1
|
Takeshita T, Iwamoto T, Niikura N, Watanabe K, Kikawa Y, Kobayashi K, Iwakuma N, Okamura T, Tada H, Ozaki S, Okuno T, Toh U, Yamamoto Y, Tsuneizumi M, Ishiguro H, Masuda N, Saji S. Identifying prognostic biomarkers for palbociclib add-on therapy in fulvestrant-resistant breast cancer using cell-free DNA sequencing. ESMO Open 2024; 9:102385. [PMID: 38387111 DOI: 10.1016/j.esmoop.2024.102385] [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: 11/22/2023] [Revised: 01/18/2024] [Accepted: 01/22/2024] [Indexed: 02/24/2024] Open
Abstract
BACKGROUND The FUTURE trial (UMIN000029294) demonstrated the safety and efficacy of adding palbociclib after fulvestrant resistance in patients with hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) advanced and metastatic breast cancer (ABC/MBC). In this planned sub-study, cancer panel sequencing of cell-free DNA (cfDNA) was utilized to explore prognostic and predictive biomarkers for further palbociclib treatment following fulvestrant resistance. MATERIALS AND METHODS Herein, 149 cfDNA samples from 65 patients with fulvestrant-resistant disease were analysed at the time of palbociclib addition after fulvestrant resistance (baseline), on day 15 of cycle 1, and at the end of treatment using the assay for identifying diverse mutations in 34 cancer-related genes. RESULTS During the course of treatment, mutations in ESR1, PIK3CA, FOXA1, RUNX1, TBX3, and TP53 were the most common genomic alterations observed. Analysis of genomic mutations revealed that before fulvestrant introduction, baseline PIK3CA mutations were marginally lower in metastatic aromatase inhibitor (AI)-treated patients compared to adjuvant AI-treated patients (P = 0.063). Baseline PIK3CA mutations were associated with poorer progression-free survival [hazard ratio: 1.62, P = 0.04]. Comparative analysis between baseline and early-changing gene mutations identified poor prognostic factors including early-changing MAP3K1 mutations (hazard ratio: 4.66, P = 0.04), baseline AR mutations (hazard ratio: 3.53, P = 0.04), and baseline PIK3CA mutations (hazard ratio: 3.41, P = 0.02). Notably, the relationship between ESR1 mutations and mutations in PIK3CA, MAP3K1, and TP53 weakened as treatment progressed. Instead, PIK3CA mutations became correlated with TP53 and FOXA1 mutations. CONCLUSIONS Cancer panel testing for cfDNA identified prognostic and predictive biomarkers for palbociclib add-on therapy after acquiring fulvestrant resistance in patients with HR+/HER2- ABC/MBC.
Collapse
Affiliation(s)
- T Takeshita
- Department of Breast and Endocrine Surgery, Kumamoto City Hospital, Kumamoto.
| | - T Iwamoto
- Department of Breast and Thyroid Surgery, Kawasaki Medical School Hospital, Kurashiki
| | - N Niikura
- Department of Breast Oncology, Tokai University School of Medicine, Isehara, Kanagawa
| | - K Watanabe
- Department of Breast Surgery, Hokkaido Cancer Center, Sapporo, Hokkaido
| | - Y Kikawa
- Department of Breast Surgery, Kansai Medical University Hospital, Hirakata, Osaka
| | - K Kobayashi
- Department of Medical Oncology, Saitama Red Cross Hospital, Chuo-ku, Saitama
| | - N Iwakuma
- Breast Center, Department of Breast Surgery, NHO Kyushu Medical Center, Fukuoka
| | - T Okamura
- Department of Breast Oncology, Tokai University School of Medicine, Isehara, Kanagawa
| | - H Tada
- Division of Breast and Endocrine Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi
| | - S Ozaki
- Department of Gastrointestinal and Breast Surgery, Hiroshima Prefectural Hospital, Hiroshima
| | - T Okuno
- Department of Breast Surgery, Kobe City Nishi-Kobe Medical Center, Kobe, Hyogo
| | - U Toh
- Department of Breast Surgery, Kurume University Hospital, Kurume, Fukuoka
| | - Y Yamamoto
- Department of Breast and Endocrine Surgery, Kumamoto University Hospital, Kumamoto
| | - M Tsuneizumi
- Department of Breast Surgery, Shizuoka General Hospital, Shizuoka
| | - H Ishiguro
- Breast Oncology Service, Saitama Medical University International Medical Center, Hidaka, Saitama
| | - N Masuda
- Department of Breast and Endocrine Surgery, Nagoya University Graduate School of Medicine, Nagoya
| | - S Saji
- Department of Medical Oncology, Fukushima Medical University, School of Medicine, Fukushima, Japan
| |
Collapse
|
2
|
Tanaka H, Mizuma K, Nakamura Y, Hirata A, Miyazaki J, Suzuki K, Seta H, Watanabe H, Suzuki T, Watanabe R, Murayama N, Okamura T, Nakamura S. Predicting habitual water intake from lifestyle questions. Eur Rev Med Pharmacol Sci 2023; 27:8829-8841. [PMID: 37782192 DOI: 10.26355/eurrev_202309_33803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
