezila Machado Coimbra </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(5):219-228. <span class='list_publish_date'> Published online August 27, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2024.07.12"><font class="doi">https://doi.org/10.4132/jptm.2024.07.12</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>Coordenação de Aperfeiçoamento de Pessoal de Nível Superi-or<span>, <span name='funded_link' style='cursor:pointer'>Conselho Nacional de Desenvolvimento Científico e Tecnológico<span></dd> </dl> <ul class="articleData"> <li> <span>1,433</span> View </li> <li> <span>200</span> Download </li> <li> <span style='cursor:pointer;color:#691aff;'><a class='conLink' href='https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=m2pi2024&SrcAuth=WosAPI&KeyUT=WOS:001298280200001&DestLinkType=CitingArticles&DestApp=WOS' style='color:#691aff;' title='Web of Science' target='_blank'>1</a></span> Web of Science </li> <li> <span class="trigger" id="trigger_c" style='cursor:pointer;color:#CB1D21;'>1</span> Crossref </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17121', 'jptm-2024-07-12.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'><b>Background</b><BR>Activation of the mitogen-activated protein kinase (MAPK) pathway induces uncontrolled cell proliferation in response to inflammatory stimuli. Adriamycin (ADR)-induced nephropathy (ADRN) in rats triggers MAPK activation and pro-inflammatory mechanisms by increasing cytokine secretion, similar to chronic kidney disease (CKD). Activation of the vitamin D receptor (VDR) plays a crucial role in suppressing the expression of inflammatory markers in the kidney and may contribute to reducing cellular proliferation. This study evaluated the effect of pre-treatment with paricalcitol on ADRN in renal inflammation mechanisms. <br/><b>Methods</b><BR>Male Sprague-Dawley rats were implanted with an osmotic minipump containing activated vitamin D (paricalcitol, Zemplar, 6 ng/day) or vehicle (NaCl 0.9%). Two days after implantation, ADR (Fauldoxo, 3.5 mg/kg) or vehicle (NaCl 0.9%) was injected. The rats were divided into four experimental groups: control, n = 6; paricalcitol, n = 6; ADR, n = 7 and, ADR + paricalcitol, n = 7. <br/><b>Results</b><BR>VDR activation was demonstrated by increased CYP24A1 in renal tissue. Paricalcitol prevented macrophage infiltration in the glomeruli, cortex, and outer medulla, prevented secretion of tumor necrosis factor-α, and interleukin-1β, increased arginase I and decreased arginase II tissue expressions, effects associated with attenuation of MAPK pathways, increased zonula occludens-1, and reduced cell proliferation associated with proliferating cell nuclear antigen expression. Paricalcitol treatment decreased the stromal cell-derived factor 1α/chemokine C-X-C receptor type 4/β-catenin pathway. <br/><b>Conclusions</b><BR>Paricalcitol plays a renoprotective role by modulating renal inflammation and cell proliferation. These results highlight potential targets for treating CKD.</dd> <dd class="toggleCon" id="toggleCon_c" style='line-height:21px;background-color:#FFF;'> <p style='font-weight:bold;font-size:1.3em;'>Citations</p> <div style="font-size:11pt;color:#647BBD;padding-top:3px;padding-bottom:10px">Citations to this article as recorded by <img src="https://assets.crossref.org/logo/crossref-logo-landscape-200.svg" alt='' style="height:34px;" align="bottom" alt="Crossref logo"></div> <ul class='citations'><li><b>Perirenal fat differs in patients with chronic kidney disease receiving different vitamin D-based treatments: a preliminary study</b><br/>Ana Checa-Ros, Antonella Locascio, Owahabanun-Joshua Okojie, Pablo Abellán-Galiana, Luis D’Marco<br/>BMC Nephrology</em>.2025;[Epub] <a href="https://doi.org/10.1186/s12882-025-04041-2" target="_blank"><font style="font-size:10pt;color:#647BBD;text-decoration:underline">CrossRef</font></a></li></ul> </dd> </dl> </div><div style="font-size: 15pt; color: #004F94;padding-top:20px;">Review</div> <div class="articleItem data"> <dl class="brief"> <div class="article_div"> <!