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Akagi T, Hara H, Kanazawa H, Fukui S, Hashimoto Y, Iguchi Y, Iwama T, Kataoka H, Kawamura A, Kawano H, Oki K, Yamagami H. Real-World Patent Foramen Ovale (PFO) Closure in Japan - 30-Day Clinical Outcomes From the Amplatzer TM PFO Occluder Japan Post-Marketing Surveillance Study. Circ J 2024:CJ-24-0080. [PMID: 38735702 DOI: 10.1253/circj.cj-24-0080] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
BACKGROUND The AmplatzerTM PFO Occluder was approved for marketing in Japan in May 2019, and the Amplatzer PFO Occluder Japan Post-marketing Surveillance (PFO Japan PMS) study was initiated in December 2019. This analysis presents 30-day clinical outcomes for PFO Japan PMS study patients.Methods and Results: PFO Japan PMS is a prospective single-arm non-randomized multicenter clinical study. Eligible patients were indicated for patent foramen ovale (PFO) closure and underwent an implant attempt with the AmplatzerTM PFO Occluder. Technical success was defined as successful delivery and release of the occluder; procedural success was defined as technical success with no serious adverse events (SAEs) within 1 day of the procedure. The primary safety endpoint includes predefined device- and/or procedure-related SAEs through 30 days after the procedure. From December 2019 to July 2021, 500 patients were enrolled across 53 Japanese sites. The mean (±SD) patient age was 52.7±15.4 years, and 29.8% of patients were aged >60 years. Technical and procedural success rates were both high (99.8% and 98.8%, respectively). Further, there was only one primary safety endpoint event (0.2%): an episode of asymptomatic paroxysmal atrial fibrillation that occurred 26 days after the procedure. CONCLUSIONS In this real-world Japanese study with almost one-third of patients aged >60 years, PFO closure with the AmplatzerTM PFO Occluder was performed successfully and safely, with a low incidence of procedure-related atrial arrhythmias.
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Affiliation(s)
- Teiji Akagi
- Department of Cardiovascular Medicine, Okayama University Hospital
| | - Hidehiko Hara
- Division of Cardiovascular Medicine, Toho University Ohashi Medical Center
| | | | | | | | - Yasuyuki Iguchi
- Department of Neurology, The Jikei University School of Medicine
| | | | - Hiroharu Kataoka
- Department of Neurosurgery, National Cerebral and Cardiovascular Center
| | - Akio Kawamura
- Department of Cardiology, International University of Health and Welfare Narita Hospital
| | - Hiroyuki Kawano
- Department of Stroke and Cerebrovascular Medicine, Kyorin University
| | - Koichi Oki
- Department of Neurology, Tokyo Saiseikai Central Hospital
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Kakuda W, Nakajima M, Oki K, Koyama T, Oyama N, Koga M, Hayase M, Ohta T, Iguchi Y, Fujimoto S, Omori T, Matsumoto K, Hashimoto Y, Itabashi R, Niimi M, Ashiga H, Tajima F, Ogasawara K. Evidence and Recommendations for Acute Stroke Rehabilitation from the Japan Stroke Society: Abridged Secondary Publication of the Japanese-language Version. Prog Rehabil Med 2024; 9:20240015. [PMID: 38660472 PMCID: PMC11038992 DOI: 10.2490/prm.20240015] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 03/25/2024] [Indexed: 04/26/2024] Open
Abstract
Objectives In Japan, acute stroke rehabilitation has been expanding more steadily than previously with the nationwide establishment of primary stroke centers. However, Japan previously had no established guidelines for the rehabilitation. Consequently, rehabilitation programs and the provision systems for acute stroke varied among the facilities. To equalize and standardize acute stroke rehabilitation in Japan, it is necessary to develop clinical recommendations for rehabilitation. Therefore, the rehabilitation project team of the Japan Stroke Society aimed to develop the first recommendations for acute stroke rehabilitation in Japan. Methods The recommendations are based on the results of a survey on the current status of acute stroke rehabilitation at primary stroke centers in Japan, which was completed in 2022, and on a literature review conducted by the rehabilitation project team. Results The recommendations consist of 19 clinical questions regarding the following topics of acute stroke rehabilitation: (1) head elevation and mobilization training, (2) acute complications, (3) training time and frequency for acute stroke rehabilitation, (4) dysphagia in the acute phase, and (5) acute rehabilitation during pandemics of novel and re-emerging infections, particularly novel coronavirus disease 2019 (COVID-19). The team members agreed on all answers for these 19 clinical questions. Conclusions These recommendations suggest broad principles of rehabilitative intervention in the acute phase of stroke. In the near future, it is expected that the dissemination of these recommendations will result in an increase in the quality of acute stroke rehabilitation in Japan.
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Affiliation(s)
- Wataru Kakuda
- Department of Rehabilitation Medicine, International
University of Health and Welfare School of Medicine, Narita, Japan
| | - Makoto Nakajima
- Department of Neurology, Graduate School of Medical
Sciences, Kumamoto University, Kumamoto, Japan
| | - Koichi Oki
- Department of Neurology, Stroke Center, Tokyo Saiseikai
Central Hospital, Tokyo, Japan
| | - Tetsuo Koyama
- Department of Rehabilitation Medicine, Nishinomiya Kyoritsu
Neurosurgical Hospital, Nishinomiya, Japan
| | - Naoki Oyama
- Department of Stroke Medicine, Kawasaki Medical School,
Kurashiki, Japan
| | - Masatoshi Koga
- Department of Cerebrovascular Medicine, National Cerebral
and Cardiovascular Center, Osaka, Japan
| | - Makoto Hayase
- Department of Neurosurgery, National Hospital Organization
Kyoto Medical Center, Kyoto, Japan
| | - Tsuyoshi Ohta
- Department of Neurosurgery, Kobe City Medical Center General
Hospital, Kobe, Japan
| | - Yasuyuki Iguchi
- Department of Neurology, The Jikei University School of
Medicine, Tokyo, Japan
| | - Shigeru Fujimoto
- Division of Neurology, Department of Medicine, Jichi
Medical University, Tochigi, Japan
| | - Tomohiro Omori
- Division of Rehabilitation Medicine, International
University of Health and Welfare Narita Hospital, Narita, Japan
| | - Koichi Matsumoto
- Division of Rehabilitation Medicine, Tokyo General
Hospital, Tokyo, Japan
| | | | - Ryo Itabashi
- Stroke Center, Division of Neurology and Gerontology,
Department of Internal Medicine, Iwate Medical University School of Medicine, Morioka,
Japan
| | - Masachika Niimi
- Department of Rehabilitation Medicine, Nihon University
School of Medicine, Tokyo, Japan
| | - Hirokazu Ashiga
- Department of Speech and Hearing Sciences, School of Health
Sciences at Narita, International University of Health and Welfare, Narita, Japan
| | | | - Kuniaki Ogasawara
- Department of Neurosurgery, Iwate Medical University School
of Medicine, Morioka, Japan
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Nakajima M, Oki K, Omori T, Koyama T, Oyama N, Koga M, Hayase M, Ohta T, Matsumoto K, Iguchi Y, Fujimoto S, Kakuda W, Ogasawara K. A nationwide survey for the provision of acute stroke rehabilitation in Japan: initial dose and weekend/holiday rehabilitation. J Stroke Cerebrovasc Dis 2024; 33:107550. [PMID: 38142566 DOI: 10.1016/j.jstrokecerebrovasdis.2023.107550] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 12/14/2023] [Accepted: 12/20/2023] [Indexed: 12/26/2023] Open
Abstract
OBJECTIVES The early initiation of acute stroke rehabilitation with a sufficient dose, including at weekends/holidays, is important to improve functional outcome. We investigated the status of acute stroke rehabilitation in Japan by using a nationwide survey. MATERIALS AND METHODS Facility features, rehabilitation dose provided in the first week in each stroke subtype, and weekend/holiday rehabilitation were investigated by using the results of a web-based survey among primary stroke centers. The relationships between facility features and weekend/holiday rehabilitation were also analyzed. RESULTS A total of 639 stroke centers (66.6%) completed the questionnaire. The overall median dose was 2.0 (interquartile range, 1.7-3.0) U/day (1U = 20 min). After 7 days, the overall median dose increased to 4.0 (2.0-5.4) U/day. Almost 50% of facilities replied that they could not provide a sufficient dose of rehabilitation; the main reason was a lack of therapists (31%). For rehabilitation on long weekends, no rehabilitation was provided on 3-day weekends in 19% of facilities, and in 5% of facilities on ≥4-day weekends. The mean number of therapists was almost 50% less in the facilities that provided no rehabilitation on 3-day weekends compared to those that provided daily rehabilitation (19.4 vs. 36.2 therapists, respectively, p < 0.001). CONCLUSIONS In this survey, the provision of acute stroke rehabilitation, including non-working days, was clarified. According to the results, prospective interventional or observational studies are needed to design more effective rehabilitation programs to improve outcome. In particular, it is important to determine the optimal dose and intensity of acute stroke rehabilitation.
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Affiliation(s)
- Makoto Nakajima
- Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
| | - Koichi Oki
- Department of Neurology, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
| | - Tomohiro Omori
- Division of Rehabilitation Medicine, International University of Health and Welfare Narita Hospital, Japan.
| | - Tetsuo Koyama
- Department of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, Hyogo, Japan.
| | - Naoki Oyama
- Department of Stroke Medicine, Kawasaki Medical School, Kurashiki, Japan.
| | - Masatoshi Koga
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
| | - Makoto Hayase
- Department of Neurosurgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
| | - Tsuyoshi Ohta
- Department of Neurosurgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
| | - Koichi Matsumoto
- Division of Rehabilitation Medicine, General Tokyo Hospital, Japan.
| | - Yasuyuki Iguchi
- Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan.
| | - Shigeru Fujimoto
- Division of Neurology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan.
| | - Wataru Kakuda
- Rehabilitation Medicine, International University of Health and Welfare Narita Hospital, Chiba, Japan.
| | - Kuniaki Ogasawara
- Department of Neurosurgery, Iwate Medical University, Morioka, Japan.
