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Yoshida K, Sawano R, Okamoto M, Murao K, Tsuchida S, Terada T. Physical Noninvasive Attacks on Photoplethysmogram by Computer Controlled Blood Pressure Cuff. Sensors (Basel) 2023; 23:9764. [PMID: 38139610 PMCID: PMC10747835 DOI: 10.3390/s23249764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 11/29/2023] [Accepted: 12/07/2023] [Indexed: 12/24/2023]
Abstract
Sensor data has been used in social security and welfare infrastructures such as insurance and medical care to provide personalized products and services; there is a risk that attackers can alter sensor data to obtain unfair benefits. We consider that one of the attack methods to modify sensor data is to attack the wearer's body to modify biometric information. In this study, we propose a noninvasive attack method to modify the sensor value of a photoplethysmogram. The proposed method can disappear pulse wave peaks by pressurizing the upper arm with air pressure to control blood volume. Seven subjects experiencing a rest environment and five subjects experiencing an after-exercise environment wore five different models of smartwatches, and three pressure patterns were performed. It was confirmed in both situations that the displayed heart rate decreased from the true heart rate.
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Affiliation(s)
- Kazuki Yoshida
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Shiga, Kusatsu 525-8577, Japan; (K.Y.)
| | - Ryota Sawano
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Shiga, Kusatsu 525-8577, Japan; (K.Y.)
| | - Masahiro Okamoto
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Shiga, Kusatsu 525-8577, Japan; (K.Y.)
| | - Kazuya Murao
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Shiga, Kusatsu 525-8577, Japan; (K.Y.)
| | - Shuhei Tsuchida
- Center for Interdisciplinary AI and Data Science, Ochanomizu University, 2-1-1 Otsuka, Bunkyo-ku, Tokyo 112-8610, Japan;
| | - Tsutomu Terada
- Graduate School of Engineering, Kobe University, 1-1 Rokkodai-cho, Nada-ku, Hyogo, Kobe 657-8501, Japan;
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2
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Okamoto M, Murao K. PPG2EMG: Estimating Upper-Arm Muscle Activities and EMG from Wrist PPG Values. Sensors (Basel) 2023; 23:1782. [PMID: 36850382 PMCID: PMC9962560 DOI: 10.3390/s23041782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Revised: 01/28/2023] [Accepted: 01/31/2023] [Indexed: 06/18/2023]
Abstract
The electromyogram (EMG) is a waveform representation of the action potential generated by muscle cells using electrodes. EMG acquired using surface electrodes is called surface EMG (sEMG), and it is the acquisition of muscle action potentials transmitted by volume conduction from the skin. Surface electrodes require disposable conductive gel or adhesive tape to be attached to the skin, which is costly to run, and the tape is hard on the skin when it is removed. Muscle activity can be evaluated by acquiring muscle potentials and analyzing quantitative, temporal, and frequency factors. It is also possible to evaluate muscle fatigue because the frequency of the EMG becomes lower as the muscle becomes fatigued. Research on human activity recognition from EMG signals has been actively conducted and applied to systems that support arm and hand functions. This paper proposes a method for recognizing the muscle activity state of the arm using pulse wave data (PPG: Photoplethysmography) and a method for estimating EMG using pulse wave data. This paper assumes that the PPG sensor is worn on the user's wrist to measure the heart rate. The user also attaches an elastic band to the upper arm, and when the user exerts a force on the arm, the muscles of the upper arm contract. The arteries are then constricted, and the pulse wave measured at the wrist becomes weak. From the change in the pulse wave, the muscle activity of the arm can be recognized and the number of action potentials of the muscle can be estimated. From the evaluation experiment with five subjects, three types of muscle activity were recognized with 80+%, and EMG was estimated with approximately 20% error rate.
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Futami K, Yanase S, Murao K, Terada T. Unconscious Other's Impression Changer: A Method to Manipulate Cognitive Biases That Subtly Change Others' Impressions Positively/Negatively by Making AI Bias in Emotion Estimation AI. Sensors (Basel) 2022; 22:9961. [PMID: 36560330 PMCID: PMC9784191 DOI: 10.3390/s22249961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 12/10/2022] [Accepted: 12/11/2022] [Indexed: 06/17/2023]
Abstract
Artificial Intelligence (AI) for human emotion estimation, such as facial emotion estimation, has been actively studied. On the other hand, there has been little research on unconscious phenomena in cognition and psychology (i.e., cognitive biases) caused by viewing AI emotion estimation information. Therefore, this study verifies RQ "Do people have a cognitive bias in which impressions of others (i.e., how to see and feel about others) are changed by viewing biased AI's emotion estimation information? If it exists, can impression manipulation methods that intentionally use this cognitive bias be realized?" The proposed method for verification makes the emotion estimation system biased so as to estimate emotion more positively/negatively than AI without bias. A prototype system was implemented. Evaluation using video showed that the presentation of biased emotion estimation information causes a phenomenon that quickly and unconsciously changes the way people see and feel others' impressions, which supported the RQ. Specifically, viewing information that estimated others' emotions more positively/negatively caused the phenomenon in which the user's self-judgment was overridden and others' impressions of emotions, words, and actions were perceived more positively/negatively. The existence of this phenomenon and method indicates that biased emotion estimation AI has the potential to both cause adverse effects on people and support people for good purposes through the manipulation of their impressions. This study provides helpful insights for the design and use of emotion estimation AI considering cognitive biases.
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Affiliation(s)
- Kyosuke Futami
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu 525-8577, Shiga, Japan
- Digital Spirits Teck, Kusatsu 525-8577, Shiga, Japan
| | - Sadahiro Yanase
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu 525-8577, Shiga, Japan
| | - Kazuya Murao
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu 525-8577, Shiga, Japan
| | - Tsutomu Terada
- Graduate School of Engineering, Kobe University, Kobe 657-8501, Hyogo, Japan
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Futami K, Seki T, Murao K. Unconscious load changer: Designing method to subtly influence load perception by simply presenting modified myoelectricity sensor information. Front Comput Sci 2022. [DOI: 10.3389/fcomp.2022.914525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Systems of presenting myoelectricity sensor information allow users to understand the body's load for various purposes, such as medical rehabilitation and sports training. If there is a method to create the psychological phenomenon of unconsciously increasing or decreasing a user's load perception simply by changing how to present the myoelectricity sensor values, it will help design a more effective system. Therefore, we propose a method to manipulate load perception by presenting modified myoelectricity sensor information. The proposed method aims to induce higher or lower load perception by modifying the actual myoelectric value to a higher or lower value. We implemented a prototype system and evaluated our method for the two types of load perception of weight perception and fatigue perception when handling objects. The result showed that most subjects unconsciously increased or decreased their load perception to match the presented myoelectric value, while the minority subjects got the opposite response from the majority subjects. This result indicates the feasibility of user assistance systems that use this phenomenon for a good purpose, such as systems that slightly reduce the load perception during physical activity. On the other hand, this result also indicates the feasibility of systems that use this phenomenon for a bad purpose, such as systems that increase user's fatigue to harm user's activity. This study provides helpful findings for designing and using sensor information presentation systems considering the psychological phenomenon.
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5
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Shirai K, Futami K, Murao K. Exploring Tactile Stimuli from a Wrist-Worn Device to Manipulate Subjective Time Based on the Filled-Duration Illusion. Sensors (Basel) 2022; 22:7194. [PMID: 36236292 PMCID: PMC9572427 DOI: 10.3390/s22197194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 09/08/2022] [Accepted: 09/17/2022] [Indexed: 06/16/2023]
Abstract
There are situations where manipulating subjective time would be desirable, such as reducing waiting time, and there are many studies to manipulate subjective time. However, it is not easy to use previous methods in various situations because most of them use visual and auditory information. This study proposes a method to manipulate the subjective time by the tactile stimuli from wrist-worn devices. We designed three types of tactile stimuli presentation methods that change the number, the duration, and the time interval of the stimuli. The evaluation result clarified the elements of the tactile stimuli that intentionally changed the subjective time and confirmed that our method can change the subjective time by about 23% (from -6% to +17%). Since few studies have focused on the phenomenon in which the subjective time changes depending on the tactile stimuli from information devices, our findings can contribute to designing information devices and user experiences.
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Affiliation(s)
- Kiichi Shirai
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu, Shiga 525-8577, Japan
| | - Kyosuke Futami
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu, Shiga 525-8577, Japan
- Digital Spirits Teck, Kusatsu 525-8577, Japan
| | - Kazuya Murao
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu, Shiga 525-8577, Japan
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Yoshida K, Murao K. Load Position Estimation Method for Wearable Devices Based on Difference in Pulse Wave Arrival Time. Sensors 2022; 22:s22031090. [PMID: 35161835 PMCID: PMC8840559 DOI: 10.3390/s22031090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 01/22/2022] [Accepted: 01/27/2022] [Indexed: 02/01/2023]
Abstract
With the increasing use of wearable devices equipped with various sensors, information on human activities, biometrics, and surrounding environments can be obtained via sensor data at any time and place. When such devices are attached to arbitrary body parts and multiple devices are used to capture body-wide movements, it is important to estimate where the devices are attached. In this study, we propose a method that estimates the load positions of wearable devices without requiring the user to perform specific actions. The proposed method estimates the time difference between a heartbeat obtained by an ECG sensor and a pulse wave obtained by a pulse sensor, and it classifies the pulse sensor position from the estimated time difference. Data were collected at 12 body parts from four male subjects and one female subject, and the proposed method was evaluated in both user-dependent and user-independent environments. The average F-value was 1.0 when the number of target body parts was from two to five.
