1
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Inagawa S, Sakamoto A, Taue S, Aoki K. Effects of plantar flexion angle during falling on rebound jump height. J Sci Med Sport 2022. [DOI: 10.1016/j.jsams.2022.09.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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2
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Sakamoto A, Ingawa S, Chow C, Naito H. Effects of voluntary hypoventilation on exercise duration and physiological responses during continuous exercise. J Sci Med Sport 2022. [DOI: 10.1016/j.jsams.2022.09.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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3
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Cornelissen A, Gadhoke NV, Ryan K, Hodonsky CJ, Duong TV, Dikongue A, Sakamoto A, Sato Y, Miller CL, Hong CC, Arking DE, Mitchell BD, Guo L, Virmani R, Finn AV. Polygenic risk score associates with atherosclerosis severity at autopsy. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Polygenic risk scores (PRS) for coronary artery disease (CAD) are emerging as a potential method to improve cardiovascular risk prediction. Questions remain about their applicability to diverse populations as well as their correlation with coronary histopathology.
Purpose
To assess whether high genetic risk associates with histopathologic coronary plaque morphology.
Methods
We assessed 122 known CAD risk loci in 954 Black and White subjects within our sudden death registry to generate a PRS. The cohort was divided into quintiles according to z-score-standardized PRS, both in a race-stratified fashion and in the pooled sample. Detailed histopathologic examination of the coronary arteries was performed in all subjects.
Results
Subjects in the highest PRS quintile exhibited more severe atherosclerosis compared to subjects in the lowest quintile, with greater mean cross-sectional luminal narrowing (71.5% (95% CI, 66.6%-76.5%) vs. 56.6% (95% CI, 51.1%-62.1%); adjusted p<0.001; Figure 1) and a higher frequency of calcification (adjusted OR 2.19; 95% CI 1.31–3.68; p=0.003) after adjustment for the first 10 principal components, age, sex, and race. Higher z-score-standardized PRS was predictive for the finding of severe atherosclerosis (i.e., ≥75% cross-sectional luminal narrowing) even after additional controlling for traditional CAD risk factors including hypertension, smoking, diabetes mellitus, and hyperlipidemia (adjusted OR 1.39; 95% CI 1.19–1.63; p<0.001; Figure 2). Among Black subjects, higher PRS was associated with higher odds of plaque rupture (adjusted OR 1.31; 95% CI 1.03–1.66; p=0.03) and predicted CAD-associated cause of death among subjects younger than 50 years old (adjusted OR 1.26; 95% CI 1.01–1.58; p=0.04).
Conclusions
This is the first autopsy study investigating associations between PRS and atherosclerotic plaque morphology at a histopathologic level. Our pathological analysis suggests PRS correlates with plaque burden and coronary artery calcification and may be useful as a method for CAD risk stratification, especially in younger subjects.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): R01 HL141425 Leducq Foundation Grant
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Affiliation(s)
- A Cornelissen
- RWTH University Hospital Aachen, Cardiology , Aachen , Germany
| | - N V Gadhoke
- CVPath Institute , Gaithersburg , United States of America
| | - K Ryan
- University of Maryland , Baltimore , United States of America
| | - C J Hodonsky
- University of Virginia , Charlottesville , United States of America
| | - T V Duong
- Johns Hopkins University School of Medicine , Baltimore , United States of America
| | - A Dikongue
- CVPath Institute , Gaithersburg , United States of America
| | - A Sakamoto
- CVPath Institute , Gaithersburg , United States of America
| | - Y Sato
- CVPath Institute , Gaithersburg , United States of America
| | - C L Miller
- University of Virginia , Charlottesville , United States of America
| | - C C Hong
- University of Maryland , Baltimore , United States of America
| | - D E Arking
- Johns Hopkins University School of Medicine , Baltimore , United States of America
| | - B D Mitchell
- University of Maryland , Baltimore , United States of America
| | - L Guo
- CVPath Institute , Gaithersburg , United States of America
| | - R Virmani
- CVPath Institute , Gaithersburg , United States of America
| | - A V Finn
- CVPath Institute , Gaithersburg , United States of America
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4
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Tomita S, Nakanishi N, Ogata T, Suga T, Tsuji Y, Sakamoto A, Higuchi Y, Matoba S. Cavin-1 modulates BMP/Smad signaling through the interaction of Caveolin-1 with BMPRII in pulmonary artery endothelial cells. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1963] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Pulmonary hypertension (PH) is a progressive disease associated with poor outcomes. Caveolin-1 (Cav1) and Cavin-1 are components of caveolae, and Cav1 is identified as a related gene of pulmonary arterial hypertension (PAH). Gene mutations of bone morphogenetic protein type II receptor (BMPRII) is the most common cause of PAH. BMPRII is localized in caveolae and associates with Cav1. However, the role of the Caveolin-Cavin system on the BMP/Smad signaling and the PAH progression has not been well-known.
Purpose
Our study aims to investigate the relationship between Caveolin-Cavin system and BMP/Smad signaling pathway in pulmonary artery endothelial cells (PAECs). [Methods] Cav1 knockout mice were used to assess PH, and caveolae in PAECs were observed by electron microscope. After knocking down Cav1 and/or Cavin-1 in human PAECs (hPAECs) using siRNA, we evaluated the phosphorylation of Smad by Western blotting. Apoptosis was explored by flow cytometry. To assess the interaction between Cav1 and BMPRII, and the effect of Cavin-1 for this interaction and BMP/Smad signaling, we performed immunoprecipitation, Co-immunostaining, Proximal Ligation Assay (PLA), GST pulldown assay, and Western blotting.
Results
As in previous reports, Cav1 knockout mice exhibited PH with pulmonary vascular remodeling and right ventricular hypertrophy and PAECs isolated from Cav1 knockout mice showed caveolae disappearance. Cav1 knockdown in hPAECs reduced BMPRII at the plasma membrane and Smad 1/5/9 phosphorylation. Cav1 knockdown also significantly increased hypoxia-induced apoptosis in hPAECs. Co-immunostaining revealed that Cav1 was associated with BMPRII at the membrane of hPAECs. Cavin-1 inhibited the interaction of BMPRII with Cav1 and reduced BMPRII localization on the membrane of hPAECs. GST pulldown assay revealed that Cavin-1 and BMPRII were associated with Cav1 through the scaffolding domain in Cav1. These findings suggest that Cavin-1 and BMPRII are competitively associated with Cav1. Cavin-1 knockdown improved the interaction between Cav1 and BMPRII and inhibited both BMPRII reduction at the plasma membrane and Smad 1/5/9 dephosphorylation.