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Harada S, Iida M, Miyagawa N, Hirata A, Kuwabara K, Matsumoto M, Okamura T, Edagawa S, Kawada Y, Miyake A, Toki R, Akiyama M, Kawai A, Sugiyama D, Sato Y, Takemura R, Fukai K, Ishibashi Y, Kato S, Kurihara A, Sata M, Shibuki T, Takeuchi A, Kohsaka S, Sawano M, Shoji S, Izawa Y, Katsumata M, Oki K, Takahashi S, Takizawa T, Maruya H, Nishiwaki Y, Kawasaki R, Hirayama A, Ishikawa T, Saito R, Sato A, Soga T, Sugimoto M, Tomita M, Komaki S, Ohmomo H, Ono K, Otsuka-Yamasaki Y, Shimizu A, Sutoh Y, Hozawa A, Kinoshita K, Koshiba S, Kumada K, Ogishima S, Sakurai-Yageta M, Tamiya G, Takebayashi T. Study Profile of the Tsuruoka Metabolomics Cohort Study (TMCS). J Epidemiol 2024:JE20230192. [PMID: 38191178 DOI: 10.2188/jea.je20230192] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2024] Open
Abstract
The Tsuruoka Metabolomics Cohort Study (TMCS) is an ongoing population-based cohort study being conducted in the rural area of Yamagata Prefecture, Japan. This study aimed to enhance the precision prevention of multi-factorial, complex diseases, including non-communicable and aging-associated diseases, by improving risk stratification and prediction measures. At baseline, 11,002 participants aged 35-74 years were recruited in Tsuruoka City, Yamagata Prefecture, Japan, between 2012 and 2015, with an ongoing follow-up survey. Participants underwent various measurements, examinations, tests, and questionnaires on their health, lifestyle, and social factors. This study used an integrative approach with deep molecular profiling to identify potential biomarkers linked to phenotypes that underpin disease pathophysiology and provide better mechanistic insights into social health determinants. The TMCS incorporates multi-omics data, including genetic and metabolomic analyses of 10,933 participants and comprehensive data collection ranging from physical, psychological, behavioral, and social to biological data. The metabolome is used as a phenotypic probe because it is sensitive to changes in physiological and external conditions. The TMCS focuses on collecting outcomes for cardiovascular disease, cancer incidence and mortality, disability, functional decline due to aging and disease sequelae, and the variation in health status within the body represented by omics analysis that lies between exposure and disease. It contains several sub-studies on aging, heated tobacco products, and women's health. This study is notable for its robust design, high participation rate (89%), and long-term repeated surveys. Moreover, it contributes to precision prevention in Japan and East Asia as a well-established multi-omics platform.
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Affiliation(s)
- Sei Harada
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
- Institute for Advanced Biosciences, Keio University
| | - Miho Iida
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
- Institute for Advanced Biosciences, Keio University
| | - Naoko Miyagawa
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Aya Hirata
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Kazuyo Kuwabara
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Minako Matsumoto
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Tomonori Okamura
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Shun Edagawa
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Yoko Kawada
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Atsuko Miyake
- Department of Obstetrics and Gynecology, Keio University School of Medicine
| | - Ryota Toki
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Miki Akiyama
- Institute for Advanced Biosciences, Keio University
- Faculty of Environment and Information Studies, Keio University
| | - Atsuki Kawai
- Institute for Advanced Biosciences, Keio University
| | - Daisuke Sugiyama
- Faculty of Nursing and Medical Care and Graduate School of Health Management, Keio University
| | - Yasunori Sato
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
- Biostatistics Unit, Clinical and Translational Research Center, Keio University Hospital
| | - Ryo Takemura
- Biostatistics Unit, Clinical and Translational Research Center, Keio University Hospital
| | - Kota Fukai
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Yoshiki Ishibashi
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Suzuka Kato
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Ayako Kurihara
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Mizuki Sata
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Takuma Shibuki
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Ayano Takeuchi
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
| | - Shun Kohsaka
- Department of Cardiology, Keio University School of Medicine
| | - Mitsuaki Sawano
- Department of Cardiology, Keio University School of Medicine
| | - Satoshi Shoji
- Department of Cardiology, Keio University School of Medicine
- Duke Clinical Research Institute
| | | | | | - Koichi Oki
- Department of Neurology, Keio University School of Medicine
- Department of Neurology, Tokyo Saiseikai Central Hospital
| | - Shinichi Takahashi
- Department of Neurology, Keio University School of Medicine
- Department of Neurology and Stroke, Saitama Medical University International Medical Center
| | | | | | - Yuji Nishiwaki
- Department of Environmental and Occupational Health, School of Medicine, Toho University
| | - Ryo Kawasaki
- Division of Public Health, Department of Social Medicine, Graduate School of Medicine, Osaka University
| | | | | | | | - Asako Sato
- Institute for Advanced Biosciences, Keio University
| | | | | | | | - Shohei Komaki
- Division of Biomedical Information Analysis, Institute for Biomedical Sciences of Iwate Medical University
- Division of Biomedical Information Analysis, Iwate Tohoku Medical Megabank Organization, Disaster Reconstruction Center, Iwate Medical University
| | - Hideki Ohmomo
- Division of Biomedical Information Analysis, Institute for Biomedical Sciences of Iwate Medical University
- Division of Biomedical Information Analysis, Iwate Tohoku Medical Megabank Organization, Disaster Reconstruction Center, Iwate Medical University
| | - Kanako Ono
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
- Division of Biomedical Information Analysis, Iwate Tohoku Medical Megabank Organization, Disaster Reconstruction Center, Iwate Medical University
| | - Yayoi Otsuka-Yamasaki
- Division of Biomedical Information Analysis, Institute for Biomedical Sciences of Iwate Medical University
- Division of Biomedical Information Analysis, Iwate Tohoku Medical Megabank Organization, Disaster Reconstruction Center, Iwate Medical University
| | - Atsushi Shimizu
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
- Division of Biomedical Information Analysis, Institute for Biomedical Sciences of Iwate Medical University
- Division of Biomedical Information Analysis, Iwate Tohoku Medical Megabank Organization, Disaster Reconstruction Center, Iwate Medical University
| | - Yoichi Sutoh
- Division of Biomedical Information Analysis, Institute for Biomedical Sciences of Iwate Medical University
- Division of Biomedical Information Analysis, Iwate Tohoku Medical Megabank Organization, Disaster Reconstruction Center, Iwate Medical University
| | - Atsushi Hozawa
- Tohoku Medical Megabank Organization, Tohoku University
- Graduate School of Medicine, Tohoku University
| | - Kengo Kinoshita
- Tohoku Medical Megabank Organization, Tohoku University
- Graduate School of Information Sciences, Tohoku University
- Advanced Research Center for Innovations in Next-Generation Medicine, Tohoku University
- Institute of Development, Aging and Cancer, Tohoku University
| | - Seizo Koshiba
- Tohoku Medical Megabank Organization, Tohoku University
| | - Kazuki Kumada
- Tohoku Medical Megabank Organization, Tohoku University
| | | | | | - Gen Tamiya
- Tohoku Medical Megabank Organization, Tohoku University
- Graduate School of Medicine, Tohoku University
- Center for Advanced Intelligence Project, RIKEN
| | - Toru Takebayashi
- Department of Preventive Medicine and Public Health, Keio University School of Medicine
- Institute for Advanced Biosciences, Keio University
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Uchiyama S, Suzuki-Inoue K, Wada H, Okada Y, Hirano T, Nagao T, Kinouchi H, Itabashi R, Hoshino H, Oki K, Honma Y, Ito N, Sugimori H, Kawamura M. Soluble C-type lectin-like receptor 2 in stroke (CLECSTRO) study: protocol of a multicentre, prospective cohort of a novel platelet activation marker in acute ischaemic stroke and transient ischaemic attack. BMJ Open 2023; 13:e073708. [PMID: 37723115 PMCID: PMC10510909 DOI: 10.1136/bmjopen-2023-073708] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 08/21/2023] [Indexed: 09/20/2023] Open
Abstract
INTRODUCTION Soluble C-type lectin-like receptor 2 (sCLEC-2) is a new biomarker for platelet activation, which can be easily measured by usual blood collection. We conducted the CLECSTRO, a prospective, observational cohort study, to evaluate the clinical implications of sCLEC-2 in patients with acute ischaemic stroke (AIS) and transient ischaemic attack (TIA). METHODS AND ANALYSIS The participants are patients with AIS/TIA and control patients required for differentiation from AIS/TIA. The target population is 600, including the patients and controls, who would be recruited from eight stroke centres across Japan. The inclusion criteria are AIS within 24 hours of onset and a modified Rankin Scale (mRS) score of 0-2, TIA within 7 days of onset, and contemporary patients required for differentiation from AIS/TIA. Plasma sCLEC-2 will be measured by high-sensitive chemiluminescent enzyme immunoassay using residual blood samples from routine laboratory examinations at the first visit in all patients and 7 days later or at discharge in patients with AIS/TIA. The outcomes include plasma levels of sCLEC-2 in patients with AIS/TIA and controls, sCLEC-2/D-dimer ratio in non-cardioembolic and cardioembolic AIS/TIA, correlation of sCLEC-2 with recurrence or worsening of stroke, severity of stroke, infarct size, ABCD2 score in TIA and outcome (mRS) at 7 days and 3 months. ETHICS AND DISSEMINATION This study was approved by the Ethical Committee of the University of Yamanashi as the central ethical committee in agreement with the ethical committees of all collaborative stroke centres. Informed consent will be obtained by an opt-out form from the patients at each stroke centre according to the Ethical Guidelines for Medical and Biological Research Involving Human Subjects by the Japanese Ministry of Health, Labour and Welfare. TRIAL REGISTRATION NUMBERS NCT05579405, UMIN000048954.