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Affiliation(s)
- Kazuki Yoshida
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu 525-8577, Shiga, Japan;
- Correspondence:
| | - Kazuya Murao
- Graduate School of Information Science and Engineering, Ritsumeikan University, 1-1-1 Nojihigashi, Kusatsu 525-8577, Shiga, Japan;
- Strategic Creation Research Promotion Project (PRESTO), Japan Science and Technology Agency (JST), 4-1-8 Honmachi, Kawaguchi 332-0012, Saitama, Japan
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Wang L, Gjoreski H, Ciliberto M, Lago P, Murao K, Okita T, Roggen D. Three-Year Review of the 2018–2020 SHL Challenge on Transportation and Locomotion Mode Recognition From Mobile Sensors. Front Comput Sci 2021. [DOI: 10.3389/fcomp.2021.713719] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The Sussex-Huawei Locomotion-Transportation (SHL) Recognition Challenges aim to advance and capture the state-of-the-art in locomotion and transportation mode recognition from smartphone motion (inertial) sensors. The goal of this series of machine learning and data science challenges was to recognize eight locomotion and transportation activities (Still, Walk, Run, Bus, Car, Train, Subway). The three challenges focused on time-independent (SHL 2018), position-independent (SHL 2019) and user-independent (SHL 2020) evaluations, respectively. Overall, we received 48 submissions (out of 93 teams who registered interest) involving 201 scientists over the three years. The survey captures the state-of-the-art through a meta-analysis of the contributions to the three challenges, including approaches, recognition performance, computational requirements, software tools and frameworks used. It was shown that state-of-the-art methods can distinguish with relative ease most modes of transportation, although the differentiating between subtly distinct activities, such as rail transport (Train and Subway) and road transport (Bus and Car) still remains challenging. We summarize insightful methods from participants that could be employed to address practical challenges of transportation mode recognition, for instance, to tackle over-fitting, to employ robust representations, to exploit data augmentation, and to exploit smart post-processing techniques to improve performance. Finally, we present baseline results to compare the three challenges with a unified recognition pipeline and decision window length.
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Arai T, Nagashima C, Muramatsu Y, Murao K, Yamaguchi I, Ushio N, Hanai K, Kaneko M. Can radiological technologists serve as primary screeners of low-dose computed tomography for the diagnosis of lung cancer? J Xray Sci Technol 2018; 26:909-917. [PMID: 30103369 DOI: 10.3233/xst-180409] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND The Accreditation Council for Lung Cancer CT Screening of Japan established guidelines for the certification of Radiological Technologists in 2009. OBJECTIVE To analyze the trends in examination pass rates of the Radiological Technologists and discuss the reasons. METHODS The cohort comprised 1593 Radiological Technologists (as examinees) based on 10-year of data (with a total of 17 examination runs). First, the examinees' written test results were analyzed. Second, an abnormal finding detection test was conducted using >100 client PCs connected to a dedicated server containing low-dose lung cancer CT screening images of 60 cases. The passing scores were correct answer rate >60% and sensitivity (TP) of >90%, respectively. RESULTS Overall, 1243 examinees passed with an overall rate of 78%. The average pass rate for the written test was 91%, whereas that for the abnormal findings detection test was 85%. There was a moderate correlation between the test pass rate and average years of clinical experience of the examinees for the abnormal findings detection test (R = 0.558), whereas no such correlation existed for the written test (R = 0.105). CONCLUSIONS In order for accredited Radiological Technologists to serve as primary screeners of low-dose computed tomography, it is important to revise the educational system according to current standard practices.
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Affiliation(s)
- T Arai
- Center Hospital of the National Center to Global Health and Medicine, Toyama Shinjuku-ku, Tokyo, Japan
| | - C Nagashima
- National Cancer Center Japan Tsukiji Campus, Tsukiji, Chuo-ku, Tokyo, Japan
| | - Y Muramatsu
- National Cancer Center Japan Kashiwa Campus, Kashiwanoha, Kashiwa-shi Chiba, Japan
| | - K Murao
- National Institute of Informatics, Hitotsubashi, Chiyoda-ku, Tokyo, Japan
| | - I Yamaguchi
- Butsuryo College of Osaka, Otorikitamachi, Sakai-shi, Osaka, Japan
| | - N Ushio
- Shiga University of Medical Science Hospital Hospital, Otsu-shi, seta, tukinowa-cho, Shiga, Japan
| | - K Hanai
- Fukujiji Hospital, Matsuyama, Kiyose-shi, Tokyo, Japan
| | - M Kaneko
- Tokyo Health Service Association, Ichigayasadoharacho, Shinjuku-ku, Tokyo, Japan
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9
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Zhang XZ, Imachi H, Lyu JY, Fukunaga K, Sato S, Ibata T, Kobayashi T, Yoshimoto T, Kikuchi F, Dong T, Murao K. Prolactin regulatory element-binding protein is involved in suppression of the adiponectin gene in vivo. J Endocrinol Invest 2017; 40:437-445. [PMID: 27914036 DOI: 10.1007/s40618-016-0589-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Accepted: 11/25/2016] [Indexed: 10/20/2022]
Abstract
PURPOSE Prolactin regulatory element-binding protein (PREB), a member of the WD-repeat protein family, has been recognized as a transcriptional factor that regulates prolactin promoter activity in the anterior pituitary of rats. PREB is expressed not only in the pituitary but also in various other tissues, including the adipose tissue. Previous studies have shown that PREB acts as a transcriptional regulator and suppresses the expression of the adiponectin gene in cultured 3T3L1 preadipocytes. The aim of this study was to further examine the potential role of PREB in adipose tissue in vivo. METHODS Transgenic mice that overexpressing PREB (PREB transgenic mice) were generated. Insulin resistance was evaluated in PREB transgenic mice using glucose and insulin tolerance tests. Adiponectin expression in the adipose tissue was examined by western blot analysis and quantitative polymerase chain reaction (qPCR). The expression levels of stearoyl-CoA desaturase (Scd) and adiponectin receptor 2(ADIPOR2) were quantified by qPCR. RESULTS Glucose and insulin tolerance tests revealed insulin resistance in PREB transgenic mice. Serum adiponectin and leptin concentrations were decreased. Adiponectin gene expression was decreased in the adipose tissue, which was confirmed by the downregulation of the adiponectin-dependent hepatic Scd gene and upregulation of the ADIPOR2 gene in the liver of PREB transgenic mice. We also found that pioglitazone, an agonist for the peroxisome proliferator-activated receptor-r, improved the insulin resistance in the PREB transgenic mice after a 10-day feeding period. CONCLUSIONS These results demonstrated that PREB might contribute to the regulation of adiponectin gene expression in vivo.
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Affiliation(s)
- X Z Zhang
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan.
| | - H Imachi
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - J Y Lyu
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - K Fukunaga
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - S Sato
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - T Ibata
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - T Kobayashi
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - T Yoshimoto
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - F Kikuchi
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - T Dong
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
| | - K Murao
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, 1750-1, ikenobe, Miki-CHO, 761-0793, Kagawa, Japan
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Lyu J, Imachi H, Iwama H, Zhang H, Murao K. Insulin-like Growth Factor 1 Regulates the Expression of ATP-Binding Cassette Transporter A1 in Pancreatic Beta Cells. Horm Metab Res 2016; 48:338-44. [PMID: 26743528 DOI: 10.1055/s-0035-1569272] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
ATP-binding cassette transporter A1 (ABCA1) in pancreatic beta cells influences insulin secretion and cholesterol homeostasis. The present study investigates whether insulin-like growth factor 1 (IGF-1), which mediates stimulation of ABCA1 gene expression, could also interfere with the phosphatidylinositol 3-kinase (PI3-K) cascade.ABCA1 expression was examined by real-time polymerase chain reaction (PCR), Western blot analysis, and a reporter gene assay in rat insulin-secreting INS-1 cells incubated with IGF-1. The binding of forkhead box O1 (FoxO1) protein to the ABCA1 promoter was assessed by a chromatin immunoprecipitation (ChIP) assay. ABCA1 protein levels increased in response to rising concentrations of IGF-1. Real-time PCR analysis showed a significant increase in ABCA1 mRNA expression. However, both effects were suppressed after silencing the IGF-1 receptor. In parallel with its effect on endogenous ABCA1 mRNA levels, IGF-1 induced the activity of a reporter construct containing the ABCA1 promoter, while it was abrogated by LY294002, a specific inhibitor of PI3-K. Constitutively active Akt stimulated activity of the ABCA1 promoter, and a dominant-negative mutant of Akt or mutagenesis of the FoxO1 response element in the ABCA1 promoter abolished the ability of IGF-1 to stimulate promoter activity. A ChIP assay showed that FoxO1 mediated its transcriptional activity by directly binding to the ABCA1 promoter region. The knockdown of FoxO1 disrupted the effect of IGF-1 on ABCA1 expression. Furthermore, IGF-1 promoted cholesterol efflux and reduced the pancreatic lipotoxicity. These results demonstrate that the PI3-K/Akt/FoxO1 pathway contributes to the regulation of ABCA1 expression in response to IGF-1 stimulation.