Conclusions
Cavin-1 affects the interaction of Cav1 with BMPRII at the plasma membrane and modulates BMP/Smad signaling in PAECs. The binding of Cavin-1 to Cav1 enhances the interaction between BMPR2 and Cav1, resulting in stabilization of BMPRII localization at the plasma membrane in PAECs and prevention of BMP/Smad signaling attenuation, which is important for PAH development.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- S Tomita
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - N Nakanishi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - T Ogata
- Kyoto Prefectural University of Medicine, Department of Pathology and Cell Regulation, Graduate School of Medical Science, Kyoto, Japan
| | - T Suga
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - Y Tsuji
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - A Sakamoto
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - Y Higuchi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - S Matoba
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
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5
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Buckler A, Sakamoto A, St. Pierre S, Phillips M, Zhu G, Virmani R. Histologically Defined Plaque Stability Phenotype Can Be Reliably Determined Automatically From CTA Across All Epicardial Vessels In One Acquisition. J Cardiovasc Comput Tomogr 2021. [DOI: 10.1016/j.jcct.2021.06.277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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6
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Oshima T, Sakamoto A, Noguchi T, Matsuda S. The 3M
TM
Cavilon
TM
barrier prevents erasure of surgical skin markings with removal of povidone iodine adhesive draping. Skin Health and Disease 2021; 1:e31. [PMID: 35664984 PMCID: PMC9060151 DOI: 10.1002/ski2.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 03/13/2021] [Accepted: 03/19/2021] [Indexed: 11/12/2022]
Affiliation(s)
- T. Oshima
- Department of Orthopaedic Surgery Noe Hospital Osaka Japan
| | - A. Sakamoto
- Department of Orthopaedic Surgery Graduate School of Medicine, Kyoto University Kyoto Japan
| | - T. Noguchi
- Department of Orthopaedic Surgery Graduate School of Medicine, Kyoto University Kyoto Japan
| | - S. Matsuda
- Department of Orthopaedic Surgery Graduate School of Medicine, Kyoto University Kyoto Japan
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7
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Tomita S, Nakanishi N, Ogata T, Tsuji Y, Sakamoto A, Higuchi Y, Matoba S. Cavin-1 regulates BMP/Smad signaling through the interaction of Caveolin-1 with BMPRII in pulmonary artery endothelial cells. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3813] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Pulmonary hypertension (PH) is a progressive disease associated with poor outcome. Caveolin-1 (Cav1) is a component of caveolae and classified as a related gene of pulmonary arterial hypertension (PAH). Gene mutations of bone morphogenetic protein type II receptor (BMPRII) is a most common cause of PAH. BMPRII is localized in caveolae and associates with Cav1. However, the role of the Caveolin-Cavin system on the BMP/Smad signaling and the PAH progression has not been well-known.
Purpose
The aim of our study is to investigate the relationship between Caveolin-Cavin system and BMP/Smad signaling pathway and explore the mechanism of downstream signal transduction of BMP signaling by the interaction between Caveolin and BMPRII.
Methods
Cav1 knockout mice were used to assess PH and caveolae in pulmonary artery endothelial cells were observed by electron microscope. Cav1 and Cavin-1, which is a component of caveolae and form a complex with Cav1, were knocked-down in human pulmonary artery endothelial cell (hPAEC) using siRNA and phosphorylation of Smad signal was evaluated. Apoptosis of these cells was explored by flow cytometry. We investigated the interaction between Cav1 and BMPRII, and evaluated whether Cavin-1 affects this interaction and signal transduction of BMP signaling.
Results
As previously described, deletion of Cav1 revealed disappearance of caveolae in pulmonary artery endothelial cells (PAECs), and Cav1 knockout mice exhibited PH with pulmonary vascular remodeling and right ventricular hypertrophy. We then examined roles of Cav1 in human PAECs (hPAECs). Cav1 knockdown in hPAECs reduced phosphorylation of Smad 1/5/9. In addition, Cav1 knockdown significantly increased hypoxia-induced apoptosis in hPAEC. Knockdown of Cavin-1 reversed phosphorylation of Smad 1/5/9 decreased by Cav1 knockdown in BMP9 stimulation. Cavin-1 reversed the expression of BMPRII decreased by overexpression of Cav1. Cav1 was associated with Cavin-1 at the plasma membrane in PAECs. Cav1 also associated with BMPRII at the membrane of hPAECs that was inhibited by Cavin-1, and Cavin-1 reduced the localization of BMPRII to the membrane of hPAECs. These results suggest that BMPRII interacts with Cav1 via Cavin-1-associated localization at the plasma membrane in hPAECs, resulting in regulating BMP/Smad signaling pathway and involving in the development of PAH.
Conclusions
Cavin-1 affects the interaction of Cav1 with BMPRII at the membrane of PAECs, and regulates BMP/Smad signaling. These results reveal a previously undescribed function of Cavin-Caveolin system in the development of PAH through regulation of BMP/Smad signaling.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- S Tomita
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - N Nakanishi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - T Ogata
- Kyoto Prefectural University of Medicine, Department of Pathology and Cell Regulation, Graduate School of Medical Science, Kyoto, Japan
| | - Y Tsuji
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - A Sakamoto
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - Y Higuchi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - S Matoba
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
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8
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Sakamoto A, Ogata T, Nakanishi N, Higuchi Y, Tsuji Y, Tomita S, Matoba S. SDPR/Cavin-2 loss inhibits monocyte adhesion to endothelial cells in abdominal aortic aneurysm via suppressing the expression of adhesion molecules. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Abdominal aortic aneurysm (AAA) is a common and life-threatening vascular disease. The initial phase of AAA progression is vascular inflammation. Inflammation sites present adhesion molecules, such as vascular cell adhesion molecule-1 (VCAM-1) and intracellular cell adhesion molecule-1 (ICAM-1). These molecules play a crucial role in recruiting inflammatory cells to endothelial cells through NF-κB signaling. Endothelial cells express serum deprivation response (SDPR)/Cavin-2 localized in caveolae on the cell membrane. Although Cavin-2 is involved in such as cell proliferation, migration, and signal transduction, the role of Cavin-2 in vascular inflammation in the development of AAA is still unclear.
Purpose
To assess the influence of Cavin-2 deficiency in AAA development and clarify the role of Cavin-2 in the regulation of inflammatory cell adhesion in endothelial cells.
Methods
CaCl2-induced AAAs were induced by the periaortic application of 0.5 M CaCl2 in male SDPR-knockout (KO) and wild-type (WT) mice at 8–10 weeks of age. Angiotensin II (Ang II)-induced AAAs were created by 4-week-subcutaneous drug infusion in male ApoE-KO and ApoE/Cavin-2-double KO (DKO) mice at 24 weeks of age. Inflammatory response and cell adhesion were evaluated using human aortic endothelial cells (HAECs) and human monocytes (THP-1 cells).
Results
Six weeks after CaCl2 treatment, Cavin-2 deficiency significantly attenuated the development of AAAs. Elastin degradation was markedly suppressed and F4/80-positive macrophages infiltration in aortic walls were decreased in Cavin-2-KO mice. Although Ang II infusion for 4 weeks formed AAAs in ApoE KO mice and ApoE/Cavin-2-DKO mice, ApoE/Cavin-2-DKO mice exhibited the suppression of AAA formation independently of blood pressure. Immunohistochemical staining showed VCAM-1 expression on endothelial cells was suppressed in ApoE/Cavin-2-DKO mice. Further, in vitro co-culture experiment, the number of THP-1 cells adhered to TNF-treated SDPR-knockdown HAECs was decreased compared with that to control HAECs. Moreover, mRNA expression of VCAM-1 and ICAM-1 was decreased in TNFα-treated SDPR-knockdown HAECSs. Protein expression of VCAM-1 was also suppressed in TNFα-treated SDPR-knockdown HAECSs. The activity of NF-κB p65, an upstream regulator of VCAM-1 and ICAM-1,tended to be suppressed in TNFα-treated SDPR-knockdown HAECs.
Conclusion
In this study, we revealed that SDPR/Cavin-2 loss attenuated AAA development with the suppression of elastin degradation and macrophage infiltration. Our findings suggest that SDPR/Cavin-2 in the endothelial cells regulates the expression of adhesion molecules via NF-κB signaling and promotes the adhesion and infiltration of inflammatory cells to the aortic wall.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Sakamoto
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - T Ogata
- Kyoto Prefectural University of Medicine, Department of Pathology and Cell Regulation, Kyoto, Japan
| | - N Nakanishi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - Y Higuchi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - Y Tsuji
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - S Tomita
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - S Matoba
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
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9
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Bhoite R, Jinnouchi H, Otsuka F, Sato Y, Sakamoto A, Kolodgie F, Virmani R, Finn A. Ex Vivo assessment of competent strut coverage after coronary stenting by optical coherence tomography. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
In many studies, struts coverage is defined as >0 mm of tissue overlying the stent struts by optical coherence tomography (OCT). However, this definition has never been validated using histology as the “gold standard”. The present study sought to assess the appropriate cut-off value of neointimal thickness of stent strut coverage by OCT using histology.