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Affiliation(s)
- Shinichiro Uchiyama
- Clinical Research Center for Medicine, International University of Health and Welfare, Tokyo, Japan
| | - Katsue Suzuki-Inoue
- Department of Clinical and Laboratory Medicine, University of Yamanashi, Chuo, Japan
| | - Hideo Wada
- Department of General and Laboratory Medicine, Mie Prefectural General Medical Centre, Yokkaichi, Japan
| | - Yasushi Okada
- Department of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Centre, Fukuoka, Japan
| | - Teruyuki Hirano
- Department of Stroke and Cerebrovascular Medicine, Kyorin University, Mitaka, Japan
| | - Takehiko Nagao
- Department of Neurology, Nippon Medical School Musashikosugi Hospital, Kawasaki, Japan
| | | | - Ryo Itabashi
- Division of Neurology & Gerontology, Iwate Medical University, Shiwa, Japan
| | - Haruhiko Hoshino
- Department of Neurology, Tokyo Saiseikai Central Hospital, Tokyo, Japan
| | - Koichi Oki
- Department of Neurology, Tokyo Saiseikai Central Hospital, Tokyo, Japan
| | - Yutaka Honma
- Department of Neurology, Showa General Hospital, Kodaira, Japan
| | - Nobuo Ito
- Department of Neurology, Mie Prefectural General Medical Centre, Yokkaichi, Japan
| | - Hiroshi Sugimori
- Department of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Centre, Fukuoka, Japan
| | - Masahide Kawamura
- Department of Research and Development, LSI Medience Corporation, Tokyo, Japan
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Oki K, Nakajima M, Koyama T, Oyama N, Koga M, Hayase M, Ohta T, Omori T, Matsumoto K, Iguchi Y, Fujimoto S, Kakuda W, Ogasawara K. Timing of Initiation of Acute Stroke Rehabilitation and Management Corresponding to Complications at Primary Stroke Centers in Japan: A Nationwide Cross-Sectional Web-Based Questionnaire Survey. Cerebrovasc Dis 2023; 53:125-135. [PMID: 37399792 DOI: 10.1159/000530873] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 03/04/2023] [Accepted: 04/22/2023] [Indexed: 07/05/2023] Open
Abstract
INTRODUCTION Many guidelines now recommend early rehabilitation for acute stroke patients. However, evidence remains lacking regarding the specific timings for initiation of various rehabilitation steps and management when complications are encountered in acute stroke rehabilitation. This survey aimed to investigate actual clinical situations in acute stroke rehabilitation in Japan and to improve the medical systems for rehabilitation and plan further studies. METHODS This nationwide, cross-sectional, web-based questionnaire survey was administered between February 7, 2022, and April 21, 2022, targeting all primary stroke centers (PSCs) in Japan. Among several components of the survey, this paper focused on the timing of the initiation of three rehabilitation steps (passive bed exercise; head elevation; and out-of-bed mobilization), along with the management of rehabilitation (continued or suspended) in the event of complications during acute stroke rehabilitation. We also investigated the influence of facility features on these contents. RESULTS Responses were obtained from 639 of the 959 PSCs surveyed (response rate: 66.6%). In cases of ischemic stroke and intracerebral hemorrhage, most PSCs initiated passive bed exercise on day 1, head elevation on day 1, and out-of-bed mobilization on day 2 (with day of admission defined as day 1). In cases with subarachnoid hemorrhage, rehabilitation steps were delayed compared to other stroke subtypes or showed wide variation depending on the facility. Passive bed exercise was accelerated by the presence of protocols for rehabilitation and weekend rehabilitation. Out-of-bed mobilization was accelerated by the presence of a stroke care unit. Facilities with board-certified rehabilitation doctors were cautious regarding the initiation of head elevation. Most PSCs suspended rehabilitation training in the event of symptomatic systemic/neurological complications. CONCLUSION Our survey revealed the actual situation of acute stroke rehabilitation in Japan and indicated that some facility features appear to influence early increases in physical activity levels and early mobilization. Our survey provides fundamental data to improve the medical systems for acute stroke rehabilitation in the future.
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Affiliation(s)
- Koichi Oki
- Department of Neurology, Tokyo Saiseikai Central Hospital, Tokyo, Japan
| | - Makoto Nakajima
- Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
| | - Tetsuo Koyama
- Department of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, Japan
| | - Naoki Oyama
- Department of Stroke Medicine, Kawasaki Medical School, Kurashiki, Japan
| | - Masatoshi Koga
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan
| | - Makoto Hayase
- Department of Neurosurgery, Japanese Red Cross Fukui Hospital, Fukui, Japan
| | - Tsuyoshi Ohta
- Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan
| | - Tomohiro Omori
- Division of Rehabilitation Medicine, International University of Health and Welfare Narita Hospital, Narita, Japan
| | - Koichi Matsumoto
- Division of Rehabilitation Medicine, General Tokyo Hospital, Tokyo, Japan
| | - Yasuyuki Iguchi
- Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan
| | - Shigeru Fujimoto
- Division of Neurology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan
| | - Wataru Kakuda
- Department of Rehabilitation Medicine, International University of Health and Welfare School of Medicine, Narita, Japan
| | - Kuniaki Ogasawara
- Department of Neurosurgery, Iwate Medical University, Morioka, Japan
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Shimohama S, Oki K, Narita H, Mashima K, Yamada S, Adachi T, Kobayashi Y, Hirose S, Hoshino H. Trousseau's Syndrome Presenting as Multiple Cerebral Infarctions Caused by Mucin-producing Bladder Micropapillary Urothelial Cancer. Intern Med 2022; 61:97-101. [PMID: 34176838 PMCID: PMC8810238 DOI: 10.2169/internalmedicine.7477-21] [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] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
We herein report a 70-year-old man with recurrent multiple cerebral infarctions under warfarin therapy who was finally diagnosed with Trousseau's syndrome resulting from advanced bladder cancer. A histological examination of the mesenteric lymph nodes revealed metastasis of micropapillary urothelial cancer with positive mucin markers CA125 and MUC1. Blood examinations also indicated elevated tumor markers, such as CA19-9 and CA125. To our knowledge, this is the first report of Trousseau's syndrome in a patient with bladder micropapillary urothelial cancer in which mucin involvement was clearly proven by histological and serological examinations.
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Affiliation(s)
- Sho Shimohama
- Department of Neurology, Tokyo Saiseikai Central Hospital, Japan
| | - Koichi Oki
- Department of Neurology, Tokyo Saiseikai Central Hospital, Japan
| | - Hidefumi Narita
- Department of Neurology, Tokyo Saiseikai Central Hospital, Japan
| | - Kyoko Mashima
- Department of Neurology, Tokyo Saiseikai Central Hospital, Japan
| | - Satoshi Yamada
- Department of Neurology, Tokyo Saiseikai Central Hospital, Japan
| | - Tomohide Adachi
- Department of Neurology, Tokyo Saiseikai Central Hospital, Japan
| | | | | | - Haruhiko Hoshino
- Department of Neurology, Tokyo Saiseikai Central Hospital, Japan
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8
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Ishioka K, Oki K, Hirose S, Oguri T, Sasada S, Murata S, Tsuchiya Y, Shigematsu L, Narita H, Adachi T, Fuji Y, Nakamura M, Kitano S, Kato K, Ohshima K, Takahashi S. Autopsy of a patient with fatal Epstein-Barr virus-associated encephalitis after treatment with immune checkpoint inhibitors for advanced lung adenocarcinoma: A case report. Current Problems in Cancer: Case Reports 2021. [DOI: 10.1016/j.cpccr.2021.100108] [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: 11/28/2022] Open
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9
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Sata M, Kakino A, Hirata A, Iida M, Usami Y, Harada S, Fujita Y, Kohsaka S, Izawa Y, Sawano M, Oki K, Sugiyama D, Takahashi S, Takebayashi T, Sawamura T, Okamura T. Serum modified high-density lipoprotein and risk of atherosclerotic cardiovascular disease in a Japanese community-based nested case-control study. Eur J Prev Cardiol 2021; 29:e193-e195. [PMID: 34472612 DOI: 10.1093/eurjpc/zwab142] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 06/30/2021] [Accepted: 08/11/2021] [Indexed: 11/13/2022]
Affiliation(s)
- Mizuki Sata
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Akemi Kakino
- Department of Molecular Pathophysiology, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.,Institute for Biomedical Sciences, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
| | - Aya Hirata
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Miho Iida
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Yoko Usami
- Department of Laboratory Medicine, Shinshu University Hospital, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
| | - Sei Harada
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Yoshiko Fujita
- Department of Molecular Pathophysiology, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
| | - Shun Kohsaka
- Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Yoshikane Izawa
- Department of Neurology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Mitsuaki Sawano
- Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Koichi Oki
- Department of Neurology, Tokyo Saiseikai Central Hospital, 1-4-17 Mita, Minato, Tokyo 108-0073, Japan
| | - Daisuke Sugiyama
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan.,Faculty of Nursing and Medical Care, Keio University, 4411 Endo, Fujisawa, Kanagawa 252-0883, Japan
| | - Shinichi Takahashi
- Department of Neurology and Stroke, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan
| | - Toru Takebayashi
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Tatsuya Sawamura
- Department of Molecular Pathophysiology, School of Medicine, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.,Institute for Biomedical Sciences, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
| | - Tomonori Okamura
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
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10
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Oguri T, Sasada S, Shimizu S, Shigematsu R, Tsuchiya Y, Ishioka K, Takahashi S, Oki K, Kimura Y, Seki R, Hirose S, Nakamura M. A Case of Guillain-Barré Syndrome and Stevens-Johnson Syndrome/Toxic Epidermal Necrosis Overlap After Pembrolizumab Treatment. J Investig Med High Impact Case Rep 2021; 9:23247096211037462. [PMID: 34344201 PMCID: PMC8358493 DOI: 10.1177/23247096211037462] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
A 76-year-old man was admitted to our hospital with Guillain-Barré syndrome (GBS), presenting with facial palsy, dysarthria, and dysphagia as Grade 3 immune-related adverse events (irAEs) due to pembrolizumab administration for Stage IV lung adenocarcinoma. Although prednisolone (1 mg/kg) was started for GBS due to the irAE, dark erythema and skin eruptions appeared on the patient's torso. Then erosion was observed on 18% of the body surface area and skin biopsy was performed. Finally, the patient was diagnosed with Stevens-Johnson syndrome/toxic epidermal necrosis overlap. Intravenous immunoglobulin therapy was started, and the skin symptoms improved, with the erosion becoming epithelial. He died of aspiration pneumonia related to GBS, although his neurological symptoms had improved after steroid and intravenous immunoglobulin therapy. This is the first reported case of pembrolizumab-induced GBS and Stevens-Johnson syndrome/toxic epidermal necrosis overlap. It is necessary to be careful that the possibility of other severe irAEs may occur simultaneously.
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Affiliation(s)
- Tomoyo Oguri
- Tokyo Saiseikai Central Hospital, Tokyo, Japan.,St Marianna University, Kawasaki, Kanagawa, Japan
| | | | | | | | | | | | | | - Koichi Oki
- Tokyo Saiseikai Central Hospital, Tokyo, Japan
| | | | - Reishi Seki
- Tokyo Saiseikai Central Hospital, Tokyo, Japan
| | | | - Morio Nakamura
- Tokyo Saiseikai Central Hospital, Tokyo, Japan.,National Hospital Organization Kanagawa Hospital, Kawasaki, Kanagawa, Japan
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11
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Wakabayashi T, Obara H, Seki M, Shinoda M, Kitago M, Yagi H, Abe Y, Matsubara K, Yamada Y, Oshima G, Oki K, Nagoshi N, Watanabe K, Hibi T, Itano O, Hoshino K, Suzuki N, Kuroda T, Kitagawa Y. Myelopathy due to human T-cell leukemia virus type-1 from the donor after ABO-incompatible liver transplantation. Ann Hepatol 2020; 18:397-401. [PMID: 31029562 DOI: 10.1016/j.aohep.2018.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Revised: 06/19/2018] [Accepted: 06/19/2018] [Indexed: 02/04/2023]
Abstract
We report the case of a 53-year-old-man who developed human T-cell leukemia virus type-1-associated myelopathy (HAM) after ABO-incompatible liver transplantation for alcoholic liver cirrhosis. The living donor was seropositive for human T-cell leukemia virus type-1 (HTLV-1) and the recipient was seronegative for HTLV-1 before transplantation. After transplantation, the recipient developed steroid-resistant acute cellular rejection, which was successfully treated using anti-thymocyte globulin, and he was eventually discharged. He underwent spinal surgery twice after the transplantation for the treatment of cervical spondylosis that had been present for a period of 9 months before the transplantation. The surgery improved his gait impairment temporarily. However, his gait impairment progressed, and magnetic resonance imaging revealed multiple sites of myelopathy. He was diagnosed with HAM 16 months after the transplantation. Pulse steroid therapy (1000mg) was administered over a period of 3 days, and his limb paresis improved. Presently, steroid therapy is being continued, with a plan to eventually taper the dose, and he is being carefully followed up at our institution. Our case suggests that liver transplantation involving an HTLV-1-positive living donor carries the risk of virus transmission and short-term development of HAM after transplantation.