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Affiliation(s)
- J Lyu
- Department of Cell Biology, Jiangsu Key Laboratory of Stem Cell Research, Medical College of Soochow University, Ren Ai Road, Suzhou Industrial Park, Suzhou, China
| | - H Imachi
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, Miki-cho, Kita-gun, Kagawa, Japan
| | - H Iwama
- Life Science Research Center, Kagawa University, Miki-cho, Kita-gun, Kagawa, Japan
| | - H Zhang
- Department of Cell Biology, Jiangsu Key Laboratory of Stem Cell Research, Medical College of Soochow University, Ren Ai Road, Suzhou Industrial Park, Suzhou, China
| | - K Murao
- Department of Endocrinology and Metabolism, Faculty of Medicine, Kagawa University, Miki-cho, Kita-gun, Kagawa, Japan
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Izuta R, Murao K, Terada T, Tsukamoto M. Early gesture recognition method with an accelerometer. International Journal of Pervasive Computing and Communications 2015. [DOI: 10.1108/ijpcc-03-2015-0016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
– This paper aims to propose a gesture recognition method at an early stage. An accelerometer is installed in most current mobile phones, such as iPhones, Android-powered devices and video game controllers for the Wii or PS3, which enables easy and intuitive operations. Therefore, many gesture-based user interfaces that use accelerometers are expected to appear in the future. Gesture recognition systems with an accelerometer generally have to construct models with user’s gesture data before use and recognize unknown gestures by comparing them with the models. Because the recognition process generally starts after the gesture has finished, the output of the recognition result and feedback delay, which may cause users to retry gestures, degrades the interface usability.
Design/methodology/approach
– The simplest way to achieve early recognition is to start it at a fixed time after a gesture starts. However, the degree of accuracy would decrease if a gesture in an early stage was similar to the others. Moreover, the timing of a recognition has to be capped by the length of the shortest gesture, which may be too early for longer gestures. On the other hand, retreated recognition timing will exceed the length of the shorter gestures. In addition, a proper length of training data has to be found, as the full length of training data does not fit the input data until halfway. To recognize gestures in an early stage, proper recognition timing and a proper length of training data have to be decided. This paper proposes a gesture recognition method used in the early stages that sequentially calculates the distance between the input and training data. The proposed method outputs the recognition result when one candidate has a stronger likelihood of recognition than the other candidates so that similar incorrect gestures are not output.
Findings
– The proposed method was experimentally evaluated on 27 kinds of gestures and it was confirmed that the recognition process finished 1,000 msec before the end of the gestures on average without deteriorating the level of accuracy. Gestures were recognized in an early stage of motion, which would lead to an improvement in the interface usability and a reduction in the number of incorrect operations such as retried gestures. Moreover, a gesture-based photo viewer was implemented as a useful application of our proposed method, the proposed early gesture recognition system was used in a live unscripted performance and its effectiveness is ensured.
Originality/value
– Gesture recognition methods with accelerometers generally learn a given user’s gesture data before using the system, then recognizes any unknown gestures by comparing them with the training data. The recognition process starts after a gesture has finished, and therefore, any interaction or feedback depending on the recognition result is delayed. For example, an image on a smartphone screen rotates a few seconds after the device has been tilted, which may cause the user to retry tilting the smartphone even if the first one was correctly recognized. Although many studies on gesture recognition using accelerometers have been done, to the best of the authors’ knowledge, none of these studies has taken the potential delays in output into consideration.
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Ohta T, Murao K, Miyake K, Takemoto K, Nakazawa K. Risk factors for early hemorrhagic complications after endovascular coiling of ruptured intracranial aneurysms. AJNR Am J Neuroradiol 2014; 35:2136-9. [PMID: 24994831 DOI: 10.3174/ajnr.a4033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE The risk factors of early hemorrhagic complications after endovascular coiling are not well-known. We identified the factors affecting early hemorrhagic complications, defined as any expansion or appearance of hemorrhage shown by head CT in the initial 48 hours after coiling. MATERIALS AND METHODS We retrospectively reviewed a series of 93 patients who underwent coiling for a ruptured saccular aneurysm between 2006 and 2012 at our hospital. RESULTS Five patients showed early hemorrhagic complications, and all involved an expansion of the existing intracerebral hematoma immediately after coiling. The associated risk factors were accompanying intracerebral hemorrhage at onset (P < .001), postoperative antiplatelet therapy (P < .001), and thromboembolic complications (P = .044). In the accompanying intracerebral hemorrhage group, the associated risk factors were postoperative antiplatelet therapy (P = .044) and earlier initiation of coiling (9.8 ± 6.5 versus 28.1 ± 24.0 hours, P = .023). Early hemorrhagic complications were significant risk factors for worse clinical outcome (modified Rankin Scale, 2.02 ± 2.21 versus 4.4 ± 2.30, P = .022). None of the 93 patients showed further hemorrhage after the initial 48 hours after coiling. CONCLUSIONS The accompanying intracerebral hemorrhage at onset, thromboembolic complications, postoperative antiplatelet therapy, and earlier initiation of coiling were the risk factors for early hemorrhagic complications.
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Affiliation(s)
- T Ohta
- From the Department of Neuroendovascular Treatment, Shiroyama Hospital, Osaka, Japan.
| | - K Murao
- From the Department of Neuroendovascular Treatment, Shiroyama Hospital, Osaka, Japan
| | - K Miyake
- From the Department of Neuroendovascular Treatment, Shiroyama Hospital, Osaka, Japan
| | - K Takemoto
- From the Department of Neuroendovascular Treatment, Shiroyama Hospital, Osaka, Japan
| | - K Nakazawa
- From the Department of Neuroendovascular Treatment, Shiroyama Hospital, Osaka, Japan
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13
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Murao K, Bombois S, Cordonnier C, Hénon H, Bordet R, Pasquier F, Leys D. Influence of cognitive impairment on the management of ischaemic stroke. Rev Neurol (Paris) 2014; 170:177-86. [PMID: 24613474 DOI: 10.1016/j.neurol.2014.01.665] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2013] [Revised: 01/03/2014] [Accepted: 01/30/2014] [Indexed: 12/19/2022]
Abstract
BACKGROUND Because of ageing of the population, it is more and more frequent to treat ischaemic stroke patients with pre-stroke cognitive impairment (PSCI). Currently, there is no specific recommendation on ischaemic stroke management in these patients, both at the acute stage and in secondary prevention. However, these patients are less likely to receive treatments proven effective in randomised controlled trials, even in the absence of contra-indication. OBJECTIVE To review the literature to assess efficacy and safety of validated therapies for acute ischaemic stroke and secondary prevention in PSCI patients. RESULTS Most randomised trials did not take into account the pre-stroke cognitive status. The few observational studies conducted at the acute stage or in secondary prevention, did not provide any information that the benefit could be either lost or replaced by harm in the presence of PSCI. CONCLUSIONS There is no reason not to treat ischaemic stroke patients with PSCI according to the currently available recommendations for acute management and secondary prevention. Further observational studies are needed and pre-stroke cognition should be taken into account in future stroke trials.
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Affiliation(s)
- K Murao
- EA 1046, Departments of Neurology, University Lille North of France, UDSL, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France
| | - S Bombois
- EA 1046, Departments of Neurology, University Lille North of France, UDSL, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France; Departments of Neurology, Memory Centre, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France.
| | - C Cordonnier
- EA 1046, Departments of Neurology, University Lille North of France, UDSL, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France; Departments of Neurology, Stroke centre, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France
| | - H Hénon
- EA 1046, Departments of Neurology, University Lille North of France, UDSL, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France; Departments of Neurology, Stroke centre, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France
| | - R Bordet
- EA 1046, Departments of Neurology, University Lille North of France, UDSL, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France; Department, of Pharmacology. Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France
| | - F Pasquier
- EA 1046, Departments of Neurology, University Lille North of France, UDSL, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France; Departments of Neurology, Memory Centre, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France
| | - D Leys
- EA 1046, Departments of Neurology, University Lille North of France, UDSL, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France; Departments of Neurology, Stroke centre, Lille University Hospital, 1, place de Verdun, 59045 Lille cedex, France
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Suyama H, Narasaki K, Murao K, Makima M, Sumikawa T, Matsumura A, Hino N. The Treatments Against Chemotherapy-Induced Glucose Intolerance. Ann Oncol 2013. [DOI: 10.1093/annonc/mdt460.71] [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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15
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Murao K, Rossi C, Cordonnier C. Intracerebral haemorrhage and cognitive decline. Rev Neurol (Paris) 2013; 169:772-8. [DOI: 10.1016/j.neurol.2013.07.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2013] [Revised: 07/22/2013] [Accepted: 07/22/2013] [Indexed: 01/27/2023]
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Abstract
Human papillomavirus (HPV) is a well-known risk factor for many human cancers, especially cervical cancers. Among the nonmelanoma skin cancers, Bowen disease (BD) of the genitalia and fingers has also been shown to be closely associated with the high-risk types of HPV, especially HPV16. We report a case of BD of the palm, which is a very rare location for BD. In addition to its rare location, HPV52, which is classified as a mucous high-risk HPV type, was detected in the lesion by PCR restriction fragment length polymorphism analysis. To our knowledge, this is the first reported case of BD associated with HPV52.