Methods
OCT imaging was performed on 39 human coronary arteries with stents from 25 patients at autopsy. A total of 165 cross-sectional images from 46 stents were co-registered with histology. The optimal cut-off value of strut coverage by OCT was determined. Strut coverage by histology was defined as endothelial cells with at least underlying two layers of smooth muscle cells. Considering the resolution of OCT is 10–20 μm, 3 different cut-off values (i.e. at ≥20, ≥40, and ≥60 μm) were assessed.
Results
A total of 2235 struts were evaluated by histology. Eventually, 1216 struts which were well-matched struts were analyzed in this study. By histology, uncovered struts were observed in 160 struts and covered struts were observed in 1056 struts. The broadly used definition of OCT-coverage which does not consider neointimal thickness yielded a poor specificity of 37.5% and high sensitivity 100%. Of 3 cut-off values, the cut-off value of >40 μm was more accurate as compared to >20 and >60 mm [sensitivity (99.3%), specificity (91.0%), positive predictive value (98.6%), and negative predictive value (95.6%)]
Conclusion
The most accurate cut-off value was ≥40 μm neointimal thickness by OCT in order to identify stent strut coverage validated by histology.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- R Bhoite
- CVPath Institute, Gaithersburg, United States of America
| | - H Jinnouchi
- CVPath Institute, Gaithersburg, United States of America
| | - F Otsuka
- CVPath Institute, Gaithersburg, United States of America
| | - Y Sato
- CVPath Institute, Gaithersburg, United States of America
| | - A Sakamoto
- CVPath Institute, Gaithersburg, United States of America
| | - F Kolodgie
- CVPath Institute, Gaithersburg, United States of America
| | - R Virmani
- CVPath Institute, Gaithersburg, United States of America
| | - A Finn
- CVPath Institute, Gaithersburg, United States of America
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10
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Ota H, Narisawa E, Chiba H, Nakayama H, Tsukumo Y, Sakamoto A, Honma N, Ota T. EP1.01-89 Retroperitoneal Metastasis with Marked Fibrosis from Lung Adenocarcinoma: An Autopsy Case Report. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.2062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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11
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Sakamoto A, Kurosaki M, Tsuchiya K, Abe T, Ogawa C, Soda T, Kimura H, Kondo M, Tsuji K, Koichiro F, Shigeno M, Jyoko K, Narita R, Uchida Y, Yoshida H, Akahane T, Kobashi H, Mitsuda A, Marusawa H, Izumi N. The efficacy and safety of lenvatinib in patients who did not meet the inclusion criteria of the phase III trial (REFLECT trial) and those with BCLC Stage B hepatocellular carcinoma: A nationwide multicenter study in Japan. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz247.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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12
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Jibiki N, Hirano A, Ochi T, Sakamoto A, Horiuchi K, Noguchi E, Omi Y, Ogura K, Inoue H, Kamio T, Naritaka Y, Fujibayashi M, Hiroshima K, Nagashima Y, Sakai S, Karasawa K, Okamoto T. Abstract OT2-02-01: A confirmation study of omitting axillary dissection in patients with breast cancer and positive sentinel nodes. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-ot2-02-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background
The omission of axillary dissection for positive sentinel-node breast cancer is considered the standard treatment for patients who undergo breast conserving surgery and radiation therapy, according to the results of ACOSOG-Z0011 and AMAROS trials. On the other hand, some surgeons still think that the surgical stress of axillary dissection is minimal, and dissection is permitted. Furthermore, Z0011 contains several problems, such as insufficient number of entry cases and lack of radiation field unity. Thus, we planned a prospective trial to confirm the safety of omitting axillary dissection in patients with breast cancer and positive sentinel nodes.
Trial design
This is a single arm, confirmation study of three medical centers. Prior to surgery, informed consent is obtained, and patients are registered primarily. After surgery, patients with 1 to 2 positive sentinel nodes, for whom axillary dissection was omitted, are finally included in this trial at final registration.
Eligibility criteria
Patients with histologically-diagnosed breast cancer, Tis–2, N0 based on a core needle biopsy, will be included in this trial. Eligible patients must be between 20 and 80 years of age, with a performance status of 0–2 and adequate organ function. They must not have undergone any prior operation, radiation therapy, chemotherapy, endocrine therapy, or immunotherapy.
Specific aims
The primary endpoint is 5-year (y) axillary recurrence rate. Secondary endpoints are 5-y overall survival, 5-y recurrence-free survival, 5-y local recurrence-free survival, the rate of upper-limb lymphedema, quality of life, and comparison of axillary recurrence rates between patients with two or more dissected nodes and those with only one positive node.
Statistical methods
The expected rate of axillary recurrence is 2.0%, and non-inferiority is defined as an axillary recurrence lesser than or equal to 5% in the axillary radiotherapy group. The sample size was calculated with a study power of 80% and type I error of 10% (two-sided). The required number of patients is estimated to be 189.
Present and target accrual
Patient accrual from the three medical centers was initiated in July 2016. We plan to enroll a total of 189 patients at final registration in this trial.
Citation Format: Jibiki N, Hirano A, Ochi T, Sakamoto A, Horiuchi K, Noguchi E, Omi Y, Ogura K, Inoue H, Kamio T, Naritaka Y, Fujibayashi M, Hiroshima K, Nagashima Y, Sakai S, Karasawa K, Okamoto T. A confirmation study of omitting axillary dissection in patients with breast cancer and positive sentinel nodes [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr OT2-02-01.