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Affiliation(s)
- Taiga Wakabayashi
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Hideaki Obara
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
| | - Morinobu Seki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Masahiro Shinoda
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Minoru Kitago
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Hiroshi Yagi
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Yuta Abe
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Kentaro Matsubara
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Yohei Yamada
- Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Go Oshima
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Koichi Oki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Narihito Nagoshi
- Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Kota Watanabe
- Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Taizo Hibi
- Department of Transplantation and Pediatric Surgery, Kumamoto University, Kumamoto, Japan
| | - Osamu Itano
- Department of Hepato-Biliary-Pancreatic and Gastrointestinal Surgery, International University of Health and Welfare School of Medicine, Chiba, Japan
| | - Ken Hoshino
- Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Norihiro Suzuki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Tatsuo Kuroda
- Department of Pediatric Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Yuko Kitagawa
- Department of Surgery, Keio University School of Medicine, Tokyo, Japan
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12
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Iizuka T, Oki K, Hayashida K, Minami K, Izawa Y, Takahashi S, Shimizu H, Fukuda K, Nakahara J. Cerebral Infarction after Transcatheter Aortic Valve Implantation in Japan: Retrospective Analysis at a Single High-Volume Center. J Stroke Cerebrovasc Dis 2019; 28:104455. [PMID: 31680032 DOI: 10.1016/j.jstrokecerebrovasdis.2019.104455] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [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: 07/03/2019] [Revised: 09/24/2019] [Accepted: 09/27/2019] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Perioperative cerebral infarction is one of the concerning complications after transcatheter aortic valve implantation in patients with aortic stenosis. Several studies have reported on this complication; however, those included only Caucasians and analyzed a small number of cases. Here, we report on the characteristics and risk factors of symptomatic cerebral infarction after transcatheter aortic valve implantation in a single, high-volume center in Japan. METHODS We included 308 consecutive patients who underwent transcatheter aortic valve implantation in our facility between 2013 and 2016. We retrospectively analyzed the occurrence, characteristics, and prognoses of symptomatic cerebral infarction within 7 days after the procedure and statistically compared the risk factors between patients with or without cerebral infarction. RESULTS Five patients (1.6%) suffered from symptomatic cerebral infarction, which was usually recognized just after the procedure, with mild symptoms. Long-term prognoses tended to be good unless other factors influenced disability. Comorbidities, such as carotid artery stenosis and peripheral artery disease, were significantly higher in patients with cerebral infarction (P = .036 and .002, respectively); in addition, coronary artery disease and longer anesthesia duration (indicating challenging catheter procedures) tended to be associated with cerebral infarction (P = .080 and .069, respectively). CONCLUSIONS Symptomatic cerebral infarction occurred in 1.6% of patients after transcatheter aortic valve implantation in a single, high-volume center in Japan; the infarctions were of mild severity tending toward good long-term prognoses. We speculate arterial embolism from atherosclerotic large arteries, especially from the aortic arch, during catheter procedures might be the mechanistic basis of cerebral infarction.
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Affiliation(s)
- Takashi Iizuka
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Koichi Oki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan; Department of Neurology, Saiseikai Central Hospital, Tokyo, Japan.
| | - Kentaro Hayashida
- Department of Cardiology, Keio University School of Medicine, Tokyo, Japan
| | - Kazushi Minami
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Yoshikane Izawa
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Shinichi Takahashi
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan; Department of Neurology and Stroke, Saitama Medical University International Medical Center, Saitama, Japan
| | - Hideyuki Shimizu
- Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Keiichi Fukuda
- Department of Cardiology, Keio University School of Medicine, Tokyo, Japan
| | - Jin Nakahara
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
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13
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Murata S, Takahashi S, Kunieda H, Oki K, Nakamura M. A case of central neurogenic hyperventilation without tachypnoea. Respirol Case Rep 2019; 7:e00462. [PMID: 31346469 PMCID: PMC6635121 DOI: 10.1002/rcr2.462] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 06/12/2019] [Accepted: 06/18/2019] [Indexed: 11/13/2022] Open
Abstract
Central neurogenic hyperventilation (CNH) is a rare condition, with 37 cases reported in the literature to date. The underlying mechanisms remain unclear. Primary central nervous system lymphoma (PCNSL) is the most common cause of CNH, with 17 cases reported so far. Among these, CNH was usually accompanied by tachypnoea. Only two cases, including the present case, showed CNH with normal respiratory rate. Here, we present a case of PCNSL-induced CNH in a 60-year-old man. Magnetic resonance imaging of the brain demonstrated hyperintensity of the left cerebral cortex, basal ganglia, corona radiata, midbrain, and ventral pons on fluid-attenuated inversion recovery. The patient complained of dyspnoea and showed hyperventilation without tachypnoea on admission or during hospitalization. Examining CNH cases without tachypnoea and comparing those cases to cases of CNH with tachypnoea might provide new insights into the mechanisms of CNH. Moreover, it should be remembered that CNH can occur without tachypnoea.
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Affiliation(s)
- Saori Murata
- Department of Pulmonary MedicineTokyo Saiseikai Central HospitalTokyoJapan
| | - Saeko Takahashi
- Department of Pulmonary MedicineTokyo Saiseikai Central HospitalTokyoJapan
| | - Hisako Kunieda
- Department of Hematology and OncologyTokyo Saiseikai Central HospitalTokyoJapan
| | - Koichi Oki
- Department of NeurologyTokyo Saiseikai Central HospitalTokyoJapan
| | - Morio Nakamura
- Department of Pulmonary MedicineTokyo Saiseikai Central HospitalTokyoJapan
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14
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Shibaki R, Murakami S, Oki K, Ohe Y. Nivolumab-induced autoimmune encephalitis in an anti-neuronal autoantibody-positive patient. Jpn J Clin Oncol 2019; 49:793-794. [DOI: 10.1093/jjco/hyz087] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Revised: 05/06/2019] [Accepted: 05/23/2019] [Indexed: 11/13/2022] Open
Affiliation(s)
- Ryota Shibaki
- Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Shuji Murakami
- Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Koichi Oki
- Department of Neurology, Tokyo Saiseikai Central Hospital, Tokyo, Japan
| | - Yuichiro Ohe
- Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan
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15
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Oki K, Katsumata M, Izawa Y, Takahashi S, Suzuki N, Houkin K. Trends of Antiplatelet Therapy for the Management of Moyamoya Disease in Japan: Results of a Nationwide Survey. J Stroke Cerebrovasc Dis 2018; 27:3605-3612. [PMID: 30220629 DOI: 10.1016/j.jstrokecerebrovasdis.2018.08.030] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [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: 04/19/2018] [Revised: 07/10/2018] [Accepted: 08/16/2018] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND The efficacy and safety of antiplatelet drugs in the treatment of moyamoya disease remain unclear. This study reports results of a nationwide survey conducted in 2016 on the trends of antiplatelet therapy for moyamoya disease in Japan. METHODS Data were obtained through questionnaires related to treatment policies regarding antiplatelet drugs from each specialized stroke management department of 765 hospitals in Japan. Data were also compared between experienced facilities (defined as facilities managing more than 10 cases per year) and those less experienced (not more than 10 cases per year) to determine experts' opinion. RESULTS Of the 389 departments in 375 hospitals that responded, 330 departments provided medical care for moyamoya disease. Regarding ischemic stroke, numerous departments considered the use of antiplatelet drugs "in principle" (218 departments). After surgery for ischemic moyamoya disease, the use of antiplatelet drugs for a certain period of time was the most popular opinion (74 departments). Regarding asymptomatic moyamoya disease, majority departments reported no use of APDs "in principle" (256 departments). The experienced facilities reported "no use of antiplatelet drugs" more frequently than those less experienced for treating asymptomatic moyamoya disease. In moyamoya disease, aspirin was the most commonly used antiplatelet drugs followed by cilostazol and clopidogrel. CONCLUSIONS This survey revealed details of treatment policies, and the selection of antiplatelet drugs widely varied across facilities. Further prospective studies are necessary to improve the current unclear situation regarding the use of antiplatelet drugs for the management of moyamoya disease.
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Affiliation(s)
- Koichi Oki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan.
| | - Masahiro Katsumata
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Yoshikane Izawa
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Shinichi Takahashi
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Norihiro Suzuki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Kiyohiro Houkin
- Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Tokyo, Japan
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16
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Minami K, Takahashi S, Nihei Y, Oki K, Suzuki S, Ito D, Takashima H, Suzuki N. The First Report of a Japanese Case of Seipinopathy with a BSCL2 N88S Mutation. Intern Med 2018; 57:613-615. [PMID: 29269637 PMCID: PMC5849563 DOI: 10.2169/internalmedicine.8765-16] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Seipinopathy is an autosomal dominant neurodegenerative disease caused by mutations of the Berardinelli-Seip Congenital Lipodystrophy 2 (BSCL2) gene. We report the first Japanese case of seipinopathy with a heterozygous mutation of p.N88S in the BSCL2 gene. The patient showed bilateral hyperreflexia of the biceps, triceps, brachioradialis, and knee, as well as the pes cavus and distal dominant weakness and atrophy of both arms and legs, suggesting the involvement of both upper and lower motor neurons. Mutations of the BSCL2 gene have been known to cause motor neuron degeneration through endoplasmic reticulum stress. Seipinopathy should be considered in patients with symptoms mimicking amyotrophic lateral sclerosis.