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Affiliation(s)
- K Murao
- Department of Dermatology, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan.
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17
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Masugata H, Senda S, Okada H, Murao K, Inukai M, Himoto T, Hosomi N, Murakami K, Noma T, Kohno M, Goda F. Association between Cardiac Function and Pulmonary Function in Hypertensive Patients. J Int Med Res 2012; 40:105-14. [DOI: 10.1177/147323001204000111] [Citation(s) in RCA: 3] [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] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE: This study examined the association between cardiac function and pulmonary function in hypertensive patients. METHODS: Hypertensive patients without overt cardiovascular disease were enrolled ( n = 43; mean ± SD age 71 ± 9 years). Pulmonary function was measured by the percentage of predicted forced vital capacity (%FVC) and the ratio of 1 s forced expiratory volume (FEV1) to FVC (FEV1/FVC ratio). Left ventricular ejection fraction (LVEF) and the ratio of peak early diastolic transmitral flow (E) to peak early diastolic mitral annular velocity (e′) (E/e′ ratio) were assessed using echocardiography. RESULTS: Multiple linear regression analysis revealed that E/e′ was independently associated with %FVC and that LVEF was independently associated with FEV1/FVC ratio. Both LVEF and FEV1/FVC ratio were significantly lower in hypertensive former or current smokers than in hypertensive never smokers. CONCLUSIONS: Subclinical cardiac dysfunction was independently associated with reduced pulmonary function in hypertensive patients. Hypertensive patients with decreased pulmonary function may need preventive care to prevent the progression of heart failure.
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Affiliation(s)
- H Masugata
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - S Senda
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - H Okada
- Department of Medical Education, Kagawa University, Kagawa, Japan
| | - K Murao
- Department of Advanced Medicine and Laboratory Medicine, Kagawa University, Kagawa, Japan
| | - M Inukai
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - T Himoto
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - N Hosomi
- Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan
| | - K Murakami
- Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kagawa, Japan
| | - T Noma
- Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kagawa, Japan
| | - M Kohno
- Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kagawa, Japan
| | - F Goda
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
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Abstract
BACKGROUND Menin is a tumor suppressor encoded by Men1 that is mutated in the human-inherited tumor syndrome--multiple endocrine neoplasia type 1. Menin binds to estrogen receptors (ER) to enhance estrogen activity in breast cancer cells. AIM Our clinical study showed that the outcome in the case of menin-positive tumors was worse than in the case of menin-negative tumors. We examined the role of raloxifene on the cell growth in a menin-positive breast cancer cell line. MATERIAL AND METHODS To examine the mechanism of raloxifene on menin-dependent activation of ER, we employed the mammalian two-hybrid system. We have established a breast cancer cell line that stably expresses menin. Using these cells, we have examined the effect of raloxifene and tamoxifen on cell growth of menin-transfected cells. RESULTS The expression of activation function (AF)-2 enhanced menin-mediated luciferase expression in the mammalian two-hybrid assay. Raloxifene attenuated the effect of menin on estrogen response element-luciferase activation, indicating that raloxifene inhibited the binding of menin to AF-2. Raloxifene significantly inhibited the growth of menin-transfected cells in a dose-dependent manner. Tamoxifen also inhibited menin-transfected MCF-7 cells; however, this inhibition was much less than that of raloxifene. CONCLUSION Raloxifene inhibits the binding of menin to the AF-2 domain of ERα, suggesting that raloxifene is one of the therapeutic options for menin-positive breast cancer.
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Affiliation(s)
- H Imachi
- Department of Advanced Medicine, Faculty of Medicine, Kagawa University, 1750-1 Miki-cho, Kita-gun, Kagawa 761-0793, Japan
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Masugata H, Senda S, Murao K, Okuyama H, Inukai M, Hosomi N, Iwado Y, Noma T, Kohno M, Himoto T, Goda F. Aortic root dilatation as a marker of subclinical left ventricular diastolic dysfunction in patients with cardiovascular risk factors. J Int Med Res 2011; 39:64-70. [PMID: 21672308 DOI: 10.1177/147323001103900108] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Consensus is lacking about the clinical importance of aortic root dilatation in assessment of the risk of cardiovascular disease. In this study, correlations between aortic root diameter and echocardiographic features of left ventricular (LV) diastolic function were investigated in 333 patients with at least one cardiovascular risk factor (hypertension, diabetes or dyslipidaemia) and preserved LV systolic function. Aortic root diameter was measured by M-mode echocardiography, and LV diastolic function was evaluated by measuring the peak velocity of early (E) and late (A) diastolic transmitral blood flow and peak early diastolic mitral annular velocity (E') by Doppler echocardiography. Linear regression analysis showed that, in men, age was not related to aortic root diameter but hypertension and LV hypertrophy were, whereas the converse was true in women. The parameters E, E/A ratio and E', were related to aortic root diameter in both sexes. Stepwise multiple regression analysis confirmed that E in women and E' in men were independently associated with aortic root diameter. It is concluded that aortic root dilatation might be a useful marker of subclinical LV diastolic dysfunction. Patients with preserved systolic function showing aortic root dilatation should, therefore, be given preventative therapy against LV diastolic heart failure.
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Affiliation(s)
- H Masugata
- Department of Integrated Medicine, Kagawa University, 1750-1 Miki-cho, Kita-gun, Kagawa 761-0793, Japan.
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20
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Miyai Y, Murao K, Imachi H, Li J, Nishiuchi Y, Masugata H, Iwama H, Kushida Y, Ishida T, Haba R. Exendin-4 regulates the expression of the ATP-binding cassette transporter A1 via transcriptional factor PREB in the pancreatic β cell line. J Endocrinol Invest 2011; 34:e268-74. [PMID: 21521937 DOI: 10.3275/7683] [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] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND PRL regulatory element-binding (PREB) protein is a transcription factor that regulates insulin promoter activity in the rat anterior pituitary. The PREB protein is expressed not only in the anterior pituitary but also in pancreatic β cells. Previously, we have reported that PREB plays an important role in glucose-mediated insulin gene expression in pancreatic β cells. The ATP-binding cassette transporter A1 (ABCA1) in pancreatic β cells influences insulin secretion and glucose homeostasis. Exendin-4 (Ex-4), a longacting agonist of the glucagon-like peptide 1, stimulates ABCA1 expression in pancreatic β cells. AIMS In this study, we examined the role played by PREB in Ex-4-induced ABCA1 expression in pancreatic β cells. MATERIAL/SUBJECTS AND METHODS PREB mRNA and protein expression were evaluated in pancreatic β cell line (INS-1 cells) treated with Ex-4 (10 nM). RESULTS Ex-4 stimulated PREB protein and mRNA expression in INS-1 cells. PREB stimulated the activity of the luciferase reporter protein that was under the control of the ABCA1 promoter. Chromatin immunoprecipitation assay showed that PREB mediates its transcriptional activity by directly binding to the ABCA1 promoter region. Finally, we used small interfering RNA to inhibit PREB expression in the cells and demonstrated that the knockdown of PREB expression attenuated the effects of Ex-4 on ABCA1 expression. CONCLUSION PREB mediates Ex-4-stimulated transcription of the ABCA1 gene in pancreatic β cells.
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Affiliation(s)
- Y Miyai
- Department of diagnostic pathology, Kagawa University, Miki-cho, Kita-gun, Kagawa, Japan
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21
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Masugata H, Senda S, Inukai M, Murao K, Hosomi N, Iwado Y, Noma T, Kohno M, Himoto T, Goda F. Differences in Left Ventricular Diastolic Dysfunction between Eccentric and Concentric Left Ventricular Hypertrophy in Hypertensive Patients with Preserved Systolic Function. J Int Med Res 2011; 39:772-9. [DOI: 10.1177/147323001103900309] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Left ventricular (LV) hypertrophy (LVH) may be eccentric or concentric (2 × LV posterior wall thickness relative to LV end-diastolic dimension ≤ 0.42 or > 0.42, respectively). The LV diastolic function between age-matched hypertensive patients with eccentric and concentric LVH was compared in the present study. Echocardiography was used to measure LV mass index (LV mass/body surface area; LVMI) as an index of LVH. LV diastolic function was assessed by measurements of peak early transmitral flow velocity ( E)/peak late transmitral flow velocity ( A) (the E/A ratio), peak early diastolic mitral annular velocity ( e′) and the E/e′ ratio. Although LVMI, E/A and e′ did not differ between the two groups, E/e′ was significantly higher (worse) in patients with concentric LVH (13.4 ± 5.4) than in those with eccentric LVH (11.1 ± 3.6). Among hypertensive patients with LVH, those with concentric LVH may, therefore, have more severe LV diastolic dysfunction than those with eccentric LVH even if their LVMIs, which reflect the degree of LVH, are similar.