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Affiliation(s)
- N Jibiki
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - A Hirano
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - T Ochi
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - A Sakamoto
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - K Horiuchi
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - E Noguchi
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - Y Omi
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - K Ogura
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - H Inoue
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - T Kamio
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - Y Naritaka
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - M Fujibayashi
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - K Hiroshima
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - Y Nagashima
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - S Sakai
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - K Karasawa
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
| | - T Okamoto
- Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; Tokyo Women's Medical University Medical Center East, Tokyo, Japan; Tokyo Women's Medical University Hospital, Tokyo, Japan
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13
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Furuichi Y, Kageyama S, Adachi S, Sato M, Morita T, Shimizu J, Tanabe K, Sakamoto A. Inhaled nitric oxide in adult cardiovascular surgery patients - our 5-years experiences -. J Cardiothorac Vasc Anesth 2018. [DOI: 10.1053/j.jvca.2018.08.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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14
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Nishi M, Ogata T, Nakanishi N, Higuchi Y, Sakamoto A, Matoba S. P1683MURC/Cavin-4 deletion protects murine heart from ischemia-reperfusion injury. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Nishi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto, Japan
| | - T Ogata
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto, Japan
| | - N Nakanishi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto, Japan
| | - Y Higuchi
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto, Japan
| | - A Sakamoto
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto, Japan
| | - S Matoba
- Kyoto Prefectural University of Medicine, Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto, Japan
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15
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Sakamoto A, Nakagawa H, Nakagawa H, Gamada K. Effects of exercises with a pelvic realignment device on low-back and pelvic girdle pain after childbirth: A randomized control study. J Rehabil Med 2018; 50:914-919. [DOI: 10.2340/16501977-2487] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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16
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Okabe T, Terashima H, Sakamoto A. A comparison of gastric emptying of soluble solid meals and clear fluids matched for volume and energy content: a pilot crossover study. Anaesthesia 2017; 72:1344-1350. [DOI: 10.1111/anae.14026] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/11/2017] [Indexed: 12/15/2022]
Affiliation(s)
- T. Okabe
- Department of Anaesthesiology; Hitachi Ltd., Hitachinaka General Hospital; Hitachinaka-shi Japan
| | - H. Terashima
- Hitachinaka Medical Education and Research Center; University of Tsukuba Hospital; Hitachinaka-shi Japan
| | - A. Sakamoto
- Department of Anaesthesiology; Nippon Medical School; Tokyo Japan
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17
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Satoh T, Katoh H, Saotome M, Nonaka D, Sakamoto A, Hasan P, Satoh H, Hayashi H. P5382Intracellular renin inhibits mitochondrial permeability transition pore via an activated mitochondrial ERK1/2 during ischemia in diabetic hearts. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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18
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Yamaguchi R, Sakamoto A, Yamamoto T, Narahara S, Sugiuchi H, Hisada A, Katoh T, Yamaguchi Y. Di-(2-ethylhexyl) phthalate suppresses IL-12p40 production by GM-CSF-dependent macrophages via the PPARα/TNFAIP3/TRAF6 axis after lipopolysaccharide stimulation. Hum Exp Toxicol 2017; 37:596-607. [PMID: 28673093 DOI: 10.1177/0960327117714038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Activation of peroxisome proliferator-activated receptor α (PPARα) by di-(2-ethylhexyl) phthalate (DEHP) has an anti-inflammatory effect. This study investigated the potential combined influence of PPARα, tumor necrosis factor α-induced protein 3 (TNFAIP3/A20), and tumor necrosis factor receptor-associated factor 6 (TRAF6) on interleukin (IL)-12p40 production by macrophages exposed to DEHP and stimulated with lipopolysaccharide (LPS). LPS upregulated IL-12p40 expression by granulocyte-macrophage colony-stimulating factor-dependent macrophages (on day 9 of culture), whereas adding DEHP to cultures significantly attenuated the response of IL-12p40 to LPS stimulation. PPARα protein was also reduced by DEHP. Interestingly, transfection of macrophages with small interfering RNA (siRNA) duplexes for PPARα, TNFAIP3/A20, or dual oxidase 2 restored the response of IL-12p40 protein to LPS stimulation in the presence of DEHP. siRNAs for various protein kinase Cs (PKCs) (α, β, γ, or δ) also restored IL-12p40 production by macrophages exposed to LPS and DEHP. While LPS upregulated both IL-12p40 and TNFAIP3/A20 production, adding DEHP to cultures dramatically reduced IL-12p40 and TNFAIP3/A20 levels. Silencing of PKCα reduced TNFAIP3/A20 production, whereas PKCγ siRNA (but not PKCβ or δ siRNA) significantly increased TNFAIP3/A20. TRAF6 was also attenuated by macrophages with DEHP. The PPARα/TNFAIP3/TRAF6 axis may have an important role in the mechanism through which DEHP reduces IL-12p40 production by LPS-stimulated macrophages.
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Affiliation(s)
- R Yamaguchi
- 1 Department of Public Health, Faculty of Life Sciences, Kumamoto University School of Medicine, Kumamoto, Japan.,2 Graduate School of Medical Science, Kumamoto Health Science University, Kumamoto, Japan
| | - A Sakamoto
- 2 Graduate School of Medical Science, Kumamoto Health Science University, Kumamoto, Japan
| | - T Yamamoto
- 2 Graduate School of Medical Science, Kumamoto Health Science University, Kumamoto, Japan
| | - S Narahara
- 2 Graduate School of Medical Science, Kumamoto Health Science University, Kumamoto, Japan
| | - H Sugiuchi
- 2 Graduate School of Medical Science, Kumamoto Health Science University, Kumamoto, Japan
| | - A Hisada
- 1 Department of Public Health, Faculty of Life Sciences, Kumamoto University School of Medicine, Kumamoto, Japan
| | - T Katoh
- 1 Department of Public Health, Faculty of Life Sciences, Kumamoto University School of Medicine, Kumamoto, Japan
| | - Y Yamaguchi
- 2 Graduate School of Medical Science, Kumamoto Health Science University, Kumamoto, Japan
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19
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Maruyama M, Jounai K, Sakamoto A, Morita Y, Kirisako T, Matsuda T, Fujiwara D. A NOVEL FOOD CONSTITUENT POTENTIALLY MITIGATES INFLAMMATION IN PHYSIOLOGICALLY AGED MICE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M. Maruyama
- National Center for Geriatrics and Gerontology, Obu, Japan,
- Nagoya University Graduate School of Medicine, Nagoya, Japan,
| | - K. Jounai
- Kirin Co. Ltd., Yokohama, Japan,
- National Center for Geriatrics and Gerontology, Obu, Japan,
- Koiwai Dairy Products Co. Ltd., Tokyo, Japan
| | - A. Sakamoto
- National Center for Geriatrics and Gerontology, Obu, Japan,
| | - Y. Morita
- Kirin Co. Ltd., Yokohama, Japan,
- National Center for Geriatrics and Gerontology, Obu, Japan,
| | - T. Kirisako
- Kirin Co. Ltd., Yokohama, Japan,
- National Center for Geriatrics and Gerontology, Obu, Japan,
| | - T. Matsuda
- National Center for Geriatrics and Gerontology, Obu, Japan,
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20
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Costa T, Rezende M, Sakamoto A, Bittencourt B, Dalzochio P, Loguercio AD, Reis A. Influence of Adhesive Type and Placement Technique on Postoperative Sensitivity in Posterior Composite Restorations. Oper Dent 2016; 42:143-154. [PMID: 27892839 DOI: 10.2341/16-010-c] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
PURPOSE This double blind, randomized clinical trial compared the postoperative sensitivity of the placement technique (incremental and bulk fill) in posterior composite resin restorations bonded with two different adhesive strategies (self-etch and etch-and-rinse). METHODS Posterior dental cavities of 72 participants (n=236), with a cavity depth of at least 3 mm, were randomly divided into four groups. The restorations were bonded using either the etch-and-rinse Tetric N-Bond (Ivoclar Vivadent) or the self-etch Tetric N-Bond SE (Ivoclar Vivadent). The composite resin Tetric N-Ceram Bulk Fill (Ivoclar Vivadent) was placed either incrementally or using the bulk-fill technique. Two experienced and calibrated examiners evaluated the restorations using World Dental Federation criteria after one week of clinical service. Spontaneous postoperative sensitivity was assessed using a 0-4 numerical rating scale and a 0-10 and 0-100 visual analog scale up to 48 h after the restorative procedure and after one week. RESULTS The risk (p>0.49) and intensity of spontaneous postoperative sensitivity (p>0.38) was not affected by the adhesive strategy or the filling technique. The overall risk of postoperative sensitivity was 20.3% (95% confidence interval 15.7-25.9) and typically occurred within 48 hours after the restorative procedure. CONCLUSIONS The overall risk of immediate postoperative sensitivity was 20.3% and was not affected by either the adhesive strategy (etch-and-rinse/self-etch) or the filling technique (incremental/ bulk).