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Affiliation(s)
- Kazushi Minami
- Department of Neurology, Keio University School of Medicine, Japan
| | | | - Yoshihiro Nihei
- Department of Neurology, Keio University School of Medicine, Japan
| | - Koichi Oki
- Department of Neurology, Keio University School of Medicine, Japan
| | - Shigeaki Suzuki
- Department of Neurology, Keio University School of Medicine, Japan
| | - Daisuke Ito
- Department of Neurology, Keio University School of Medicine, Japan
| | - Hiroshi Takashima
- Department of Neurology and Geriatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Japan
| | - Norihiro Suzuki
- Department of Neurology, Keio University School of Medicine, Japan
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17
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Tsukada N, Katsumata M, Oki K, Minami K, Abe T, Takahashi S, Itoh Y, Suzuki N. Diameter of fluorescent microspheres determines their distribution throughout the cortical watershed area in mice. Brain Res 2018; 1679:109-115. [PMID: 29203170 DOI: 10.1016/j.brainres.2017.11.028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Revised: 11/06/2017] [Accepted: 11/28/2017] [Indexed: 10/18/2022]
Abstract
A hemodynamic mechanism has long been assumed to play an important role in watershed infarction. In recent years, however, clinical evidence has indicated that an embolic mechanism is involved. The mechanism by which emboli are trapped preferentially in watershed areas remains unclear. In the present study, we developed a mouse embolus model using fluorescent microspheres with different diameters and evaluated the role of the microspheres' diameters in the generation of a watershed-patterned distribution. We injected fluorescent microspheres of four different diameters (i.e., 13, 24, 40, and 69 μm) into the internal carotid artery of C57BL/6 mice either (1) without ligation of the common carotid artery (normal perfusion pressure model: NPPM) or (2) with ligation of the common carotid artery (low perfusion pressure model: LPPM). Left common carotid artery ligation induced reductions in local cerebral blood flow in both the periphery and the core area of the left middle cerebral artery. A greater reduction in the border-zone area between the left anterior cerebral artery and the middle cerebral artery was also noted. After 24 h, the brains were removed and the distribution of the microspheres in the brain was evaluated using a fluorescence microscope. The 24-μm microspheres were distributed in the watershed area more frequently than the other microsphere sizes (P < .05, ANOVA followed by Tukey's test). Meanwhile, the distribution rates were similar between the NPPM and LPPM models for all microsphere sizes. This study suggested that the distribution pattern of the microspheres was only affected by the microspheres' diameters.
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Affiliation(s)
- Naoki Tsukada
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Masahiro Katsumata
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Koichi Oki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Kazushi Minami
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Takato Abe
- Department of Neurology, Graduate School of Medicine, Osaka City University, Osaka, Japan
| | - Shinichi Takahashi
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan.
| | - Yoshiaki Itoh
- Department of Neurology, Graduate School of Medicine, Osaka City University, Osaka, Japan
| | - Norihiro Suzuki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
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18
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Imai T, Ichimura M, Nakashima Y, Sakamoto M, Katanuma I, Yoshikawa M, Kariya T, Hirata M, Kohagura J, Minami R, Numakura T, Ikezoe R, Oki K, Sakamoto K. GAMMA 10/PDX Project Status and Future. Fusion Science and Technology 2017. [DOI: 10.13182/fst13-1t29] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- T. Imai
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - M. Ichimura
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - Y. Nakashima
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - M. Sakamoto
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - I. Katanuma
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - M. Yoshikawa
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - T. Kariya
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - M. Hirata
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - J. Kohagura
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - R. Minami
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - T. Numakura
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - R. Ikezoe
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - K. Oki
- Plasma Research Center, University of Tsukuba, 305-8577 Tsukuba, Japan
| | - K. Sakamoto
- Japan Atomic Energy Research Institute(JAEA), Naka, Japan
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19
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Nakashima Y, Sakamoto M, Takeda H, Ichimura K, Hosoi K, Oki K, Yoshikawa M, Nishino N, Matsuura H, Hirata M, Ichimura M, Kariya T, Katanuma I, Kohagura J, Minami R, Numakura T, Ikezoe R, Akabane Y, Kigure S, Nagatsuka Y, Takahashi S, Ueda H, Imai T. First Results and Future Research Plan of Divertor Simulation Experiments Using D-Module in the End-Cell of the GAMMA 10/PDX Tandem Mirror. Fusion Science and Technology 2017. [DOI: 10.13182/fst13-a16881] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Y. Nakashima
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - M. Sakamoto
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - H. Takeda
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - K. Ichimura
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - K. Hosoi
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - K. Oki
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - M. Yoshikawa
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - N. Nishino
- Graduate school of Engineering, Hiroshima University, Hiroshima 739-8527, Japan
| | - H. Matsuura
- Radiation Research Center, Osaka Prefecture University, Osaka 599-8570, Japan
| | - M. Hirata
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - M. Ichimura
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - T. Kariya
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - I. Katanuma
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - J. Kohagura
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - R. Minami
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - T. Numakura
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - R. Ikezoe
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - Y. Akabane
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - S. Kigure
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - Y. Nagatsuka
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - S. Takahashi
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - H. Ueda
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
| | - T. Imai
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 3005-8577, Japan
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20
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Sakamoto M, Oki K, Nakashima Y, Akabane Y, Nagatsuka Y, Yoshikawa M, Nohara R, Hosoi K, Takeda H, Ichimura K, Kohagura J, Yoshikawa M, Ichimura M, Imai T. Plasma Characterization in Divertor Simulation Experiments with a V-Shaped Target on GAMMA 10/PDX. Fusion Science and Technology 2017. [DOI: 10.13182/fst13-a16902] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- M. Sakamoto
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Oki
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - Y. Nakashima
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - Y. Akabane
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - Y. Nagatsuka
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - R. Nohara
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Hosoi
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - H. Takeda
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Ichimura
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - J. Kohagura
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Ichimura
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
| | - T. Imai
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki 305-8577, Japan
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21
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Oki K, Sanpei A, Himura H, Masamune S. Dependence of Properties of Quasi-Single-Helicity States on Field Reversal Parameter in a Low-Aspect-Ratio Reversed Field Pinch. Fusion Science and Technology 2017. [DOI: 10.13182/fst13-a16963] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- K. Oki
- Plasma Research Center, University of Tsukuba, Tsukuba, Ibaraki, 305-8577, Japan
| | - A. Sanpei
- Kyoto Institute of Technology, Kyoto, 606-8585, Japan
| | - H. Himura
- Kyoto Institute of Technology, Kyoto, 606-8585, Japan
| | - S. Masamune
- Kyoto Institute of Technology, Kyoto, 606-8585, Japan
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22
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Nakashima Y, Sakamoto M, Takeda H, Ichimura K, Hosoda Y, Iwamoto M, Shimizu K, Hosoi K, Oki K, Yoshikawa M, Hirata M, Ikezoe R, Imai T, Kariya T, Katanuma I, Kohagura J, Minami R, Numakura T, Wang X, Ichimura M. Recent Results of Divertor Simulation Experiments Using D-Module in the GAMMA 10/PDX Tandem Mirror. Fusion Science and Technology 2017. [DOI: 10.13182/fst14-882] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Y. Nakashima
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Sakamoto
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - H. Takeda
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Ichimura
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - Y. Hosoda
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Iwamoto
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Shimizu
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Hosoi
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Oki
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Hirata
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - R. Ikezoe
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - T. Imai
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - T. Kariya
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - I. Katanuma
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - J. Kohagura
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - R. Minami
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - T. Numakura
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - X. Wang
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Ichimura
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki 305-8577, Japan
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23
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Shimizu K, Nakashima Y, Hosoda Y, Ichimura K, Takeda H, Iwamoto M, Oki K, Sakamoto M, Imai T, Ichimura M. Spectroscopic Measurements in the Experiments of Gas Injection to the Divertor Simulation Experimental Module of GAMMA 10/PDX. Fusion Science and Technology 2017. [DOI: 10.13182/fst14-881] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- K. Shimizu
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - Y. Nakashima
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - Y. Hosoda
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - K. Ichimura
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - H. Takeda
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - M. Iwamoto
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - K. Oki
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - M. Sakamoto
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - T. Imai
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - M. Ichimura
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
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24
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Sumida S, Ichimura M, Yokoyama T, Hirata M, Ikezoe R, Iwamoto Y, Okada T, Takeyama K, Jang S, Sakamoto M, Nakashima Y, Yoshikawa M, Minami R, Oki K, Mizuguchi M, Ichimura K. High-Density Plasma Production in the GAMMA 10 Central Cell with ICRF Heating on Both Anchor Cells. Fusion Science and Technology 2017. [DOI: 10.13182/fst14-890] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- S. Sumida
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - M. Ichimura
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - T. Yokoyama
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - M. Hirata
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - R. Ikezoe
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - Y. Iwamoto
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - T. Okada
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - K. Takeyama
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - S. Jang
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - M. Sakamoto
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - Y. Nakashima
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - R. Minami
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - K. Oki
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - M. Mizuguchi
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
| | - K. Ichimura
- University of Tsukuba, Plasma Research Center, Tsukuba, Japan
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25
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Wang X, Kanno S, Kohagura J, Yoshikawa M, Shima Y, Nakashima Y, Sakamoto M, Oki K, Imai T, Ichimura M, Nagayama Y, Kuwahara D, Mase A. A Novel Frequency-Multiplied Interferometer System with 1-D Horn-Antenna Mixer Array in the GAMMA 10/PDX End Divertor Module. Fusion Science and Technology 2017. [DOI: 10.13182/fst14-877] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- X. Wang
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - S. Kanno
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - J. Kohagura
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - Y. Shima
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - Y. Nakashima
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - M. Sakamoto
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - K. Oki
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - T. Imai
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - M. Ichimura
- University of Tsukuba, Plasma Research Center, Tsukuba, Ibaraki, Japan
| | - Y. Nagayama
- National Institute for Fusion Science, Toki, Gifu, Japan
| | - D. Kuwahara
- Tokyo University of Agriculture and Technology, Koganei, Tokyo, Japan
| | - A. Mase
- Kyushu University, KASTEC, Kasuga, Fukuoka, Japan
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26
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Yamasaki Y, Kuwatsuru R, Tsukiyama Y, Oki K, Koyano K. Objective assessment of mastication predominance in healthy dentate subjects and patients with unilateral posterior missing teeth. J Oral Rehabil 2016; 43:575-82. [DOI: 10.1111/joor.12403] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/27/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Y. Yamasaki
- Section of Implant and Rehabilitative Dentistry; Division of Oral Rehabilitation; Faculty of Dental Science; Kyushu University; Fukuoka Japan
| | - R. Kuwatsuru
- Section of Implant and Rehabilitative Dentistry; Division of Oral Rehabilitation; Faculty of Dental Science; Kyushu University; Fukuoka Japan
| | - Y. Tsukiyama
- Section of Implant and Rehabilitative Dentistry; Division of Oral Rehabilitation; Faculty of Dental Science; Kyushu University; Fukuoka Japan
| | - K. Oki
- Section of Implant and Rehabilitative Dentistry; Division of Oral Rehabilitation; Faculty of Dental Science; Kyushu University; Fukuoka Japan
| | - K. Koyano
- Section of Implant and Rehabilitative Dentistry; Division of Oral Rehabilitation; Faculty of Dental Science; Kyushu University; Fukuoka Japan
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Matsuzawa Y, Kamezaki N, Ishihara T, Omuta K, Takeshita H, Goto K, Arata T, Honda H, Kameda K, Kashima Y, Kayo M, Kawazu I, Kodama J, Kumazawa Y, Kuroyanagi K, Mizobuchi K, Mizuno K, Oki K, Watanabe KK, Yamamoto A, Yamashita Y, Yamato T, Hamabata T, Ishizaki A, Dutton PH. Fine-scale genetic population structure of loggerhead turtles in the Northwest Pacific. ENDANGER SPECIES RES 2016. [DOI: 10.3354/esr00724] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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28
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Yamada S, Oki K, Itoh Y, Kuroda S, Houkin K, Tominaga T, Miyamoto S, Hashimoto N, Suzuki N. Effects of Surgery and Antiplatelet Therapy in Ten-Year Follow-Up from the Registry Study of Research Committee on Moyamoya Disease in Japan. J Stroke Cerebrovasc Dis 2015; 25:340-9. [PMID: 26654669 DOI: 10.1016/j.jstrokecerebrovasdis.2015.10.003] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Revised: 09/21/2015] [Accepted: 10/03/2015] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Despite the common practice of surgery and antiplatelet therapy for the prevention of recurrent stroke in patients with moyamoya disease, the benefit of these treatments is controversial. We analyzed the stroke recurrence rate in the Registry Study of Research Committee on Moyamoya Disease in Japan funded by the Health, Labor and Welfare Ministry of Japan. METHODS An annual follow-up study of the registered cases was continued for 10 years. The rate of recurrent stroke, including cerebral infarction and hemorrhage but not transient ischemic attack and seizure, was evaluated with Kaplan-Meier analysis. RESULTS The proportion of childhood-onset cases decreased in recently registered cases (within 10 years, n = 541) compared to remote cases (> 10 years, n = 735). Among types at disease onset in adult-onset cases, intracerebral hemorrhage decreased recently. In recent cases, the rate of subsequent cerebral hemorrhage was much higher in the hemorrhagic group (10.9 ± 3.3%/5 years) than in the ischemic group (2.0 ± .9%/5 years). The recurrence rate of cerebral infarction was lower in the surgery group (1.8 ± .9%/5 years) than in the nonsurgery group (3.8 ± 2.2%/5 years). In the adult-onset ischemic group, the proportion of surgically treated patients increased and their recurrence rate was lower than that of nonsurgery patients. In the ischemic group, the rate of cerebral infarction was not significantly different between the antiplatelet subgroup and the non-antiplatelet subgroup, whereas the rate of cerebral hemorrhage was higher in the non-antiplatelet subgroup than in the antiplatelet subgroup. CONCLUSIONS Our results suggest revascularization surgery may suppress recurrent ischemic attacks in patients with moyamoya disease.