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Affiliation(s)
- H Masugata
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - S Senda
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - M Inukai
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - K Murao
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Kagawa University, Kagawa, Japan
| | - N Hosomi
- Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan
| | - Y Iwado
- Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kagawa, Japan
| | - T Noma
- Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kagawa, Japan
| | - M Kohno
- Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kagawa, Japan
| | - T Himoto
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
| | - F Goda
- Department of Integrated Medicine, Kagawa University, Kagawa, Japan
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Iwama H, Murao K, Imachi H, Ishida T. MicroRNA Networks Alter to Conform to Transcription Factor Networks Adding Redundancy and Reducing the Repertoire of Target Genes for Coordinated Regulation. Mol Biol Evol 2010; 28:639-46. [DOI: 10.1093/molbev/msq231] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [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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24
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Zhang W, Murao K, Imachi H, Iwama H, Chen K, Fei Z, Zhang X, Ishida T, Tamiya T. Suppression of prolactin expression by cabergoline requires prolactin regulatory element-binding protein (PREB) in GH3 cells. Horm Metab Res 2010; 42:557-61. [PMID: 20411477 DOI: 10.1055/s-0030-1252064] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The prolactin regulatory element-binding protein (PREB) is a transcriptional factor that regulates prolactin (PRL) promoter activity in the anterior pituitary. Prolactinomas are the most common pituitary tumors. Administration of cabergoline, a selective dopamine D2-receptor agonist, has become the initial therapy of choice for most patients with prolactinomas. Although activation of the D2 receptor results in the inhibition of PRL synthesis, the details of the underlying mechanisms remain unknown. Samples of ten prolactinomas and ten nonfunctioning pituitary adenomas were analyzed by immunohistochemistry to detect the expression of PREB. The effect of cabergoline on PREB expression was assessed by western blotting and real-time polymerase chain reaction (PCR) analysis. Reporter gene analysis of PRL was employed to examine the role of PREB on cabergoline-induced suppression of PRL transcription. Immunohistochemical analysis revealed strong positive PREB expression in the prolactinoma tissue, but extremely weak or undetected expression in the nonfunctioning pituitary tumor tissue. Western blots probed with a PREB-specific antiserum revealed that the relative abundance of the PREB protein in the GH3 cells decreased in a dose-dependent manner in response to cabergoline treatment, as did the relative abundance of PREB mRNA. Although cabergoline inhibited the activity of the PRL promoter, mutation of PREB-binding site within the promoter abrogated the ability of cabergoline to inhibit the PRL promoter activity. We have demonstrated that PREB is expressed in prolactinomas and that the suppression of PRL expression by cabergoline requires the transcriptional factor PREB.
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Affiliation(s)
- W Zhang
- Department of Neurosurgery, Xijing Hospital, The Fourth Military Medical University, Shaanxi Province, PR China
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25
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Yu X, Murao K, Imachi H, Li J, Nishiuchi T, Hosomi N, Masugata H, Zhang GX, Iwama H, Ishida T. Hyperglycemia suppresses ABCA1 expression in vascular smooth muscle cells. Horm Metab Res 2010; 42:241-6. [PMID: 20101560 DOI: 10.1055/s-0029-1246183] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Hyperglycemia is a major risk factor for atherosclerotic disease. The ATP-binding cassette transporter A1 (ABCA1) functions as a pivotal regulator of lipid efflux from cells to apolipoproteins and is thus involved in lowering the risk of atherosclerosis. In this study, we have examined the glucose-mediated regulation of the ABCA1 gene expression in vascular smooth muscle cells. ABCA1 expression was examined by real-time polymerase chain reaction (PCR), Western blot analysis, and reporter gene assay. The results showed that the expression of the ABCA1 mRNA and protein decreased after the cells were treated with 22.4 mM glucose for 48 h. The transcriptional activity of the ABCA1 promoter paralleled the endogenous expression of the ABCA1 gene. Next, we used inhibitors of certain signal transduction pathways to demonstrate that the glucose-induced ABCA1 suppression is sensitive to the p38-mitogen-activated protein kinase (MAPK) inhibitors. The expression of a constitutively active form of p38-MAPK in the cells inhibited the ABCA1 promoter activity, irrespective of the presence of glucose. A dominant-negative mutant of p38-MAPK abrogated the inhibitory effect of glucose on the ABCA1 promoter activity. These results indicate that the glucose-induced suppression of ABCA1 expression is partially mediated by the activation of the p38-MAPK pathway.
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Affiliation(s)
- X Yu
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Ikenobe Miki-CHO, Kita-gun, Kagawa, Japan
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26
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Murao K, Li J, Imachi H, Muraoka T, Masugata H, Zhang GX, Kobayashi R, Ishida T, Tokumitsu H. Exendin-4 regulates glucokinase expression by CaMKK/CaMKIV pathway in pancreatic beta-cell line. Diabetes Obes Metab 2009; 11:939-46. [PMID: 19486109 DOI: 10.1111/j.1463-1326.2009.01067.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
AIM Glucokinase (GK) in pancreatic beta cells is thought to be involved in insulin secretion and glucose homeostasis. This study investigates whether the long-acting agonist of the glucagon-like peptide 1, namely exendin-4, mediates stimulatory effects on GK gene expression through the Ca(2+)/calmodulin (CaM)-dependent protein kinase (CaMK) cascade. METHODS GK expression was examined by real-time PCR, western blot analysis and reporter gene assay in rat insulin-secreting INS-1 cells incubated with exendin-4. CaMKIV activity was assessed by detection of activation loop phosphorylation (Thr(196)) of CaMKIV. We investigated the effect of the constitutively active form (CaMKIVc) of CaMKIV on GK promoter activity. RESULTS Increased expression level of GK protein was noted in response to rising concentrations of exendin-4 with maximum induction at 10 nM. Real-time PCR analysis showed a significant increase in the amount of GK mRNA in response to rising concentrations of exendin-4. Exendin-4 also stimulated GK promoter activity but failed to do so in the presence of STO-609, a CaMKK inhibitor. This result is consistent with the observations that the upregulation of CaMKIV phosphorylation (at Thr(196)) peaked after 15 min of exposure to exendin-4 and that CaMKIVc enhanced or upregulated GK promoter activity in INS-1 cells. Furthermore, STO-609 significantly suppressed the exendin-4 - upregulated the expression of the GK protein. CONCLUSION Activation of the CaMKK/CaMKIV cascade might be required for exendin-4-induced GK gene transcription, indicating that exendin-4 plays an important role in insulin secretion in pancreatic beta cells.
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Affiliation(s)
- K Murao
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan.
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Zhang GX, Kimura S, Murao K, Shimizu J, Matsuyoshi H, Takaki M. Role of neuronal NO synthase in regulating vascular superoxide levels and mitogen-activated protein kinase phosphorylation. Cardiovasc Res 2008; 81:389-99. [DOI: 10.1093/cvr/cvn304] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
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28
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Hyogo T, Taki W, Negoro M, Takahashi A, Edura M, Hyodo A, Kobayashi S, Komiyama M, Kuwayama N, Matsumaru Y, Miyachi S, Murao K, Murayama Y, Nakahara I, Nemoto S, Sakai N, Satoh K, Sonobe M, Sugiu K, Terada T, Yoshimura S, Abe T, Itoh Y, Kiyosue H, Nagashima H, Nakamura M, Matsushima S. Japanese society of neuro-endovascular treatment specialist qualification system. Six years' experience and introduction of an animal model examination. Interv Neuroradiol 2008; 14:235-40. [PMID: 20557719 DOI: 10.1177/159101990801400302] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2008] [Accepted: 07/01/2008] [Indexed: 11/15/2022] Open
Affiliation(s)
- T Hyogo
- The members of the board of Specialist Qualification System of the JSNET -
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29
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Yokoyama K, Matsuki M, Shimano H, Sumioka S, Ikenaga T, Hanabusa K, Yasuda S, Inoue H, Watanabe T, Miyashita M, Hiramatsu R, Murao K, Kondo A, Tanabe H, Kuroiwa T. Diffusion tensor imaging in chronic subdural hematoma: correlation between clinical signs and fractional anisotropy in the pyramidal tract. AJNR Am J Neuroradiol 2008; 29:1159-63. [PMID: 18356470 DOI: 10.3174/ajnr.a1001] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [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: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Diffusion tensor imaging (DTI) was introduced as a good technique to evaluate structural abnormalities in the white matter. In this study, we used DTI to examine anisotropic changes of the pyramidal tracts displaced by chronic subdural hematoma (CSDH). MATERIALS AND METHODS Twenty-six patients with unilateral CSDH underwent DTI before and after surgery. We measured fractional anisotropy (FA) values in pyramidal tracts of bilateral cerebral peduncles and calculated the ratio of the FA value on the lesion side to that on the contralateral side (FA ratio) and compared the ratios with motor weakness. Moreover, the relationships between FA ratios and clinical factors such as age, sex, midline shift, interval from trauma, and hematoma attenuation on CT were evaluated. RESULTS FA values of pyramidal tracts on the lesion side were significantly lower than those on the contralateral side (0.66 +/- 0.07 versus 0.74 +/- 0.05, P < .0001). The FA ratio was correlated to the severity of motor weakness (r(2) = 0.32, P = .002). FA ratios after surgery improved significantly compared with those before surgery (0.96 +/- 0.08 versus 0.89 +/- 0.07, P = .0004). Intervals from trauma and the midline shift were significantly associated with decreased FA ratios (P = .0008 and P = .037). CONCLUSIONS In patients with CSDH, a reversible decrease of FA in the affected pyramidal tract on DTI was correlated to motor weakness. These anisotropic changes were considered to be caused by a reversible distortion of neuron fibers and vasogenic edema due to the hematoma.