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21
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Shimada K, Shimada S, Sugimoto K, Nakatochi M, Suguro M, Hirakawa A, Hocking TD, Takeuchi I, Tokunaga T, Takagi Y, Sakamoto A, Aoki T, Naoe T, Nakamura S, Hayakawa F, Seto M, Tomita A, Kiyoi H. Development and analysis of patient-derived xenograft mouse models in intravascular large B-cell lymphoma. Leukemia 2016; 30:1568-79. [PMID: 27001523 DOI: 10.1038/leu.2016.67] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 02/11/2016] [Accepted: 03/04/2016] [Indexed: 12/31/2022]
Abstract
Intravascular large B-cell lymphoma (IVLBCL) is a distinct disease entity with the peculiar characteristic that tumor cells proliferate within vessels. Despite recent advances in understanding the disease from clinical aspects, the underlying pathogenesis remains unknown. Here we demonstrate analyses of IVLBCL biology using four xenograft mouse models established from primary IVLBCL samples. In all four models, the main characteristic of IVLBCL tumor cell proliferation within vessels was retained. Time-lapse engraftment analyses revealed that the tumor cells initially engrafted and proliferated in the sinusoids and vessels in the liver and then engrafted and proliferated in multiple organs. Intriguingly, serial passage of tumor cells from the adrenal gland of a transplanted mouse developed from primary patient bone marrow cells into a second mouse showed that the tumor cells mainly distributed into the adrenal gland in the second mouse, implying the existence of clonal selection and/or evolution at engraftment of a specific organ. Gene expression profiling analyses demonstrated that the gene set associated with cell migration was enriched for normal peripheral blood B cells, indicating that inhibition of cell migration might be involved in IVLBCL pathogenesis. In conclusion, the mouse xenograft models described here are essential tools for uncovering IVLBCL biology.
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Affiliation(s)
- K Shimada
- Institute for Advanced Research, Nagoya University, Nagoya, Japan.,Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - S Shimada
- Department of Pathology and Clinical Laboratories, Nagoya University Hospital, Nagoya, Japan
| | - K Sugimoto
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Fujii Memorial Research Institute, Otsuka Pharmaceutical Co., Ltd, Otsu, Japan
| | - M Nakatochi
- Center for Advanced Medicine and Clinical Research, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - M Suguro
- Division of Molecular Medicine, Aichi Cancer Center Research Institute, Nagoya, Japan
| | - A Hirakawa
- Center for Advanced Medicine and Clinical Research, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - T D Hocking
- Department of Human Genetics, McGill University, Montreal, Quebec, Canada
| | - I Takeuchi
- Department of Computer Science/Scientific and Engineering Simulation, Nagoya Institute of Technology, Nagoya, Japan
| | - T Tokunaga
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Department of Hematology, National Hospital Organization, Nagoya Medical Center, Nagoya, Japan
| | - Y Takagi
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - A Sakamoto
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - T Aoki
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - T Naoe
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan.,Department of Hematology, National Hospital Organization, Nagoya Medical Center, Nagoya, Japan
| | - S Nakamura
- Department of Pathology and Clinical Laboratories, Nagoya University Hospital, Nagoya, Japan
| | - F Hayakawa
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - M Seto
- Division of Molecular Medicine, Aichi Cancer Center Research Institute, Nagoya, Japan.,Department of Pathology, Kurume University School of Medicine, Kurume, Japan
| | - A Tomita
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - H Kiyoi
- Department of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan
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22
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Okabe T, Terashima H, Sakamoto A. Underlying principle of liquid gastric emptying. Br J Anaesth 2016; 116:141. [DOI: 10.1093/bja/aev421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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23
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Suzuki K, Naito H, Sakamoto A, Hui S. Sports club activity does not reduce sedentary behaviours of Japanese female adolescents. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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24
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Nagai E, Horiuchi K, Sakamoto A, Omi Y, Yoshida Y, Tokumitsu H, Sakurai M, Haniu K, Okamoto T. 99P Predicting no metastases to axillary lymph nodes beyond positive sentinel nodes in patients with breast cancer: a simple rule. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv519.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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25
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Sakamoto A, Okamoto T, Haniu K, Nagai E, Sakurai M, Tokumitsu H, Yoshida Y, Omi Y, Horiuchi K. 80P Correlation of immediate reconstruction with clinical outcome to locally advanced breast cancer. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv519.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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26
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Sakamoto A, Naito H, Chow C. Hyperventilation-induced respiratory alkalosis increases the number of repetitions to be able to perform during resistance training. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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27
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Sakamoto A, Liamptong P. Perceptions of sport injuries and prevention among Japanese children. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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28
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Kimura M, Sakai A, Sakamoto A, Suzuki H. Glial cell line-derived neurotrophic factor-mediated enhancement of noradrenergic descending inhibition in the locus coeruleus exerts prolonged analgesia in neuropathic pain. Br J Pharmacol 2015; 172:2469-78. [PMID: 25572945 DOI: 10.1111/bph.13073] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2014] [Revised: 10/10/2014] [Accepted: 12/25/2014] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND AND PURPOSE The locus coeruleus (LC) is the principal nucleus containing the noradrenergic neurons and is a major endogenous source of pain modulation in the brain. Glial cell line-derived neurotrophic factor (GDNF), a well-established neurotrophic factor for noradrenergic neurons, is a major pain modulator in the spinal cord and primary sensory neurons. However, it is unknown whether GDNF is involved in pain modulation in the LC. EXPERIMENTAL APPROACH Rats with chronic constriction injury (CCI) of the left sciatic nerve were used as a model of neuropathic pain. GDNF was injected into the left LC of rats with CCI for 3 consecutive days and changes in mechanical allodynia and thermal hyperalgesia were assessed. The α2 -adrenoceptor antagonist yohimbine was injected intrathecally to assess the involvement of descending inhibition in GDNF-mediated analgesia. The MEK inhibitor U0126 was used to investigate whether the ERK signalling pathway plays a role in the analgesic effects of GDNF. KEY RESULTS Both mechanical allodynia and thermal hyperalgesia were attenuated 24 h after the first GDNF injection. GDNF increased the noradrenaline content in the dorsal spinal cord. The analgesic effects continued for at least 3 days after the last injection. Yohimbine abolished these effects of GDNF. The analgesic effects of GDNF were partly, but significantly, inhibited by prior injection of U0126 into the LC. CONCLUSIONS AND IMPLICATIONS GDNF injection into the LC exerts prolonged analgesic effects on neuropathic pain in rats by enhancing descending noradrenergic inhibition.
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Affiliation(s)
- M Kimura
- Department of Anesthesiology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan
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29
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Okabe T, Terashima H, Sakamoto A. Determinants of liquid gastric emptying: comparisons between milk and isocalorically adjusted clear fluids. Br J Anaesth 2015; 114:77-82. [DOI: 10.1093/bja/aeu338] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
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30
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Sakamoto A, Naito H, Chow C. Effects of short vs. long hyperventilation on repeated sprint performance and muscle activation. J Sci Med Sport 2014. [DOI: 10.1016/j.jsams.2014.11.328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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31
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Fukushima T, Gomi D, Kobayashi T, Sekiguchi N, Sakamoto A, Sasaki S, Koizumi T. Successful Salvage Chemotherapy with Amrubicin for Invasive Thymoma Associated with Myasthenia Gravis. Jpn J Clin Oncol 2014; 44:1120-1122. [DOI: 10.1093/jjco/hyu136] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
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32
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Ikari J, Inamine A, Yamamoto T, Watanabe-Takano H, Yoshida N, Fujimura L, Taniguchi T, Sakamoto A, Hatano M, Tatsumi K, Tokuhisa T, Arima M. Plant homeodomain finger protein 11 promotes class switch recombination to IgE in murine activated B cells. Allergy 2014; 69:223-30. [PMID: 24286306 DOI: 10.1111/all.12328] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/21/2013] [Indexed: 01/20/2023]
Abstract
BACKGROUND Polymorphisms of the Plant homeodomain finger protein 11 (PHF11) are strongly associated with high serum IgE levels and clinical severity of atopic patients. However, the precise mechanism has not been fully elucidated. We investigated the role of Phf11 in class switch recombination (CSR) to IgE by activated B cells. METHODS We generated Phf11 transgenic (Lckd-Phf11-Tg) mice that express the exogenous murine Phf11 in lymphocytes under the control of distal Lck promoter. We examined IL-4-induced CSR to IgE in activated Lckd-Phf11-Tg B cells in vitro. We analyzed production of ovalbumin (OVA)-specific IgE and nose-scratching symptoms in Lckd-Phf11-Tg mice using an OVA-induced allergic rhinitis model. RESULTS The exogenous Phf11 promoted CSR to IgG1 and IgE in activated B cells with an increase in germ line transcript (GLT) γ1 and GLT ε expression. The exogenous Phf11 augmented transcriptional activity of the GLT γ1 and GLT ε promoters through permissive histone modifications and binding of NF-κB and STAT6. Furthermore, the exogenous Phf11 bound to the GLT ε promoter with increased binding of NF-κB. Silencing of the endogenous Phf11 reduced the frequency of CSR to IgE and GLT ε expression, but not to IgG1 or GLT γ1 expression, in activated B cells. In an allergic rhinitis model, Lckd-Phf11-Tg mice showed a significant increase in the production of OVA-specific IgE and the frequency of nose scratching. CONCLUSION Phf11 accelerates CSR to IgE in activated B cells by increasing the transcriptional activity of GLT ε promoter and contributes to the exacerbation of allergic responses. These findings provide a novel therapeutic target for allergic diseases.