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Affiliation(s)
- Satoshi Yamada
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Koichi Oki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Yoshiaki Itoh
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan; Department of Neurology, Osaka City University Graduate School of Medicine, Osaka, Japan.
| | - Satoshi Kuroda
- Department of Neurosurgery, Toyama University, Toyma, Japan
| | - Kiyohiro Houkin
- Department of Neurosurgery, Hokkaido University, Sapporo, Japan
| | - Teiji Tominaga
- Department of Neurosurgery, Tohoku University, Sendai, Japan
| | | | | | - Norihiro Suzuki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
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29
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Katsumata M, Oki K, Nakahara J, Izawa Y, Abe T, Takahashi S, Suzuki N. Ipsilateral Facial Tactile Hypesthesia in a Patient with Lateral Medullary Syndrome. J Stroke Cerebrovasc Dis 2015; 24:e315-7. [DOI: 10.1016/j.jstrokecerebrovasdis.2015.07.027] [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] [Received: 06/13/2015] [Revised: 07/27/2015] [Accepted: 07/30/2015] [Indexed: 10/23/2022] Open
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30
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Abbasi R, Abe M, Abu-Zayyad T, Allen M, Azuma R, Barcikowski E, Belz J, Bergman D, Blake S, Cady R, Chae M, Cheon B, Chiba J, Chikawa M, Cho W, Fujii T, Fukushima M, Goto T, Hanlon W, Hayashi Y, Hayashida N, Hibino K, Honda K, Ikeda D, Inoue N, Ishii T, Ishimori R, Ito H, Ivanov D, Jui C, Kadota K, Kakimoto F, Kalashev O, Kasahara K, Kawai H, Kawakami S, Kawana S, Kawata K, Kido E, Kim H, Kim J, Kim J, Kitamura S, Kitamura Y, Kuzmin V, Kwon Y, Lan J, Lim S, Lundquist J, Machida K, Martens K, Matsuda T, Matsuyama T, Matthews J, Minamino M, Mukai Y, Myers I, Nagasawa K, Nagataki S, Nakamura T, Nonaka T, Nozato A, Ogio S, Ogura J, Ohnishi M, Ohoka H, Oki K, Okuda T, Ono M, Oshima A, Ozawa S, Park I, Pshirkov M, Rodriguez D, Rubtsov G, Ryu D, Sagawa H, Sakurai N, Scott L, Shah P, Shibata F, Shibata T, Shimodaira H, Shin B, Shin H, Smith J, Sokolsky P, Springer R, Stokes B, Stratton S, Stroman T, Suzawa T, Takamura M, Takeda M, Takeishi R, Taketa A, Takita M, Tameda Y, Tanaka H, Tanaka K, Tanaka M, Thomas S, Thomson G, Tinyakov P, Tkachev I, Tokuno H, Tomida T, Troitsky S, Tsunesada Y, Tsutsumi K, Uchihori Y, Udo S, Urban F, Vasiloff G, Wong T, Yamane R, Yamaoka H, Yamazaki K, Yang J, Yashiro K, Yoneda Y, Yoshida S, Yoshii H, Zollinger R, Zundel Z. Measurement of the proton-air cross section with Telescope Array’s Middle Drum detector and surface array in hybrid mode. Int J Clin Exp Med 2015. [DOI: 10.1103/physrevd.92.032007] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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31
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Nojiri K, Sakamoto M, Oki K, Yoshikawa M, Nakashima Y, Yoshikawa M, Terakado A, Nohara R, Mizuguchi M, Imai T, Ichimura M. Relation between Electron Density and Temperature of Divertor Simulation Plasma and Upstream Plasma in GAMMA 10/PDX. Fusion Science and Technology 2015. [DOI: 10.13182/fst14-893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- K. Nojiri
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Sakamoto
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Oki
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - Y. Nakashima
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - A. Terakado
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - R. Nohara
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Mizuguchi
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - T. Imai
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Ichimura
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
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32
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Oki K, Sakamoto M, Nakashima Y, Yoshikawa M, Nohara R, Nojiri K, Terakado A, Mizuguchi M, Ichimura K, Takeda H, Iwamoto M, Hosoda Y, Shimizu K, Yoshikawa M, Kohagura J, Imai T, Ichimura M. Electron Temperature and Density Distributions in a Divertor Simulation Experimental Module with Gas Injection in GAMMA 10/PDX. Fusion Science and Technology 2015. [DOI: 10.13182/fst14-896] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- K. Oki
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Sakamoto
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - Y. Nakashima
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - R. Nohara
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Nojiri
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - A. Terakado
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Mizuguchi
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Ichimura
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - H. Takeda
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Iwamoto
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - Y. Hosoda
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - K. Shimizu
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - J. Kohagura
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - T. Imai
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - M. Ichimura
- University of Tsukuba, Plasma Research Center, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
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Tanaka H, Sakamoto M, Furutachi K, Oki K, Mizuguchi M, Nagatsuka Y, Yoshikawa M, Nohara R, Yoshikawa M, Kohagura J, Ohno N, Tsuji Y. Correlation Analysis of 3–4 Kilohertz Core and Edge Density Fluctuations in the GAMMA 10 Tandem Mirror Device. Fusion Science and Technology 2015. [DOI: 10.13182/fst14-874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- H. Tanaka
- National Institute for Fusion Science, 322-6 Orochi-cho, Toki 509-5292, Japan
| | - M. Sakamoto
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - K. Furutachi
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - K. Oki
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - M. Mizuguchi
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - Y. Nagatsuka
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - R. Nohara
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - M. Yoshikawa
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - J. Kohagura
- University of Tsukuba, Plasma Research Center, Ibaraki 305-8577, Japan
| | - N. Ohno
- Nagoya University, Graduate School of Engineering, Furo-cho, Nagoya 464-8603, Japan
| | - Y. Tsuji
- Nagoya University, Graduate School of Engineering, Furo-cho, Nagoya 464-8603, Japan
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Oki K. [Regenerative medicine for ischemic stroke]. Nihon Rinsho 2015; 73 Suppl 5:261-264. [PMID: 30457809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
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35
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Tatarishvili J, Oki K, Monni E, Koch P, Memanishvili T, Buga AM, Verma V, Popa-Wagner A, Brüstle O, Lindvall O, Kokaia Z. Human induced pluripotent stem cells improve recovery in stroke-injured aged rats. Restor Neurol Neurosci 2015; 32:547-58. [PMID: 24916776 DOI: 10.3233/rnn-140404] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE Induced pluripotent stem cells (iPSCs) improve behavior and form neurons after implantation into the stroke-injured adult rodent brain. How the aged brain responds to grafted iPSCs is unknown. We determined survival and differentiation of grafted human fibroblast-derived iPSCs and their ability to improve recovery in aged rats after stroke. METHODS Twenty-four months old rats were subjected to 30 min distal middle cerebral artery occlusion causing neocortical damage. After 48 h, animals were transplanted intracortically with human iPSC-derived long-term neuroepithelial-like stem (hiPSC-lt-NES) cells. Controls were subjected to stroke and were vehicle-injected. RESULTS Cell-grafted animals performed better than vehicle-injected recipients in cylinder test at 4 and 7 weeks. At 8 weeks, cell proliferation was low (0.7 %) and number of hiPSC-lt-NES cells corresponded to 49.2% of that of implanted cells. Transplanted cells expressed markers of neuroblasts and mature and GABAergic neurons. Cell-grafted rats exhibited less activated microglia/macrophages in injured cortex and neuronal loss was mitigated. CONCLUSIONS Our study provides the first evidence that grafted human iPSCs survive, differentiate to neurons and ameliorate functional deficits in stroke-injured aged brain.