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Affiliation(s)
- K Yokoyama
- Department of Neurosurgery, Brain and Spine Surgery Center and Research Institution of Microvascular Decompression, Shiroyama Hospital, Osaka, Japan.
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Murao K, Imachi H, Yu X, Cao WM, Nishiuchi T, Chen K, Li J, Ahmed RAM, Wong NCW, Ishida T. Interferon alpha decreases expression of human scavenger receptor class BI, a possible HCV receptor in hepatocytes. Gut 2008; 57:664-71. [PMID: 17998316 DOI: 10.1136/gut.2006.111443] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [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: 12/12/2022]
Abstract
BACKGROUND Infection with the hepatitis C virus (HCV) causes acute hepatitis. This disease has a high probability of becoming chronic and leading to cirrhosis, but a more deadly consequence is hepatocellular carcinoma. Interferon alpha (IFN alpha)-based treatment combined with ribavirin is the major therapeutic choice available for the treatment of chronic HCV infection. AIMS The scavenger receptor class B type I (SR-BI) or its human homologue CD36 and LIMPII Analogous-1 (hSR-BI/CLA-1) has recently been shown to interact with HCV envelope glycoprotein E2, thus suggesting that it might participate in entry of the virus into host cells. This rationale underlies current interest in the potential role of IFN alpha in hSR-BI/CLA-1 expression in HepG2 cells. RESULTS It was shown that endogenous hepatocyte expression of hSR-BI/CLA-1 was suppressed by exposure to IFN alpha. Decreased hSR-BI/CLA-1 expression in IFN alpha-treated cells was due to lower transcriptional activity of the promoter. A potential pathway for the effect of IFN alpha on hSR-BI/CLA-1 promoter activity was identified when the inhibitory action of IFN was abrogated in signal transducer and activator of transcription 1 (STAT1)/STAT2 knocked-down cells. Exposure of HepG2 cells to IFN alpha elicited a rapid phosphorylation of STAT1/STAT2, a known target of IFN alpha signalling. In addition, the mutagenesis of a STAT1/STAT2 response element in the hSR-BI/CLA-1 promoter abolished the ability of IFN alpha to suppress promoter activity. CONCLUSIONS Together, these results indicate that the STAT1/STAT2 pathway participates in IFN alpha inhibition of hSR-BI/CLA-1 expression, and raise the possibility that lowering the expression of this gene may be of therapeutic value for treating HCV infections.
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Affiliation(s)
- K Murao
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Kita-gun, Kagawa, Japan.
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Kudo T, Iihara K, Satow T, Murao K, Miyamoto S. Incidence of Ischemic Complications after Endovascular Treatment for Ruptured Dissecting Vertebral Artery Aneurysms. Comparison between Those Arising Proximal to and Distal to the Origin of the Posterior Inferior Cerebellar Artery. Interv Neuroradiol 2007; 13 Suppl 1:157-62. [PMID: 20566095 DOI: 10.1177/15910199070130s124] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2006] [Accepted: 01/15/2007] [Indexed: 11/16/2022] Open
Abstract
SUMMARY We analyzed the incidence of ischemic complications after internal trapping for ruptured VA dissecting aneurysms. Between April 2001 and August 2005, nine cases of ruptured VA dissecting aneurysms, five in women, "proximal" or distal (distal type) to the origin of the PICA, were treated by internal trapping in the acute stage after SAH. There were four cases of proximal type and five of distal type. The demographics of the patients were reviewed in the medical charts and radiological findings were evaluated by neuroradiologists. The dissected site was completely obliterated and PICA was preserved in all cases. Follow-up angiography performed five to 19 days after treatment revealed complete obliteration of the aneurysm and patency of the PICA. The incidence of perioprocedural ischemic complications for the PICA-distal type (75%) was higher than that for the PICA-proximal type (20%). Here we retrospectively analyzed and discussed the incidence and mechanisms of ischemic complications.
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Affiliation(s)
- T Kudo
- Department of Neurosurgery, National Cardiovascular Center, Osaka, Japan -
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Murao K, Kubo Y, Ohtani N, Hara E, Arase S. Epigenetic abnormalities in cutaneous squamous cell carcinomas: frequent inactivation of the RB1/p16 and p53 pathways. Br J Dermatol 2007; 155:999-1005. [PMID: 17034532 DOI: 10.1111/j.1365-2133.2006.07487.x] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.1] [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: 12/23/2022]
Abstract
BACKGROUND Aberrant methylation of CpG islands in the promoter regions of cancer-related genes has been demonstrated in many human tumours. However, the methylation profile of these regions in cutaneous squamous cell carcinomas (SCCs) has not been well studied. OBJECTIVES To examine epigenetic abnormalities of a wide range of cancer-related genes in SCCs. METHODS We investigated the methylation status of 11 candidate cancer-related genes (CDH1, p16(INK4a), p14(ARF), DAPK1, MGMT, RB1, RASSF1, p15(INK4b), PTEN, PRDM2 and p53) in 20 cases of SCC by methylation-specific polymerase chain reaction, and comparatively examined the protein production of E-cadherin (CDH1), p16, RB1, p14, BMI1 and cyclin A by immunohistochemical analysis. RESULTS The frequency of cancer-related gene methylation in SCCs was: CDH1 (95%), p16 (20%), p14 (15%), DAPK1 (15%), MGMT (15%), RB1 (5%), RASSF1 (5%), p15 (0%), PTEN (0%), PRDM2 (0%) and p53 (0%). Almost all cases with hypermethylation of CDH1, p16, RB1 and p14 showed no obvious production of each protein, suggesting that promoter hypermethylation of these genes contributes to the loss of protein production. The results of methylation analysis, in combination with the results of our previous mutation analysis of CDKN2A locus and p53, revealed that 70% of SCCs have alterations in the RB1/p16 or p53 pathway. CONCLUSIONS Our findings indicate that the promoter hypermethylation of cancer-related genes, especially CDH1, is frequently shown in SCCs, and dysregulation of the RB1/p16 and/or p53 pathway through either genetic or epigenetic mechanisms, except for epigenetic abnormalities of p53 itself, should contribute to the carcinogenesis of SCCs.
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Affiliation(s)
- K Murao
- Department of Dermatology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan
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Ohtsuka S, Murao K, Imachi H, Cao WM, Yu X, Li J, Iwama H, Wong NCW, Bancroft C, Ishida T. Prolactin regulatory element binding protein as a potential transcriptional factor for the insulin gene in response to glucose stimulation. Diabetologia 2006; 49:1599-607. [PMID: 16752178 DOI: 10.1007/s00125-006-0255-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2005] [Accepted: 02/13/2006] [Indexed: 11/29/2022]
Abstract
AIMS/HYPOTHESIS Prolactin regulatory element binding (PREB) protein has been identified as a factor that regulates prolactin promoter activity in rat anterior pituitary. PREB is located not only in the anterior pituitary but also in pancreas; however its role in the pancreas is not known. We therefore examined the role of PREB in insulin gene expression. MATERIALS AND METHODS To analyse the effects of PREB on insulin gene transcription, we employed the luciferase reporter gene assay and electrophoretic mobility shift assay (EMSA). In cells expressing or knocked down for PREB, insulin expression and secretion were determined. RESULTS PREB was located mainly in nuclei of rat pancreatic beta cells and its cell line, INS-1. A nuclear extract of INS-1 cells contained material that was recognised by PREB antiserum. This nuclear extract also showed insulin promoter binding activity that was super-shifted by PREB antiserum in EMSA studies. In the INS-1 cells, co-expression of PREB and the insulin promoter induced activity of the latter. The addition of glucose to the cells increased PREB expression. Deletional analysis of the insulin promoter showed that A3, a glucose-responsive cis-element in the insulin promoter, mediated the transcriptional effect of PREB. In addition, synthesised PREB bound the A3 element by EMSA, while a mutant of this motif in the insulin promoter abrogated the effect of PREB. Cells expressing or knocked down for PREB exhibited increased or decreased insulin expression, respectively. CONCLUSIONS/INTERPRETATION These results demonstrate that PREB may contribute to the regulation of insulin gene transcription and insulin secretion in response to glucose stimulation.
