Publications by authors named "Kyung-A Ko"

Background: Atherothrombosis, the main event leading to acute coronary syndrome (ACS), is strongly linked to disturbed blood flow (d-flow) regions. Although the involvement of the Hippo pathway and its kinases Large Tumor Suppressor Kinase 1and 2 (LATS 1 and 2) in mechanical stress responses is known, the mechanisms by which d-flow simultaneously induces senescence, proliferation, and atherothrombosis remain unclear.

Methods: The role of endothelial cells (EC)-specific LATS1/2 was examined using EC specific knock-out (EKO) mice in a partial left carotid ligation (PLCL) model.

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Aim: Although it has been reported that poor oral health is associated with worsening general health, oral health has been given less importance than general health in Long-Term Care (LTC) insurance beneficiaries. The aim of this study was to evaluate the association between dental care and improvement in dependency levels of LTC insurance beneficiaries.

Methods: This study collected data from 53 130 beneficiaries who were newly approved for LTC in Korea in 2015.

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Background And Aim: Managing periodontal disease often involves complex decisions involving multiple treatment options, and patient autonomy significantly influences this decision-making process. This study aimed to characterise the autonomy and information-seeking preferences among patients diagnosed with stage III/IV periodontitis, and to identify the factors influencing these preferences.

Materials And Methods: The survey included 96 patients diagnosed with periodontal disease, all of whom underwent periodontal treatment or tooth extraction between May 2021 and February 2022.

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Aim: To compare the dimensional outcomes of horizontal augmentation with the retentive-flap technique using particulate and cross-linked collagenated bone substitutes.

Materials And Methods: This two-centre, two-arm randomized clinical trial investigated 69 subjects: 34 in the particulate group and 35 in the collagenated group. Patients were randomly assigned to receive single implant placement with simultaneous guided bone regeneration (GBR) using either particulate deproteinized porcine bone material (DPBM) or cross-linked collagenated DPBM.

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Recent studies have highlighted the crucial role of microglia (MG) and their interactions with the gut microbiome in post-stroke neuroinflammation. The activation of immunoregulatory pathways, including the aryl hydrocarbon receptor (AHR) pathway, is influenced by a dynamic balance of ligands derived from both the host and microbiota. This study aimed to investigate the association between stroke-induced dysbiosis and the resultant imbalance in AHR ligand sources (loss of microbiota-derived [indole-based] and increase of host-derived [kynurenine-based]) after stroke.

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Objectives: This study aimed to develop a model to predict the autonomy preference (AP) and satisfaction after tooth extraction (STE) in patients with periodontal disease. Understanding of individual AP and STE is essential for improving patient satisfaction and promoting informed decision-making in periodontics.

Methods: A stacked ensemble machine learning model was used to predict patient AP and STE based on the results of a survey that included demographic information, oral health status, AP index, and STE.

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Objectives: To determine the dental care pattern and survival rates of participants who received long-term care (LTC) and a matched control cohort in South Korea.

Background: Global ageing trends and the development of superaged societies pose healthcare challenges. South Korea's LTC system aids those with chronic illnesses and disabilities.

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This retrospective study aimed to determine risk factors associated with post-operative bleeding after dentoalveolar surgery in patients taking anticoagulants. Patients taking anticoagulants who were planned to undergo periodontal flap operation, tooth extraction or implant surgery were included. Patients were divided into two subgroups according to the maintenance of anticoagulants following medical consultation: (1) maintenance group and (2) discontinuation group.

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Article Synopsis
  • Stroke is a significant health issue, especially for older adults, with limited treatments currently available; however, research suggests that the gut microbiome might influence inflammation in the brain after a stroke through the aryl hydrocarbon receptor (AHR) pathway.
  • Microglia, the brain's immune cells, play a crucial role in managing post-stroke inflammation, and the activation of AHR by different ligands from the body or microbiome can have opposing effects on recovery.
  • The study aims to understand how stroke changes gut bacteria and the impact of these changes on AHR ligands, hypothesizing that restoring the balance between harmful and beneficial ligands could improve outcomes after a stroke.
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  • * CVD risk may increase for cancer survivors due to long-term complications from cancer and its treatments, with cellular senescence playing a significant role in this relationship.
  • * The article seeks to explore the mechanisms connecting premature cellular aging to CVD in cancer survivors and suggests future research directions for a deeper understanding of this complex issue.
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  • SENP2 is a crucial protein that helps protect against atherosclerosis; however, when phosphorylated at T368 under disturbed flow, it loses its function and leads to endothelial cell activation.
  • Researchers developed a specific antibody and used CRISPR/Cas9 to create mice with a mutation at the S344 phosphorylation site of SENP2 and studied its effects on endothelial cell behavior under different flow conditions.
  • The study found that normal flow (L-flow) causes phosphorylation of SENP2 at S344, which inhibits harmful endothelial cell activation, while mutations in this site lead to increased inflammation, migration, and cell proliferation, making atherosclerosis worse, especially in female mice.
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Background: ERK5 (extracellular signal-regulated kinase 5) is a dual kinase transcription factor containing an N-terminal kinase domain and a C-terminal transcriptional activation domain. Many ERK5 kinase inhibitors have been developed and tested to treat cancer and inflammatory diseases. However, recent data have raised questions about the role of the catalytic activity of ERK5 in proliferation and inflammation.