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Affiliation(s)
- J. Ikari
- Department of Developmental Genetics (H2); Graduate School of Medicine; Chiba University; Chiba Japan
- Department of Respirology (B2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - A. Inamine
- Department of Otorhinolaryngology (J2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - T. Yamamoto
- Department of Developmental Genetics (H2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - H. Watanabe-Takano
- Department of Biomedical Science (M14); Graduate School of Medicine; Chiba University; Chiba Japan
| | - N. Yoshida
- Department of Developmental Genetics (H2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - L. Fujimura
- Biomedical Research Center; Chiba University; Chiba Japan
| | - T. Taniguchi
- Department of Developmental Genetics (H2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - A. Sakamoto
- Department of Developmental Genetics (H2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - M. Hatano
- Department of Biomedical Science (M14); Graduate School of Medicine; Chiba University; Chiba Japan
- Biomedical Research Center; Chiba University; Chiba Japan
| | - K. Tatsumi
- Department of Respirology (B2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - T. Tokuhisa
- Department of Developmental Genetics (H2); Graduate School of Medicine; Chiba University; Chiba Japan
| | - M. Arima
- Department of Developmental Genetics (H2); Graduate School of Medicine; Chiba University; Chiba Japan
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33
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Miyashita T, Ryu J, Saito S, Sakamoto A. Effects of growth factors and cytokines on proteoglycan and collagen synthesis by chondrocytes in guinea pigs with spontaneous osteoarthritis. Mod Rheumatol 2014; 10:45-50. [DOI: 10.3109/s101650070038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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34
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Sakamoto A, Nagamine R, Maeda T, Shuto T, Hirata G, Nakashima Y, Matsuda S, Iwamoto Y. Multicentric reticulohistiocytosis with hydrarthrosis in both knee joints: disease stabilization with synovectomy, and medication with a steroid and low-dose methotrexate. Mod Rheumatol 2014; 12:155-9. [DOI: 10.3109/s101650200026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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35
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Sakamoto A, Naito H, Chow C. Hyperventilation as a strategy for improved repeated sprint performance. J Sci Med Sport 2013. [DOI: 10.1016/j.jsams.2013.10.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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36
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Sakamoto A, Naito H. Effects of hyperventilation on repeated isokinetic torque production and EMG of lower limbs. J Sci Med Sport 2012. [DOI: 10.1016/j.jsams.2012.11.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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37
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Muto Y, Sakai A, Sakamoto A, Suzuki H. Activation of NK₁ receptors in the locus coeruleus induces analgesia through noradrenergic-mediated descending inhibition in a rat model of neuropathic pain. Br J Pharmacol 2012; 166:1047-57. [PMID: 22188400 DOI: 10.1111/j.1476-5381.2011.01820.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND AND PURPOSE The locus coeruleus (LC) is a major source of noradrenergic projections to the dorsal spinal cord, and thereby plays an important role in the modulation of nociceptive information. The LC receives inputs from substance P (SP)-containing fibres from other regions, and expresses the NK(1) tachykinin receptor, a functional receptor for SP. In the present study, we investigated the roles of SP in the LC in neuropathic pain. EXPERIMENTAL APPROACH Chronic constriction injury (CCI) of the left sciatic nerve was performed in rats to induce neuropathic pain. After development of neuropathic pain, SP was injected into the LC and the nocifensive behaviours were assessed. The involvement of noradrenergic descending inhibition in SP-induced analgesia was examined by i.t. administration of yohimbine, an α(2) -adrenoceptor antagonist. NK(1) receptor expression in the LC was examined by immunohistochemistry. KEY RESULTS In CCI rats, mechanical allodynia was alleviated by SP injection into the LC. These effects were abolished by prior injection of WIN 51708, an NK(1) receptor antagonist, into the LC or i.t. treatment with yohimbine. NK(1) receptor-like immunoreactivity was observed in noradrenergic neurons throughout the LC in intact rats, and remained unchanged after CCI. CONCLUSION AND IMPLICATIONS SP in the LC exerted analgesic effects on neuropathic pain through NK(1) receptor activation and resulted in facilitation of spinal noradrenergic transmission. Accordingly, manipulation of the SP/NK(1) receptor signalling pathway in the LC may be a promising strategy for effective treatment of neuropathic pain.
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Affiliation(s)
- Y Muto
- Department of Anesthesiology, Nippon Medical School, Tokyo, Japan
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Sakamoto A, Saito T. Computational analysis of responses of a wedge-shaped-tip optical fiber probe in bubble measurement. Rev Sci Instrum 2012; 83:075107. [PMID: 22852724 DOI: 10.1063/1.4732819] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Optical-fiber probing is widely employed in bubble/droplet measurement in gas-liquid two-phase flows. Several types of optical fiber probes with a very high S/N ratio and high performance have been developed, but further improvement in the probes' measurement accuracy and reliability for industrial applications is desired. We tried to eliminate optical noise in the probe measurements, and we found that the signals include some peak signs that have potential for advanced measurement with optical-fiber probing. We developed a ray-tracing numerical simulator and identified the mechanisms underlying the generation of the signals. In order to numerically simulate the optical probing signals, the simulator must use 3D frameworks composed of incident beams, the reflection and refraction on the surfaces of the optical elements (i.e., an optical fiber, a sensing tip, an air phase, and a water phase), and beams returning from the sensing tip to the other tip through the fiber. We used all of these in a simple rendering framework based on a ray-tracing algorithm with Fresnel's law, and we observed the mechanism of some promising signals that may be useful for extracting the hidden potential of optical-fiber probing. To verify the simulator's performance, we carried out three comparative experiments with fundamental setups using a wedge-shaped single-tip optical fiber probe, examining: (1) the beam trajectories and energy leaking out from the sensing tip into the surrounding air phase or water phase, (2) the probing signals throughout penetration of the sensing tip at the air-water free interface in light of the three-dimensional deformation, and (3) the probing signals throughout penetration of the sensing tip into a bubble in light of the three-dimensional bubble shape. As a result, (a) we found that an optical fiber probe with a wedge-shaped tip has particular characteristics of beam emissions from the tip, and the emitting angles switched depending on the phases covering the tip. This phenomenon is very effective for further advanced measurement. (b) We observed numerically that the cutting angle of the sensing tip maximizing the air signal level was approximately 30°, and therefore this angle is the best for obtaining the highest S/N ratio. (c) We found that the meniscus shape clearly affected the probing signal optically. (d) We observed the mechanism of a pre-signal caused by the reflection at the frontal and rear interfaces of a bubble. The pre-signal is very useful for practical measurement because it appears only when the probe penetrates the center region of a bubble. We compared the above numerical results with the results of the three experiments, and there was satisfactory correspondence between the numerical and experimental results.