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Affiliation(s)
- S Ohtsuka
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Kagawa University, 1750-1, Miki-cho, Kita-gun, Kagawa, Japan
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Hayashi K, Seyama H, Yamada N, Murao K, Iihara K, Takahashi JC, Nakajima N, Sayama T, Morimoto M, Mori H, Yamamoto M, Hishikawa T, Nonaka Y, Ayabe J, Kikuchi T, Hyuga M, Ookawa M, Kudo T, Miyamoto S. The Stenting to Internal Carotid Artery Stenosis (ICS) in Petrous Portion. The Evaluation of Plaque Figures in Magnetic Resonance Image. Interv Neuroradiol 2006; 12:193-6. [PMID: 20569630 DOI: 10.1177/15910199060120s134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2005] [Accepted: 12/15/2005] [Indexed: 11/16/2022] Open
Abstract
SUMMARY In the safety stenting, it is important to get to know the characteristics of a plaque. In petrous carotid artery stenosis, it is difficult to know the characteristics of the plaque.We paid our attention to the MPRAGE (Magnetization Prepared Rapid Acquisition with Gradient Echo) method on high resolving power MRI. By the MPRAGE method, low intensity was observed in these lesions of all cases. This result suggested that the plaque in petrous portion was a fibrous plaque. This method is useful to get to know the characteristics of a plaque in petrous portion before endovascular treatment.
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Affiliation(s)
- K Hayashi
- Department of Neurosurgery, National Cardiovascular Center, Osaka, Japan
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Kudo T, Iihara K, Murao K, Hayashi K, Ayabe J, Miyamoto S. Dissecting aneurysm of the vertebral artery developed after microvascular decompression for hemifacial spasm. Interv Neuroradiol 2006; 12:145-7. [PMID: 20569620 DOI: 10.1177/15910199060120s124] [Citation(s) in RCA: 5] [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] [Subscribe] [Scholar Register] [Received: 12/03/2005] [Accepted: 12/15/2005] [Indexed: 11/17/2022] Open
Abstract
SUMMARY We report a rare case of a ruptured de novo dissecting aneurysm induced by ethyl 2-cyanoacrylate. A 39-year-old woman underwent microvascular decompression for left hemifacial spasm. The offending vessel was left posterior inferior cerebellar artery (PICA). Left vertebral artery (VA) was mobilized and affixed to the dura mater with cyanoacrylate to remove pressure of PICA to the root exit zone of the facial nerve. The left VA was found to be intact at the time of the operation. One year later, the patient sufferd subarachnoid haemorrhage (SAH) caused by rupture of a newly-developed dissecting aneurysm of the left VA. Endovascular occlusion of the dissecting site was performed using Guglielmi detachable coils. We suppose mechanical injury and chemical reaction of ethyl 2-cyanoacrylate induced dissecting aneurysm.
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Affiliation(s)
- T Kudo
- Department of Neurosurgery, National Cardiovascular Center; Osaka, Japan -
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Imachi H, Murao K, Yu X, Cao W, Li J, Abdel-Muneem A, Ishida T. Tu-P7:138 Angiotensin II decreases the expression of scavenger receptor class BI in vascular endothelial cells. ATHEROSCLEROSIS SUPP 2006. [DOI: 10.1016/s1567-5688(06)80844-5] [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: 10/23/2022]
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Inada T, Murao K, Shingu K, Yamada K, Nakao S, Nagata A. Effects of propofol and thiopental on the central nervous system during nociceptive stimulation in cats. J Anesth 2005; 15:159-63. [PMID: 14566515 DOI: 10.1007/s005400170019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
PURPOSE Nociceptive stimulation may increase central nervous system (CNS) activity during anesthesia. However, it is not known whether propofol and thiopental have a similar inhibitory effect on the CNS during nociceptive stimulation. Therefore, we compared the antinociceptive effects of propofol and thiopental in cats. METHODS In 12 cats, anesthesia was induced with 4% halothane in oxygen and maintained with 0.5% halothane in oxygen. The cortical electroencephalogram (EEG) and the electrical activity from the midbrain reticular neurons (R-MUA) were measured before and after sciatic nerve stimulation. The cats were then allocated to receive cumulative doses of either propofol (n = 6) or thiopental (n = 6) i.v. at 5-min intervals. Two minutes after each dose, the cortical EEG and the R-MUA were compared before and after sciatic nerve stimulation. RESULTS Propofol and thiopental depressed the basal R-MUA to a similar degree at each dose. Sciatic nerve stimulation increased the R-MUA, and there were no differences in the maximum R-MUA values between propofol and thiopental. The cortical EEGs after each dose of anesthetic without stimulation showed similar patterns, and the patterns of change with stimulation were also similar for these two anesthetics. CONCLUSION Propofol and thiopental have similar antinociceptive effects in cats.
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Affiliation(s)
- T Inada
- Department of Anesthesiology, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi, Osaka 570-8507, Japan
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Abstract
We report a case of Bowen's disease on the sole presenting clinically as an exophytic, blackish-grey, verrucous tumour, and showing human papillomavirus (HPV) type 16 on analysis with polymerase chain reaction. Positive stains for HPV particles by immunohistochemical analysis were limited to several cell nuclei at the upper stratum Malpighii. However, all the tumour cells in the epidermis exhibited strong and diffuse nuclear and cytoplasmic stains for the tumour suppressor protein p16INK4a. We speculate that dysregulation of the retinoblastoma/p16INK4a pathway may be involved in the pathogenesis of the lesion, and p16INK4a overexpression might serve as a useful surrogate marker for identifying Bowen's disease harbouring high-risk types of HPV infection.
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Affiliation(s)
- K Murao
- Department of Dermatology, The University of Tokushima School of Medicine, Tokushima, Japan
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Asai T, Murao K, Umegaki T, Shingu K. Use of the laryngeal mask airway in nasally intubated patients. Anaesthesia 2004; 59:726-7. [PMID: 15200559 DOI: 10.1111/j.1365-2044.2004.03853.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Cao WM, Murao K, Imachi H, Hiramine C, Abe H, Yu X, Dobashi H, Wong NCW, Takahara J, Ishida T. Phosphatidylserine receptor cooperates with high-density lipoprotein receptor in recognition of apoptotic cells by thymic nurse cells. J Mol Endocrinol 2004; 32:497-505. [PMID: 15072554 DOI: 10.1677/jme.0.0320497] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The thymus contains many apoptotic cells that arise from the process of positive and negative selection. Both thymic macrophages and thymic nurse cells/nursing thymic epithelial cells (nursing TECs), non-professional phagocytes, recognize and ingest apoptotic cells without inflammation or tissue damage. Previously we reported that human scavenger receptor class B (SR-B1) is involved in recognition of apoptotic thymocytes by nursing TECs. In this study, we examined the expression and role of a phosphatidylserine receptor (PSR). This receptor is believed to participate in the clearance of apoptotic cells. PSR was strongly expressed in nursing TECs. Transforming growth factor-beta augmented the expression of PSR leading to enhanced binding of apoptotic cells to nursing TECs. In nursing TECs, suppressed expression of human SR-B1 with anti-PSR antibody decreased binding of apoptotic thymocytes to nursing TECs. Our results suggest that both PSR and SR-B1 are expressed in nursing TECs and these receptors appear to play a major role in the clearance of apoptotic cells from the thymus.
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MESH Headings
- Animals
- Apoptosis/physiology
- Cells, Cultured
- Cytokines/pharmacology
- Epithelial Cells/metabolism
- Female
- Humans
- Jumonji Domain-Containing Histone Demethylases
- Lipoproteins, HDL/genetics
- Lipoproteins, HDL/metabolism
- Mice
- Mice, Inbred BALB C
- Oligonucleotides, Antisense/pharmacology
- Receptors, Cell Surface/genetics
- Receptors, Cell Surface/metabolism
- Receptors, Immunologic/genetics
- Receptors, Immunologic/metabolism
- Receptors, Lipoprotein/genetics
- Receptors, Lipoprotein/metabolism
- Receptors, Scavenger
- Scavenger Receptors, Class B
- Thymus Gland/cytology
- Thymus Gland/drug effects
- Thymus Gland/metabolism
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Affiliation(s)
- W M Cao
- First Department of Internal Medicine, Kagawa Medical University, Kagawa 761-0793, Japan
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Abstract
In Bacillus subtilis, selenocysteine tRNA has not been identified in a total genome sequence so far (1). To explore the system of selenocysteine incorporation in B. subtilis, we screened serine-acceptable tRNAs to find an unknown tRNA for selenocysteine by the combined method of specific biotinylation of aa-tRNA (2) and RT-PCR (3). cDNAs obtained from the serine-acceptable tRNA pool were amplified and cloned into plasmid to read its sequence. This procedure gave cDNA library corresponding known serine tRNAs, but no candidate for selenocysteine has been found. Thus, this result, together with the previous data (4), might reveal that there is no selenocysteine tRNA in B. subtilis and/or metabolism of selenium is considerably different from known one as seen in other bacteria.