--img src="/upload/thumbnails/t1-jptm-2023-11-01.png" alt="Article image" class="article_image" onclick="openPhotoView(this,'jptm-2023-11-01.xml','')"--> <a href="/journal/view.php?number=17092"><img src="/upload/thumbnails/t1-jptm-2023-11-01.png" alt="Article image" class="article_image" ></a> </div> <dt><a href="/journal/view.php?number=17092">Clinical practice recommendations for the use of next-generation sequencing in patients with solid cancer: a joint report from KSMO and KSP</a></dt> <dd> Miso Kim, Hyo Sup Shim, Sheehyun Kim, In Hee Lee, Jihun Kim, Shinkyo Yoon, Hyung-Don Kim, Inkeun Park, Jae Ho Jeong, Changhoon Yoo, Jaekyung Cheon, In-Ho Kim, Jieun Lee, Sook Hee Hong, Sehhoon Park, Hyun Ae Jung, Jin Won Kim, Han Jo Kim, Yongjun Cha, Sun Min Lim, Han Sang Kim, Choong-Kun Lee, Jee Hung Kim, Sang Hoon Chun, Jina Yun, So Yeon Park, Hye Seung Lee, Yong Mee Cho, Soo Jeong Nam, Kiyong Na, Sun Och Yoon, Ahwon Lee, Kee-Taek Jang, Hongseok Yun, Sungyoung Lee, Jee Hyun Kim, Wan-Seop Kim </dd> <dd> <em>J Pathol Transl Med.</em> 2024;58(4):147-164. <span class='list_publish_date'> Published online January 10, 2024</span> </dd> <dd class="doi"> DOI: <a href="https://doi.org/10.4132/jptm.2023.11.01"><font class="doi">https://doi.org/10.4132/jptm.2023.11.01</font></a> </dd> <dd> </dd> <dd><b>Funded: </b><span name='funded_link' style='cursor:pointer'>National Cancer Center<span>, <span name='funded_link' style='cursor:pointer'>Ministry of Health and Welfare<span></dd> </dl> <ul class="articleData"> <li> <span>4,545</span> View </li> <li> <span>461</span> Download </li> <li> <span class="trigger" id="trigger_c" style='cursor:pointer;color:#CB1D21;'>1</span> Crossref </li> </ul> <dl class="more"> <dt> <a href="#" class="trigger" id="trigger_a"><img src="../image/icon_absView.png" alt='Abstract'>Abstract</a> <a onclick="journal_download('pdf','17092', 'jptm-2023-11-01.pdf')" style='cursor: pointer;'><img src="/image/icon_pdf.png" alt=''>PDF</a> </dt> <dd class="toggleCon" id="toggleCon_a" style='line-height:21px;'>In recent years, next-generation sequencing (NGS)–based genetic testing has become crucial in cancer care. While its primary objective is to identify actionable genetic alterations to guide treatment decisions, its scope has broadened to encompass aiding in pathological diagnosis and exploring resistance mechanisms. With the ongoing expansion in NGS application and reliance, a compelling necessity arises for expert consensus on its application in solid cancers. To address this demand, the forthcoming recommendations not only provide pragmatic guidance for the clinical use of NGS but also systematically classify actionable genes based on specific cancer types. Additionally, these recommendations will incorporate expert perspectives on crucial biomarkers, ensuring informed decisions regarding circulating tumor DNA panel testing.</dd> <dd class="toggleCon" id="toggleCon_c" style='line-height:21px;background-color:#FFF;'> <p style='font-weight:bold;font-size:1.3em;'>Citations</p> <div style="font-size:11pt;color:#647BBD;padding-top:3px;padding-bottom:10px">Citations to this article as recorded by <img src="https://assets.crossref.org/logo/crossref-logo-landscape-200.svg" alt='' style="height:34px;" align="bottom" alt="Crossref logo"></div> <ul class='citations'><li><b>Apport de la génomique dans la prise en charge des cancers</b><br/>Étienne Rouleau, Lucie Karayan-Tapon, Marie-Dominique Galibert, Alexandre Harlé, Isabelle Soubeyran<br/>Revue Francophone des Laboratoires</em>.2025; 2025(568): 67. <a href="https://doi.org/10.1016/S1773-035X(25)76280-2" target="_blank"><font 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