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Affiliation(s)
- Jemal Tatarishvili
- Laboratory of Stem Cells and Restorative Neurology, Lund Stem Cell Center, University Hospital, Lund, Sweden
| | - Koichi Oki
- Laboratory of Stem Cells and Restorative Neurology, Lund Stem Cell Center, University Hospital, Lund, Sweden
| | - Emanuela Monni
- Laboratory of Stem Cells and Restorative Neurology, Lund Stem Cell Center, University Hospital, Lund, Sweden
| | - Philipp Koch
- Institute of Reconstructive Neurobiology, Life & Brain Center, University of Bonn and Hertie Fundation, Bonn, Germany
| | - Tamar Memanishvili
- Laboratory of Stem Cells and Restorative Neurology, Lund Stem Cell Center, University Hospital, Lund, Sweden I. Javakhishvili Tbilisi State University, Tbilisi, Georgia
| | - Ana-Maria Buga
- Department of Psychiatry and Molecular Psychiatry, Rostock University Medical School, Rostock, Germany
| | - Vivek Verma
- Laboratory of Stem Cells and Restorative Neurology, Lund Stem Cell Center, University Hospital, Lund, Sweden
| | - Aurel Popa-Wagner
- Department of Psychiatry and Molecular Psychiatry, Rostock University Medical School, Rostock, Germany
| | - Oliver Brüstle
- Institute of Reconstructive Neurobiology, Life & Brain Center, University of Bonn and Hertie Fundation, Bonn, Germany
| | - Olle Lindvall
- Laboratory of Stem Cells and Restorative Neurology, Lund Stem Cell Center, University Hospital, Lund, Sweden
| | - Zaal Kokaia
- Laboratory of Stem Cells and Restorative Neurology, Lund Stem Cell Center, University Hospital, Lund, Sweden
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Yano J, Shirahige C, Oki K, Oisaka N, Kumakura I, Tsubahara A, Minagi S. Effect of visual biofeedback of posterior tongue movement on articulation rehabilitation in dysarthria patients. J Oral Rehabil 2015; 42:571-9. [DOI: 10.1111/joor.12293] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2015] [Indexed: 11/29/2022]
Affiliation(s)
- J. Yano
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
- Department of Speech-Language-Hearing Therapy; Rehabilitation Center; Kawasaki Medical School Hospital; Kurashiki Japan
| | - C. Shirahige
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
| | - K. Oki
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
| | - N. Oisaka
- Oisaka Electronic Device Ltd; Fukuyama Japan
| | - I. Kumakura
- Department of Sensory Science; Faculty of Health Science and Technology; Kawasaki University of Medical Welfare; Kurashiki Japan
| | - A. Tsubahara
- Kawasaki University of Medical Welfare; Kurashiki Japan
| | - S. Minagi
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
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Yagi T, Shihashi G, Oki K, Suzuki S, Shinoda M, Itano O, Kitagawa Y, Suzuki N. Metronidazole‐induced encephalopathy and myoclonus: Case report and a review of the literature. ACTA ACUST UNITED AC 2015. [DOI: 10.1111/ncn3.161] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Takuya Yagi
- Department of Neurology Keio University School of Medicine Tokyo Japan
| | - Gen Shihashi
- Department of Neurology Keio University School of Medicine Tokyo Japan
| | - Koichi Oki
- Department of Neurology Keio University School of Medicine Tokyo Japan
| | - Shigeaki Suzuki
- Department of Neurology Keio University School of Medicine Tokyo Japan
| | - Masahiro Shinoda
- Department of Surgery Keio University School of Medicine Tokyo Japan
| | - Osamu Itano
- Department of Surgery Keio University School of Medicine Tokyo Japan
| | - Yuko Kitagawa
- Department of Surgery Keio University School of Medicine Tokyo Japan
| | - Norihiro Suzuki
- Department of Neurology Keio University School of Medicine Tokyo Japan
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Osaka M, Shibata M, Oki K, Yamada S, Kufukihara K, Akiyama T, Yoshida K, Suzuki N. Clinical utility of triptans in the management of headache attributed to dural arteriovenous fistula involving the cavernous sinus. J Neurol Sci 2015; 349:260-1. [PMID: 25601770 DOI: 10.1016/j.jns.2015.01.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2014] [Accepted: 01/07/2015] [Indexed: 10/24/2022]
Affiliation(s)
- Mayuko Osaka
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Mamoru Shibata
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan.
| | - Koichi Oki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Satoshi Yamada
- Department of Neurology, Saiseikai Central Hospital, Tokyo, Japan
| | - Kenji Kufukihara
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
| | - Takenori Akiyama
- Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan
| | - Kazunari Yoshida
- Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan
| | - Norihiro Suzuki
- Department of Neurology, Keio University School of Medicine, Tokyo, Japan
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39
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Hiramatsu K, Kawaguchi Y, Shimizu M, Sawaki N, Zheleva T, Davis RF, Tsuda H, Taki W, Kuwano N, Oki K. The Composition Pulling Effect in MOVPE Grown InGaN on GaN and AlGaN and its TEM Characterization. ACTA ACUST UNITED AC 2014. [DOI: 10.1557/s1092578300001320] [Citation(s) in RCA: 131] [Impact Index Per Article: 13.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
InGaN films have been grown on GaN and AlGaN epitaxial layers by metalorganic vapor phase epitaxy. The “composition pulling effect” during the initial InGaN growth stages has been studied as a function of the lattice mismatch between the InGaN and the underlying epitaxial layer. The crystalline quality of the InGaN is good near the InGaN/GaN interface and the composition is close to that of GaN. However, with increasing InGaN film thickness, the crystal quality deteriorates and the indium mole fraction increases. The composition pulling effect becomes stronger with increasing lattice mismatch. It is suggested that indium atoms are excluded from the InGaN lattice during the early growth stages to reduce the deformation energy from the lattice mismatch. TEM observations of the InGaN/GaN structure reveal that the degradation of the crystalline quality of InGaN films grown on GaN is caused by pit formation which arises from edge dislocations propagating through the InGaN film from the underlying GaN.
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40
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Yamashita K, Sato Y, Oki K, Kishimoto H, Yamauchi K, Aizawa T. Marked improvement of insulin sensitivity without enhancement of GLP-1 and insulin secretion after Roux-en-Y gastric bypass surgery in a mildly obese patient with diabetes. Horm Metab Res 2014; 46:424-6. [PMID: 24526371 DOI: 10.1055/s-0034-1367026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Roux-en-Y gastric bypass is an option of treatment for morbidly obese patients with diabetes. However, the value of the operation in mildly obese patients is not established. We report the first prospective systematic endocrine and metabolic analysis in a mildly obese patient who underwent a Roux-en-Y gastric bypass. In a 49-year-old man with BMI 32.6 kg/m(2) having type 2 diabetes, intramucosal gastric cancer was treated by partial gastrectomy with Roux-en-Y gastric bypass. Pre-operatively, he received 53 U/day insulin and the HbA1c value was 63 mmol/mol: meal tolerance test showed diabetic hyperglycemia and low insulin sensitivity with attenuated insulin secretion and normal glucagon-like peptide 1(7-36) secretion. After the operation, hypoglycemic agent was stopped. Body weight reduced from 84.0 to 77.0 kg within 2 weeks and increased thereafter to 79.4 kg at 4 months later, when the degree of hyperglycemia was unchanged as indexed by a HbA1c value of 62 mmol/mol. Upon repeated meal tolerance test, no increase of glucagon-like peptide 1 and insulin secretion, but significantly improved hepatic and peripheral insulin sensitivity were found, compared to the preoperative meal tolerance test. Marked dissociation of endocrine and metabolic effects of Roux-en-Y gastric bypass, that is, absence of increased glucagon-like peptide 1/insulin secretion with improvement of insulin sensitivity, was found in a mildly obese patient with type 2 diabetes.
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Affiliation(s)
- K Yamashita
- Diabetes Center, Aizawa Hospital, Matsumoto, Japan
| | - Y Sato
- Diabetes Center, Aizawa Hospital, Matsumoto, Japan
| | - K Oki
- Department of Surgery, Aizawa Hospital, Matsumoto, Japan
| | - H Kishimoto
- Department of Surgery, Aizawa Hospital, Matsumoto, Japan
| | - K Yamauchi
- Diabetes Center, Aizawa Hospital, Matsumoto, Japan
| | - T Aizawa
- Diabetes Center, Aizawa Hospital, Matsumoto, Japan
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Takayose M, Mori A, Oki K, Koshizawa R. P866: Effect of prefrontal cortical activity in preparatory period on success or failure of response inhibition in stop-signal task. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50899-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kumazaki Y, Naito M, Kawakami S, Hirata A, Oki K, Minagi S. Development of a speech-discriminating electromyogram system for routine ambulatory recordings for the low-level masseter muscle activity. J Oral Rehabil 2014; 41:266-74. [DOI: 10.1111/joor.12138] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/13/2013] [Indexed: 10/25/2022]
Affiliation(s)
- Y. Kumazaki
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
| | - M. Naito
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
| | - S. Kawakami
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
| | - A. Hirata
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
| | - K. Oki
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
| | - S. Minagi
- Department of Occlusal and Oral Functional Rehabilitation; Graduate School of Medicine, Dentistry and Pharmaceutical Sciences; Okayama University; Okayama Japan
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Oki K. [Stem cell therapy for ischemic stroke using iPS cells]. Rinsho Shinkeigaku 2013; 53:1017-9. [PMID: 24291865 DOI: 10.5692/clinicalneurol.53.1017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Recently, several stem cell-based approaches have been considered as a novel treatment for stroke, such as delivery of non neural stem cells, stimulation of endogenous neural stem cells, and transplantation of neural stem cells. Among them, transplantation of neural stem cells is thought to have an advantage for functional recovery through neuronal replacement rather than other mechanisms. We demonstrated that human iPS cells derived neural stem cells form functional neurons and improve recovery after grafting in stroke-damaged rodents without tumor formation. Here we discuss about the potential and clinical application of iPS cells for stroke therapy.