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Affiliation(s)
- A Sakamoto
- Graduate School of Science and Technology, Shizuoka University, Hamamatsu, Shizuoka 432-8561, Japan.
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Kaneko Y, Furuya E, Sakamoto A. P01.21. Effect of acupuncture on isotonic contraction of elbow flexor. Altern Ther Health Med 2012. [PMCID: PMC3373725 DOI: 10.1186/1472-6882-12-s1-p21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Murakami T, Tsujikawa A, Miyamoto K, Sakamoto A, Ota M, Ogino K, Yoshimura N. Relationship between perifoveal capillaries and pathomorphology in macular oedema associated with branch retinal vein occlusion. Eye (Lond) 2012; 26:771-80. [PMID: 22653519 DOI: 10.1038/eye.2012.85] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE To study the relationship between macular ischaemia on fluorescein angiography (FA) and pathomorphology at the foveal centre delineated by spectral-domain optical coherence tomography (OCT) in macular oedema (MO) associated with branch retinal vein occlusion (BRVO). METHODS One hundred and five consecutive eyes of 105 patients with MO (centre point thickness (CPT) ≥ 300 μm) associated with BRVO in which FA using Heidelberg Retinal Angiography 2 and Spectralis OCT were performed on the same day were retrospectively reviewed. We evaluated the foveal pathomorphology using OCT images and the association with macular ischaemia. RESULTS Within 1 year from symptom onset, 94 eyes were classified with perfused macula (34 eyes) or non-perfused macula (60 eyes). Eyes with perfused macula had better visual acuity and less CPT than those with non-perfused macula (P=0.024 and P<0.001, respectively). Fourteen eyes with perfused macula had serous retinal detachment (SRD) alone at the presumed foveal centre (SRD type); seven, a sponge-like swelling at that area (retinal swelling type); 11, foveal cystoid spaces alone (cystoid MO (CMO) type), and 2, with both SRD and foveal cystoid spaces (SRD+CMO type). However, 58 eyes with non-perfused macula had foveal cystoid spaces (42 of CMO type and 16 of SRD+CMO type), with a significant association between them (P<0.001). Among 11 eyes with symptoms exceeding 1 year, 6 eyes had perfused macula, and none had the SRD type. CONCLUSION Most eyes without foveal cystoid spaces have perfused macula in MO associated with BRVO.
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Affiliation(s)
- T Murakami
- Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Sakyo, Kyoto, Japan.
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Osada T, Iwane H, Katsumura T, Murase N, Higuchi H, Sakamoto A, Hamaoka T, Shimomitsu T. Relationship between reduced lower abdominal blood flows and heart rate in recovery following cycling exercise. Acta Physiol (Oxf) 2012; 204:344-53. [PMID: 21838785 DOI: 10.1111/j.1748-1716.2011.02349.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To examine the blood flow (BF) response in the lower abdomen (LAB) in recovery following upright cycling exercise at three levels of relative maximum pulmonary oxygen consumption (VO(2max)) and the relationship of BF(LAB) to heart rate (HR) and target intensity. METHODS For 11 healthy subjects, BF (Doppler ultrasound) in the upper abdominal aorta (Ao) above the coeliac trunk and in the right femoral artery (RFA) was measured repeatedly for 720 s after the end of cycling exercises at target intensities of 30%, 50% and 85% VO(2max), respectively. Blood flow in the lower abdomen (BF(LAB)) can be measured by subtracting bilateral BF(FAs) (≈twofolds of BF(RFA)) from BF(Ao). Change in BF(LAB) (or BF(LAB) volume) at any point was evaluated by difference between change in BF(Ao) and in BF(FAs). Heart rate and blood pressure were also measured. RESULTS At 85% VO(2max), significant reduction in BF(LAB) by approx. 89% was shown at 90 s and remained until 360 s. At 50% VO(2max), reduction in BF(LAB) by approx. 33% was found at 90 s although it returned to pre-exercise value at 120 s. On the contrary at 30% VO(2max), BF(LAB) showed a light increase (<20%) below 70 bpm of HR. There was a close negative relationship (P < 0.05) between change in BF(LAB) and recovery HR, as well as between change in BF(LAB) volume and both recovery HR and % VO(2max). CONCLUSION This study suggests that the lower abdominal BF in recovery may be influenced by sympathetic-vagus control, and dynamics of BF(LAB) may be closely related to the level of relative exercise intensities.
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Affiliation(s)
- T Osada
- Department of Sports Medicine for Health Promotion, Tokyo Medical University, Japan.
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Sakamoto A, Sugamoto Y, Tokunaga Y, Yoshimuta T, Hayashi K, Konno T, Kawashiri MA, Takeda Y, Yamagishi M. Expression profiling of the ephrin (EFN) and Eph receptor (EPH) family of genes in atherosclerosis-related human cells. J Int Med Res 2011; 39:522-7. [PMID: 21672356 DOI: 10.1177/147323001103900220] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Ephrin B1 and its cognate receptor, Eph receptor B2, key regulators of embryogenesis, are expressed in human atherosclerotic plaque and inhibit adult human monocyte chemotaxis. Few data exist, however, regarding the gene expression profiles of the ephrin (EFN) and Eph receptor (EPH) family of genes in atherosclerosis-related human cells. Gene expression profiles were determined of all 21 members of this gene family in atherosclerosis-related cells by reverse transcription-polymerase chain reaction analysis. The following 17 members were detected in adult human peripheral blood monocytes: EFNA1 and EFNA3 - EFNA5 (coding for ephrins A1 and A3 - A5); EPHA1, EPHA2, EPHA4 - EPHA6 and EPHA8 (coding for Eph receptors A1, A2, A4 - A6 and A8); EFNB1 and EFNB2 (coding for ephrins B1 and B2); and EPHB1 - EPHB4 and EPHB6 (coding for Eph receptors B1 - B4 and B6). THP-1 monocytic cells, Jurkat T cells and adult arterial endothelial cells also expressed multiple EFN and EPH genes. These results indicate that a wide variety of ephrins and Eph receptors might affect monocyte chemotaxis, contributing to the development of atherosclerosis. Their pathological significance requires further study.
