장희준 교수
Heejoon Jang
서울대학교 · 의학
연구실 소개
장희준 교수의 연구실은 만성 간질환, 특히 비알코올성 지방간질환(MASLD), 대사성 관련 지방간병변(MetALD), 알코올성 간염 및 간세포암종(HCC)의 발달 기전과 예후를 중심으로 한 전인적 간질환 연구를 수행하고 있습니다. 특히 MASLD 환자에서의 간질환 진행 위험도 평가, 약물치료(예: SGLT2 억제제, 아스피린, 면역검사제)의 간 기능 보호 효과 및 예후 영향을 분석하며, 임상적 실천에 기여할 수 있는 생물학적 및 임상적 증거를 확보하고자 합니다. 장기적으로는 간질환의 조기 진단 및 개인 맞춤형 치료 전략 수립을 목표로 하고 있습니다.
연구 현황
연구 성과 추이
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
주요 논문
15The National Research Foundation of Korea and the Korea Centers for Disease Control and Prevention.
The results of this cohort study suggest that physicians may lean towards prescribing SGLT2 inhibitors as the preferred OAD for individuals with NAFLD and T2D, considering their potential benefits in NAFLD regression and lower incidences of adverse liver-related outcomes. This observational study should prompt future research to determine whether prescribing practices might merit reexamination.
Aspirin use was associated with reduced risks of HCC and liver-associated mortality in adults with CHB. Cirrhosis status had a substantial effect on the association between aspirin use and HCC risk.
After sorafenib failure, the use of nivolumab may be associated with improved OS and better objective response rate as compared to using regorafenib.
MASLD, MetALD, and ALD have an increased risk of PLCa, HCC, incident cirrhosis, and decompensated cirrhosis but not iCCA. These findings may serve as a robust ground for the prognostic value of the newly suggested MASLD and MetALD.
The evolutionary changes in MASLD were associated with the differential risk of HCC independent of metabolic risk factors and concomitant medications, providing additional information on the risk of HCC stratification in patients with MASLD.
TARE as initial trans-arterial treatment is associated with better clinical outcomes such as longer OS compared with TACE in patients with HCC.
The sequential approach of age-adjusted FIB-4 and VCTE could represent a practical diagnostic strategy to detect advanced fibrosis in NAFLD (ClinicalTrials.gov #NCT02206841).
Increased low-quality muscle mass, but not decreased normal-quality muscle mass, as assessed by a muscle quality map in CT, predicts fibrosis progression in patients with NAFLD.
High HR at the time of CRRT initiation is subsequently related with high mortality. These results can be a basis for a future predictive model of CRRT-related mortality.
ClinicalTrials.gov Identifier: NCT02585947.
For advanced HCC, initial TACE leads to longer OS with a more favorable tumor response than initial sorafenib treatment. Intrahepatic tumor control with initial locoregional therapy may be a potent strategy for advanced HCC.
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