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Affiliation(s)
- Koichi Oki
- Department of Neurology, Keio University School of Medicine
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Abu-Zayyad T, Aida R, Allen M, Anderson R, Azuma R, Barcikowski E, Belz JW, Bergman DR, Blake SA, Cady R, Cheon BG, Chiba J, Chikawa M, Cho EJ, Cho WR, Fujii H, Fujii T, Fukuda T, Fukushima M, Gorbunov D, Hanlon W, Hayashi K, Hayashi Y, Hayashida N, Hibino K, Hiyama K, Honda K, Iguchi T, Ikeda D, Ikuta K, Inoue N, Ishii T, Ishimori R, Ivanov D, Iwamoto S, Jui CCH, Kadota K, Kakimoto F, Kalashev O, Kanbe T, Kasahara K, Kawai H, Kawakami S, Kawana S, Kido E, Kim HB, Kim HK, Kim JH, Kim JH, Kitamoto K, Kitamura S, Kitamura Y, Kobayashi K, Kobayashi Y, Kondo Y, Kuramoto K, Kuzmin V, Kwon YJ, Lan J, Lim SI, Machida S, Martens K, Matsuda T, Matsuura T, Matsuyama T, Matthews JN, Minamino M, Miyata K, Murano Y, Myers I, Nagasawa K, Nagataki S, Nakamura T, Nam SW, Nonaka T, Ogio S, Ohnishi M, Ohoka H, Oki K, Oku D, Okuda T, Oshima A, Ozawa S, Park IH, Pshirkov MS, Rodriguez DC, Roh SY, Rubtsov GI, Ryu D, Sagawa H, Sakurai N, Sampson AL, Scott LM, Shah PD, Shibata F, Shibata T, Shimodaira H, Shin BK, Shin JI, Shirahama T, Smith JD, Sokolsky P, Stokes BT, Stratton SR, Stroman T, Suzuki S, Takahashi Y, Takeda M, Taketa A, Takita M, Tameda Y, Tanaka H, Tanaka K, Tanaka M, Thomas SB, Thomson GB, Tinyakov P, Tkachev I, Tokuno H, Tomida T, Troitsky S, Tsunesada Y, Tsutsumi K, Tsuyuguchi Y, Uchihori Y, Udo S, Ukai H, Vasiloff G, Wada Y, Wong T, Wood M, Yamakawa Y, Yamane R, Yamaoka H, Yamazaki K, Yang J, Yoneda Y, Yoshida S, Yoshii H, Zhou X, Zollinger R, Zundel Z. Upper limit on the flux of photons with energies above1019 eVusing the Telescope Array surface detector. Int J Clin Exp Med 2013. [DOI: 10.1103/physrevd.88.112005] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Mine Y, Tatarishvili J, Oki K, Monni E, Kokaia Z, Lindvall O. Grafted human neural stem cells enhance several steps of endogenous neurogenesis and improve behavioral recovery after middle cerebral artery occlusion in rats. Neurobiol Dis 2012; 52:191-203. [PMID: 23276704 DOI: 10.1016/j.nbd.2012.12.006] [Citation(s) in RCA: 77] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2012] [Revised: 11/30/2012] [Accepted: 12/18/2012] [Indexed: 12/12/2022] Open
Abstract
Neural stem/progenitor cells (NSPCs) in subventricular zone (SVZ) produce new striatal neurons during several months after stroke, which may contribute to recovery. Intracerebral grafts of NSPCs can exert beneficial effects after stroke through neuronal replacement, trophic actions, neuroprotection, and modulation of inflammation. Here we have explored whether human fetal striatum-derived NSPC-grafts influence striatal neurogenesis and promote recovery in stroke-damaged brain. T cell-deficient rats were subjected to 1h middle cerebral artery occlusion (MCAO). Human fetal NSPCs or vehicle were implanted into ipsilateral striatum 48 h after MCAO, animals were assessed behaviorally, and perfused at 6 or 14 weeks. Grafted human NSPCs survived in all rats, and a subpopulation had differentiated to neuroblasts or mature neurons at 6 and 14 weeks. Numbers of proliferating cells in SVZ and new migrating neuroblasts and mature neurons were higher, and numbers of activated microglia/macrophages were lower in the ischemic striatum of NSPC-grafted compared to vehicle-injected group both at 6 and 14 weeks. A fraction of grafted NSPCs projected axons from striatum to globus pallidus. The NSPC-grafted rats showed improved functional recovery in stepping and cylinder tests from 6 and 12 weeks, respectively. Our data show, for the first time, that intrastriatal implants of human fetal NSPCs exert a long-term enhancement of several steps of striatal neurogensis after stroke. The grafts also suppress striatal inflammation and ameliorate neurological deficits. Our findings support the idea that combination of NSPC transplantation and stimulation of neurogenesis from endogenous NSPCs may become a valuable strategy for functional restoration after stroke.
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Affiliation(s)
- Yutaka Mine
- Laboratory of Stem Cells and Restorative Neurology, University Hospital, SE-221 84 Lund, Sweden
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Oki K, Tatarishvili J, Wood J, Koch P, Wattananit S, Mine Y, Monni E, Tornero D, Ahlenius H, Ladewig J, Brüstle O, Lindvall O, Kokaia Z. Human-induced pluripotent stem cells form functional neurons and improve recovery after grafting in stroke-damaged brain. Stem Cells 2012; 30:1120-33. [PMID: 22495829 DOI: 10.1002/stem.1104] [Citation(s) in RCA: 226] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Reprogramming of adult human somatic cells to induced pluripotent stem cells (iPSCs) is a novel approach to produce patient-specific cells for autologous transplantation. Whether such cells survive long-term, differentiate to functional neurons, and induce recovery in the stroke-injured brain are unclear. We have transplanted long-term self-renewing neuroepithelial-like stem cells, generated from adult human fibroblast-derived iPSCs, into the stroke-damaged mouse and rat striatum or cortex. Recovery of forepaw movements was observed already at 1 week after transplantation. Improvement was most likely not due to neuronal replacement but was associated with increased vascular endothelial growth factor levels, probably enhancing endogenous plasticity. Transplanted cells stopped proliferating, could survive without forming tumors for at least 4 months, and differentiated to morphologically mature neurons of different subtypes. Neurons in intrastriatal grafts sent axonal projections to the globus pallidus. Grafted cells exhibited electrophysiological properties of mature neurons and received synaptic input from host neurons. Our study provides the first evidence that transplantation of human iPSC-derived cells is a safe and efficient approach to promote recovery after stroke and can be used to supply the injured brain with new neurons for replacement.
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Affiliation(s)
- Koichi Oki
- Laboratory of Neural Stem Cell Biology and Therapy, University Hospital, Lund, Sweden
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Oki K, Yamane K, Nakanishi S, Shiwa T, Kohno N. Influence of Adrenal Subclinical Hypercortisolism on Hypertension in Patients with Adrenal Incidentaloma. Exp Clin Endocrinol Diabetes 2012; 120:244-7. [DOI: 10.1055/s-0032-1301896] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
AbstractThe purpose of our study was to clarify whether subtle cortisol-producing tumors, such as not only subclinical Cushing’s syndrome (SubCS) but also subclinical hypercortisolism (SH), influence the prevalence of hypertension, since numerous basic research studies have noted that glucocorticoid excess influences blood pressure.80 patients with adrenocortical adenomas (39 women and 41 men; mean age 62.1 years) were enrolled. SubCS was diagnosed using a diagnostic criteria, and SH was diagnosed as the presence of a serum cortisol level greater than 50 nmol/L following 1-mg dexamethasone suppression test (DST).SubCS, SH, or non-functioning adrenocortical adenoma (NF) was diagnosed in 14, 13, or 53 patients, respectively. The prevalence of hypertension differed significantly among the diagnoses (SubCS, 78.6%; SH, 84.6%; NF, 39.6%; P=0.002), whereas no differences in other clinical characteristics such as age, sex, or waist girth were observed. The patients with SH had an 11.7-fold increased risk (95% confidence interval: 1.9–72.7, P=0.009) and those with SubCS had a 9.5-fold increased risk (95% confidence interval: 1.9–48.3, P=0.007) for hypertension compared to those with NF using a multivariate analysis.We demonstrated that subtle cortisol-producing tumors, such as SH as well as SubCS, were an independent risk factor for hypertension. The cut-off value of the 1-mg DST would be appropriate to predict the development of hypertension.
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Affiliation(s)
- K. Oki
- Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
| | - K. Yamane
- Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
| | - S. Nakanishi
- Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
| | - T. Shiwa
- Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
| | - N. Kohno
- Department of Molecular and Internal Medicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
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Okubo J, Takita J, Chen Y, Oki K, Nishimura R, Kato M, Sanada M, Hiwatari M, Hayashi Y, Igarashi T, Ogawa S. Aberrant activation of ALK kinase by a novel truncated form ALK protein in neuroblastoma. Oncogene 2012; 31:4667-76. [PMID: 22249260 DOI: 10.1038/onc.2011.616] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Anaplastic lymphoma kinase (ALK) was originally identified from a rare subtype of non-Hodgkin's lymphomas carrying t(2;5)(p23;q35) translocation, where ALK was constitutively activated as a result of a fusion with nucleophosmin (NPM). Aberrant ALK fusion proteins were also generated in inflammatory fibrosarcoma and a subset of non-small-cell lung cancers, and these proteins are implicated in their pathogenesis. Recently, ALK has been demonstrated to be constitutively activated by gene mutations and/or amplifications in sporadic as well as familial cases of neuroblastoma. Here we describe another mechanism of aberrant ALK activation observed in a neuroblastoma-derived cell line (NB-1), in which a short-form ALK protein (ALK(del2-3)) having a truncated extracellular domain is overexpressed because of amplification of an abnormal ALK gene that lacks exons 2 and 3. ALK(del2-3) was autophosphorylated in NB-1 cells as well as in ALK(del2-3)-transduced cells and exhibited enhanced in vitro kinase activity compared with the wild-type kinase. ALK(del2-3)-transduced NIH3T3 cells exhibited increased colony-forming capacity in soft agar and tumorigenicity in nude mice. RNAi-mediated ALK knockdown resulted in the growth suppression of ALK(del2-3)-expressing cells, arguing for the oncogenic role of this mutant. Our findings provide a novel insight into the mechanism of deregulation of the ALK kinase and its roles in neuroblastoma pathogenesis.
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Affiliation(s)
- J Okubo
- Department of Pediatrics, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
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Ratnasari A, Hasegawa K, Oki K, Kawakami S, Yanagi Y, Asaumi JI, Minagi S. Manifestation of preferred chewing side for hard food on TMJ disc displacement side. J Oral Rehabil 2011; 38:12-7. [PMID: 20673297 DOI: 10.1111/j.1365-2842.2010.02128.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The purpose of this study was to reveal the relationship between chewing-side preference and anterior disc displacement (ADD) of the TMJ. Thirty-two healthy subjects with ages ranging from 26 to 34 years were selected from volunteer students at the Okayama University Dental School. Subjects were asked to chew freely with two kinds of test foods, beef jerky (hard food) and chiffon cake (soft food), thus expecting different amounts of mechanical loading on the TMJ. One, 4, and 7 s after starting the mastication, subjects were asked to open their mouth momentarily to have a digital image of their mouth taken. The bolus placement area was measured by processing the digital images, calculated as the number of pixel of bolus area. Area asymmetry index was used for the determination of preferred chewing side (PCS). Oblique sagittal MRI scanning in the closed mouth position was taken to evaluate the articular disc position. In asymptomatic subjects with ADD, a significant predominance of the PCS on the ipsilateral side of ADD was observed during the mastication of hard food. On the contrary, no correlation was found between unilateral ADD and PCS for the soft food. From the results of this study, it is suggested that ADD is the associating factor of PCS for hard food. Therefore, it would be necessary to break down the concept of PCS into at least two categories, one for hard food and one for soft food, considering the mechanical loading on the TMJ.
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Affiliation(s)
- A Ratnasari
- Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Kita-ku, Okayama, Japan
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Oki K, Washio K, Matsui D, Hirata Y, Morikawa M. The role of urease activity on biofilm and urolith formation by Staphylococcus sp. T-02 that was isolated from a toilet bowl. J Biotechnol 2010. [DOI: 10.1016/j.jbiotec.2010.09.116] [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: 10/18/2022]
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