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Affiliation(s)
- A Sakamoto
- Division of Vascular Biology, National Cerebral and Cardiovascular Centre, Suita, Osaka, Japan
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Seto T, Yoshitake M, Ogasawara T, Ikari J, Sakamoto A, Hatano M, Hirata H, Fukuda T, Kuriyama T, Tatsumi K, Tokuhisa T, Arima M. Bcl6 in pulmonary epithelium coordinately controls the expression of the CC-type chemokine genes and attenuates allergic airway inflammation. Clin Exp Allergy 2011; 41:1568-78. [PMID: 21801248 DOI: 10.1111/j.1365-2222.2011.03836.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND There is synteny in the CC-type chemokine gene clusters between humans (CCL2/MCP-1, CCL7MCP-3, CCL11/eotaxin, CCL8/MCP-2, CCL13/MCP-4, and CCL1/I-309) and mice (CCL2, CCL7, CCL11, CCL12/MCP-5, CCL8, and CCL1). OBJECTIVE As many putative Bcl6/STAT-binding sequences are observed in the clusters, we examined the roles of a transcriptional repressor Bcl6 and the regional histone modification in the expression of these chemokine genes in pulmonary epithelium. METHODS We generated transgenic (Tg) mice carrying the Bcl6 or the dominant-negative (DN)-Bcl6 gene under the control of the surfactant protein C (SPC) promoter that induces the exogenous gene expression in the distal lung epithelium. For in vitro studies, A549, alveolar type II-like epithelial cell line transfected with the SPC-DN-Bcl6 gene were stimulated with IL-4+TNF-α, and Bcl6 or STAT6 binding to and histone modification of the cluster in the transfectants were analysed by chromatin immunoprecipitation assays. Tg mice sensitized with ovalbumin (OVA) were challenged with OVA inhalation. The amounts of mRNAs in each sample were analysed by quantitative RT-PCR. RESULTS The amount of Bcl6 bound to the cluster decreased in A549 cells stimulated with IL-4 and TNF-α, whereas STAT6 binding increased in association with regional histone H3-K9/14 acetylation and H3-K4 methylation. The expression of all chemokine genes in the gene cluster was augmented in activated A549 cells transfected with the DN-Bcl6 gene. We also induced allergic airway inflammation in Tg mice. Expression of the chemokine genes and infiltrated cell numbers in the lungs of these Tg mice with allergic airway inflammation were inversely correlated with the amount of Bcl6 in the lungs. CONCLUSION AND CLINICAL RELEVANCE Expression of the pulmonary epithelium-derived CC-type chemokine genes in the cluster is orchestrated by the conserved machinery related to Bcl6. Thus, Bcl6 in pulmonary epithelium may be a critical regulator for pathogenesis of various pulmonary inflammatory diseases.
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Affiliation(s)
- T Seto
- Department of Developmental Genetics (H2), Graduate School of Medicine, Chiba University, Chiba, Japan
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Affiliation(s)
- A. Sakamoto
- Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan
| | - T. Yoshida
- Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan
| | - H. Mitsuyasu
- Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan
| | - Y. Iwamoto
- Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan
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Suzuki T, Minami H, Komatsu T, Masusda R, Kobayashi Y, Sakamoto A, Sato Y, Inoue H, Serada K. Prolonged carbon dioxide insufflation under general anesthesia for endoscopic submucosal dissection. Endoscopy 2010; 42:1021-9. [PMID: 21120775 DOI: 10.1055/s-0030-1255969] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND AND STUDY AIMS Carbon dioxide (CO (2)) insufflation for endoscopy has been reported to provide superior recovery and is expected to reduce the risk of serious complications, including air embolism and tension pneumothorax, whereas general anesthesia offers some advantages not found under intravenous sedation. Little is known about the effect of prolonged CO (2) insufflation into gastrointestinal tracts on arterial CO (2) tension (PaCO (2)). Here we introduce the use of general anesthesia with CO (2) insufflation for esophagogastroduodenal endoscopic submucosal dissection (ESD). PATIENTS AND METHODS A prospective observational study was conducted in a university-affiliated hospital. A total of 100 patients were scheduled for esophagogastroduodenal ESD under general anesthesia with CO (2) insufflation, using standardized anesthesia techniques and unchanged ventilatory settings. Arterial blood gas analyses were repeated at predetermined time intervals. RESULTS Of the initial 100 participants, 94 patients undergoing ESD and four patients undergoing endoscopic mucosal resection completed the study. The median procedure time was 122 minutes (range 29 - 309 minutes). The median baseline PaCO (2) of 28 mmHg increased to a median peak PaCO (2) of 39 mmHg ( P < 0.001), with marked inter-individual variability in the time courses of changes in PaCO (2). The correlation coefficient of PaCO (2) with the procedure time was low (r = 0.194; n = 577, P < 0.0001). FEV (1.0) % (forced expiratory volume in 1 second/forced vital capacity) of < 70 % and esophagoscopy vs. gastroduodenoscopy were relative enhancement factors of PaCO (2). CONCLUSION Increases of PaCO (2) during esophagogastroduodenal ESD under general anesthesia with CO (2) insufflation remained within acceptable or readily controllable ranges, and are little enhanced by prolongation of the procedure. Esophagogastroduodenal ESD can be performed safely and feasibly with this procedure.
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Affiliation(s)
- T Suzuki
- Department of Anesthesia, Showa University Northern Yokohama Hospital, Yokohama, Kanagawa, Japan.
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Matsuura T, Egashira Y, Nishio T, Kohno R, Kameoka S, Ohta R, Matsumura K, Suzuki H, Taniyama T, Toda T, Shimoju T, Sakamoto A, Yamazaki K, Kawashima M, Ogino T, Matsumoto Y, Wada M, Furusawa Y. WE-A-BRA-05: Proton Ultra High Dose-Rate Effect on HSG Cell Survival Curve. Med Phys 2010. [DOI: 10.1118/1.3469326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Choh T, Karube N, Sakamoto A. [Spontaneous rupture of the thoracic aorta diagnosed rupture of the acute stanford type B aortic dissection at preoperation; report of a case]. Kyobu Geka 2010; 63:411-414. [PMID: 20446612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND Spontaneous rupture of the thoracic aorta is extremely rare. It is very difficult to diagnose it preoperatively. CASE A 71-year-old woman suffered the sudden onset of severe chest and back pain and was admitted to our hospital. Enhanced computed tomography (CT) showed mediastinal hematoma and apparent aortic dissection in the aortic arch and descending aorta. We diagnosed the rupture of Stanford type B dissection and performed an emergency operation. 20 mm tear was found in the intima of lesser curvature of aortic arch and 5 mm perforation was found in the adventitia of this part. There was no flap or false lumen suggestive of a dissection nor was there aortic aneurysm. Total aortic arch replacement was performed. RESULT The surgery was followed by an uneventful postoperative course. CONCLUSION A case of spontaneous rupture of the thoracic aorta which was diagnosed the rupture of Stanford type B dissection preoperatively was successfully treated.
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Affiliation(s)
- T Choh
- Department of Cardiovascular Surgery, Saiseikai Yokohama-shi Nanbu Hospital, Yokohama, Japan
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Minami T, Karube N, Sakamoto A. [Thoracic aortic dissection complicating autosomal dominant polycystic kidney disease; report of a case]. Kyobu Geka 2009; 62:924-927. [PMID: 19764503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
A 55-year-old man underwent aortic valve replacement for aortic valve insufficiency 12 years ago. At that time, autosomal dominant polycystic kidney disease was diagnosed. Subsequently, renal failure developed gradually. In August 2007, the patient was admitted to the hospital because of dull back pain. Computed tomography (CT) revealed aortic dissection extending from the ascending aorta to the bifurcation of the iliac artery (Stanford type A). However, the patient had no severe symptoms associated with aortic dissection On the basis of the results of CT and blood testing, chronic aortic dissection was diagnosed. Because the patient also had chronic renal failure we decided to perform elective surgery. In January 2008, ascending aortic and aortic arch replacement with a distal elephant trunk was performed. After surgery, we were concerned about the risk of renal failure. However, the patient recovered uneventfully, without requiring dialysis. Aortic dissection can occur as a complication in patients with autosomal dominant polycystic kidney. Strict control of blood pressure is therefore essential in such patients.
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Affiliation(s)
- Tomoyuki Minami
- Department of Cardiovascular Surgery, Saiseikai Yokohama City Nanbu Hospital, Yokohama, Japan
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Affiliation(s)
- A. Sakamoto
- Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan
| | - T. Yoshida
- Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan
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Unoki N, Nishijima K, Kita M, Suzuma K, Watanabe D, Oh H, Kimura T, Sakamoto A, Yoshimura N. Randomised controlled trial of posterior sub-Tenon triamcinolone as adjunct to panretinal photocoagulation for treatment of diabetic retinopathy. Br J Ophthalmol 2009; 93:765-70. [DOI: 10.1136/bjo.2008.152041] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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