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MESH Headings
- Bacillus subtilis/genetics
- Bacillus subtilis/metabolism
- Cloning, Molecular
- DNA, Bacterial/genetics
- DNA, Complementary/genetics
- Evolution, Molecular
- Genome, Bacterial
- RNA, Bacterial/genetics
- RNA, Bacterial/metabolism
- RNA, Transfer, Amino Acid-Specific/genetics
- RNA, Transfer, Amino Acid-Specific/metabolism
- Reverse Transcriptase Polymerase Chain Reaction
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Affiliation(s)
- J Matsugi
- Division of Structural Biochemistry, Department of Biochemistry, Jichi Medical School, 3311-1 Yakushiji, Minamikawachi-machi, Kawachi-gun, Tochigi 329-0498, Japan
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Fukuda H, Iihara K, Sakai N, Murao K, Sakai H, Higashi T, Kogure S, Takahashi J, Hayashi K, Nagata I. Staged carotid stenting and carotid endarterectomy for bilateral internal carotid artery stenosis. Preliminary experience. Interv Neuroradiol 2003; 9:143-8. [PMID: 20591244 DOI: 10.1177/15910199030090s120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2003] [Accepted: 02/06/2003] [Indexed: 11/15/2022] Open
Abstract
SUMMARY The purpose of this study was to evaluate the efficacy and safety of staged carotid stenting (CS) and carotid endarterectomy (CEA) for bilateral internal carotid artery stenosis. With this strategy, initial carotid stenting was performed for the high grade carotid stenosis to reduce the risk of subsequent CEA. Eight patients were treated with staged CS and CEA; CS for asymptomatic side followed by CEA for symptomatic side. Sufficient revascularization was obtained in all procedures but one CS procedure. Two minor stroke caused by distal embolism occurred during the perioperative period of CS. Postprocedural persistent hypotension was observed in one CS procedure. The mean interval between CS and CEA was 19.8 days. In conclusion, although our strategy has some advantages such as avoidance of bilateral cranial nerve palsy and shorter admission period over staged CEA, relatively high complication rate was noted at the first CS without any stroke morbidity post CEA. Our preliminary result showed that further reduction of periprocedural complication rate at the initial stenting is mandatory for this approach justified.
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Affiliation(s)
- H Fukuda
- Department of Neurosurgery, National Cardiovascular Center, Osaka; Japan -
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Namihira H, Sato M, Murao K, Cao WM, Matsubara S, Imachi H, Niimi M, Dobashi H, Wong NCW, Ishida T. The multiple endocrine neoplasia type 1 gene product, menin, inhibits the human prolactin promoter activity. J Mol Endocrinol 2002; 29:297-304. [PMID: 12459032 DOI: 10.1677/jme.0.0290297] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Menin is a protein encoded by the gene mutated in multiple endocrine neoplasia type 1 (MEN1) characterized by multiple endocrine tumors of the parathyroid glands, pancreatic islets and the anterior pituitary, especially prolactinoma. In this study, we examined the effects of menin on human prolactin (hPRL) expression. In rat pituitary GH3 cells stably expressing menin, both PRL gene expression/secretion and thymidine incorporation into DNA were inhibited as compared with mock-transfected cells. The transcriptional activity of PRL promoter in GH3 cells co-transfected with menin was significantly decreased. A deletion mutation (569 delC), which we identified in a Japanese MEN1 family, was introduced into menin. When GH3 cells were transfected with a mutant menin expression vector, inhibition of hPRL promoter activity was partially reversed. These observations suggest that menin inhibits hPRL promoter activity and cell proliferation, raising the possibility that menin might play an important role in the tumorigenesis of prolactinoma.
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Affiliation(s)
- H Namihira
- First Department of Internal Medicine, Kagawa Medical University, 1750-1 Ikenobe Miki-Cho, Kita-gun, Kagawa, Japan
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Abstract
We studied the reasons for difficulty with tracheal intubation over a fibrescope, and whether cricoid pressure facilitated intubation, in 50 patients. After induction of anaesthesia and neuromuscular blockade in 10 patients (phase 1), we attempted to clarify the reasons for difficulty in advancing a tracheal tube over an orally-inserted fibrescope, by observing through another fibrescope that was inserted nasally into the pharynx. In the next 40 patients (phase 2), we studied the effect of cricoid pressure on the success rate of tracheal intubation over the fibrescope. After a fibrescope (with a tracheal tube over it) had been inserted orally into the trachea, patients were randomly allocated to receive either criocoid pressure or sham pressure, and the success rate of intubation within 60 s was assessed. In phase 1, the tube was advanced into the trachea without difficulty in three of 10 patients. In the remaining seven patients, the tube impacted on the epiglottis in one patient and on the arytenoid cartilage in another two patients, and the tube migrated into the hypopharynx in the remaining four patients. In phase 2, tracheal intubation was successful within 60 s in seven of 21 patients (33%) without cricoid pressure, compared with 12 of 19 patients (63%) when cricoid pressure was applied (95% CI for difference 2-59%; p = 0.04). We conclude that cricoid pressure facilitates fibrescope-aided tracheal intubation.
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Affiliation(s)
- T Asai
- Department of Anaesthesiology, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi City, Osaka, 570-8507, Japan.
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Abstract
The laryngeal mask airway has a potential role during cardiopulmonary resuscitation, but its placement becomes more difficult during manual in-line stabilisation of the neck, and the device cannot reliably prevent pulmonary aspiration. The ProSeal laryngeal mask airway has a theoretical advantage of reducing aspiration because of its drainage tube, but its ease of placement during stabilisation of the neck is unknown. We studied 20 patients to compare ease of placement and the sealing effect between the standard and ProSeal laryngeal mask airways. In a randomised cross-over fashion, after induction of anaesthesia and neuromuscular blockade, the standard and ProSeal laryngeal mask airways were placed in turn. Placement was significantly easier for the ProSeal laryngeal mask airway (successful at the first attempt in 16 patients and at the second attempt in the remaining four patients) than for the laryngeal mask airway (successful at the first attempt in 12 of 20 patients and at the second attempt in three patients, and failed (> two attempts) in the remaining five patients; p = 0.04). The airway pressure at which gas leaked around the device was greater for the ProSeal than the laryngeal mask airway (mean difference 5.8 cmH2O; 95% CI 2.9-8.7 cmH2O; p = 0.0008).
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Affiliation(s)
- T Asai
- Department of Anaesthesiology, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi City, Osaka, 570-8507, Japan.
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Ishida F, Kawaguchi K, Mizuno M, Hoshino T, Murao K, Taki W. The Accuracy and Usefulness of 3D-DSA and 3D-CT Angiography for Cerebral Aneurysms. Interv Neuroradiol 2001; 7:181-6. [PMID: 20663399 DOI: 10.1177/15910199010070s128] [Citation(s) in RCA: 6] [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] [Subscribe] [Scholar Register] [Received: 09/12/2001] [Accepted: 09/15/2001] [Indexed: 11/16/2022] Open
Abstract
SUMMARY For evaluation of intracranial cerebral aneurysms, three-dimensional (3D) digital subtraction angiography (DSA) and 3D-computed tomographic angiography (CTA) were demonstrated in fifteen patients. The diagnostic accuracy of preoperative 3D-CTA is equal to that of 3D-DSA except for the case with a dissecting aneurysm. The virtual images of 3D-CTA were well correlated with surgical findings. In endovascular treatment of intracranial aneurysms, 3D-DSA had an obvious advantage in obtaining the best working angle of the C-arm. The major branches originating from the dome were depicted on 3D-DSA in two cases that could not be judged on 3D-CTA. The aim of the present study was to verify the difference between 3D-DSA and 3D-CTA for evaluation of intracranial aneurysms.
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Affiliation(s)
- F Ishida
- Department of Neurosurgery, Mie University School of Medicine; Mie, Japan -
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50
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Niimi M, Murao K, Taminato T. Central administration of neuromedin U activates neurons in ventrobasal hypothalamus and brainstem. Endocrine 2001; 16:201-6. [PMID: 11954664 DOI: 10.1385/endo:16:3:201] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2001] [Revised: 11/06/2001] [Accepted: 12/06/2001] [Indexed: 11/11/2022]
Abstract
Neuromedin U (NMU) is a peptide isolated from the porcine spinal cord. Recently, two receptors for NMU have been identified and characterized. A recent study indicated that NMU is an anorectic chemical in the brain. The present study shows that NMU has an action in the brain to inhibit food intake in rats. Intracerebroventricular injection of NMU inhibited dark-phase feeding. Animals injected with NMU showed a strong increase in Fos-immunoreactive nuclei in the paraventricular nucleus (PVN) and supraoptic nucleus (SON) of the hypothalamus, and in the parabrachial nucleus of the brain stem. Double immunohistochemistry revealed that a high number of oxytocin-immunoreactive neurons in the PVN and SON contained Fos after intracerebroventricular injection of NMU. In addition, a small proportion of vasopressinergic cells within the PVN and SON were found to contain Fos. The effect of NMU on the hypothalamus and brain stem contributes to the inhibitory effects of NMU on feeding behavior.
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Affiliation(s)
- M Niimi
- Department of Clinical Laboratory Medicine, Kagawa Medical University, Japan.
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