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Radiation therapy (RT) to the chest increases the patients' risk of cardiovascular disease (CVD). A complete understanding of the mechanisms by which RT induces CVD could lead to specific preventive, therapeutic approaches. It is becoming evident that both genotoxic chemotherapy agents and radiation induce mitochondrial dysfunction and cellular senescence.

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Aim: It has been proposed that platelet-rich fibrin (PRF) can be used to support bone regeneration during alveolar ridge augmentation. The aim of this study was to determine whether an approach utilizing PRF provides similar performance to the established guided bone regeneration (GBR) procedure.

Materials And Methods: Two-wall defects were surgically created in beagle dogs and treated in three experimental groups: (i) a sticky bone (SB) substitute prepared using liquid PRF and deproteinized porcine bone mineral (DPBM); (ii) SB covered with solid PRF compressed into a membrane; and (iii) GBR performed using DPBM covered by a collagen membrane.

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We have shown that membrane-associated guanylate kinase with inverted domain structure-1 (MAGI1), a scaffold protein with six PSD95/DiscLarge/ZO-1 (PDZ) domains, is involved in the regulation of endothelial cell (EC) activation and atherogenesis in mice. In addition to causing acute respiratory disease, influenza A virus (IAV) infection plays an important role in atherogenesis and triggers acute coronary syndromes and fatal myocardial infarction. Therefore, the aim of this study is to investigate the function and regulation of MAGI1 in IAV-induced EC activation.

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Purpose: The aim of this study was to investigate the association between the changes in masticatory function and cognitive impairment by analyzing longitudinal data of older Korean patients.

Materials And Methods: Patients aged over 60 years with dental records between 2005 to 2010 (baseline; T1) and 2014 to 2020 (follow-up; T2) were selected in a single medical center. Based on the dementia diagnosis after T2, the cohort was classified into two groups, the dementia group (n=122) and the control group (n=366).

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Aim: To test the effect of membrane fixation on ridge volume stability and new bone formation using guided bone regeneration.

Materials And Methods: In eight beagle dogs, after bilateral extraction of the maxillary pre-molars, a box-shaped defect was created on each side. All defect sites were augmented with a particulate bone substitute material, covered with either one of two non-cross-linked collagen membranes (CM1 or CM2) with or without fixation (-F or -UF).

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The aim of the study was to compare the supra-alveolar gingival dimension (GD) and the clinical pocket probing depth (PD) by combining data from an intraoral scanner (IOS) and cone-beam computed tomography (CBCT) and identify the clinical features affecting the clinical PD. 1,071 sites from 11 patients were selected for whom CBCT, IOS images, and periodontal charts were recorded at the same visit. CBCT and IOS data were superimposed.

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The incidence of cardiovascular disease (CVD) is higher in cancer survivors than in the general population. Several cancer treatments are recognized as risk factors for CVD, but specific therapies are unavailable. Many cancer treatments activate shared signaling events, which reprogram myeloid cells (MCs) towards persistent senescence-associated secretory phenotype (SASP) and consequently CVD, but the exact mechanisms remain unclear.

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Focal adhesion kinase (FAK) activation plays a crucial role in vascular diseases. In endothelial cells, FAK activation is involved in the activation of pro-inflammatory signaling and the progression of atherosclerosis. Disturbed flow (D-flow) induces endothelial activation and senescence, but the exact role of FAK in D-flow-induced endothelial activation and senescence remains unclear.

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Background: Mangosteen and propolis extracts (MAEC) have been potential therapeutic agents known to exhibit powerful antioxidant and anti-inflammatory properties. The aim of the current study was to evaluate the clinical and immunological efficacy of MAEC as well as safety and patient-reported outcomes (PROMs) on gingivitis and incipient periodontitis.

Methods: This study was performed on 104 patients diagnosed with gingivitis or incipient periodontitis.

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Article Synopsis
  • A study was conducted to compare 1-year outcomes of immediate loading (IL) versus delayed loading (DL) for dental implants in partially edentulous jaws, using fully guided surgery.
  • Out of 72 patients, the DL group had a 100% survival rate for both patients and implants, while the IL group had only 69.4% survival at the patient level and 83.4% at the implant level.
  • Despite differences in survival rates, both groups exhibited stable marginal bone levels, with less than 0.1 mm of bone loss.
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Diastolic dysfunction is condition of a stiff ventricle and a function of aging. It causes significant cardiovascular mortality and morbidity, and in fact, three million Americans are currently suffering from this condition. To date, all the pharmacological clinical trials have been negative.

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Background: The present study focused on the inflammatory disease progress after periodontal defect induction and aimed to specifically determine periodontal tissue responses following dental plaque accumulation by ligatures on a site with/without standardized periodontal defect induction.

Methods: After 1 month from extraction of the adjacent teeth, semi-circumferential defects were surgically created in the unilateral second and fourth premolars (test group), whereas no defects were being induced at the contralateral sites (control group). One week later, silk was used to ligate the tooth cervix at both sites to encourage the accumulation of dental plaque.

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Aim: To assess changes in the position of the mucogingival junction (MGJ) after an apically positioned flap (APF) with collagen matrix performed at sites with or without previous guided bone regeneration (GBR).

Materials And Methods: Dental implants were placed with or without GBR (group GBR or non-GBR) depending on the available ridge width in 30 patients with a limited width of keratinized mucosa (MGJ placed more coronally than the expected prosthetic margin). An apically positioned flap with collagen matrix was performed in both groups.

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