Abstract
OBJECTIVE Previous studies have used selective recall and descriptive dietary record methods, requiring considerable effort for assessing food and water intake. This study created a simplified lifestyle questionnaire to predict habitual water intake (SQW), accurately and quickly assessing the habitual water intake. We also evaluated the validity using descriptive dietary records as a cross-sectional study. SUBJECTS AND METHODS First, we used crowdsourcing and machine learning to collect data, predict water intake records, and create questionnaires. We collected 305 lifestyle-related questions as predictor variables and selective recall methods for assessing water intake as an outcome variable. Random forests were used for the machine learning models because of their interpretability and accurate estimation. Random forest and single regression correlation analysis were augmented by the synthetic minority oversampling that trained the model. We separated the data by sex and evaluated our model using unseen hold-out testing data, predicting the individual and overall habitual water intake from various sources, including non-alcoholic beverages, alcohol, and food. RESULTS We found a 0.60 Spearman's correlation coefficient for total water intake between the predicted and the selective recall method values, reflecting the target value to be achieved. This question set was then used for feasibility tests. The descriptive dietary record method helped to obtain a ground-truth value. We categorized the data by gender, season, and source: non-alcoholic beverages, alcohol, food, and total water intake, and the correlation was confirmed. Consequently, our results showed a Pearson's correlation coefficient of 0.50 for total water intake between the predicted and the selective recall method values. CONCLUSIONS We hypothesize that dissemination of SQW can lead to better health management by easily determining the habitual water intake.
Collapse
Affiliation(s)
- H Tanaka
- Division of Information Science, Nara Institute of Science and Technology, Ikoma, Nara, Japan.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
3
|
Nakano M, Ota M, Takeshima Y, Iwasaki Y, Hatano H, Nagafuchi Y, Kim K, Bang SY, Lee HS, Shoda H, Zhang X, Bae SC, Terao C, Yamamoto K, Okamura T, Ishigaki K, Fujio K. OP0110 CELL-TYPE-SPECIFIC TRANSCRIPTOME ARCHITECTURE UNDERLYING THE ESTABLISHMENT AND EXACERBATION OF SYSTEMIC LUPUS ERYTHEMATOSUS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.1684] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundSystemic lupus erythematosus (SLE) is a complex autoimmune disease with unknown etiology involving multiple immune cells and has diverse clinical phenotypes. This heterogeneous nature has hampered a better understanding of SLE pathogenesis and the development of effective therapeutic agents. While recent single-cell RNA sequencing studies of SLE identified several important cell subpopulations, they were limited by sparse expression information at single-cell level and small sample sizes.ObjectivesThis study aimed to elucidate the dysregulated gene expression pattern linked to multiple clinical statuses of SLE with a fine cellular resolution and higher sensitivity. We also attempted to resolve a complex interaction between risk variants and the transcriptome dysregulation seen in SLE patients.MethodsWe conducted a large-scale bulk transcriptome study of 6,386 RNA-sequencing data including 27 purified immune cell types in peripheral blood from 136 SLE and 89 healthy donors in the Immune Cell Gene Expression Atlas from the University of Tokyo (ImmuNexUT) cohort1. At enrollment, SLE patients had diverse clinical manifestations (disease activity, organ involvement and treatment profiles) and 22 patients were re-evaluated after belimumab treatment.ResultsWe first profiled two distinct cell-type-specific transcriptomic signatures: disease-state and disease-activity signatures, reflecting disease establishment and exacerbation, respectively.After confirming the high replicability of both signatures in independent cohorts, we identified candidates of biological processes unique to each signature: e.g., upregulated E2F transcriptional activity in Th1, CD8+ memory T-lineage and NK cells, and dynamic increase of IL21 and CXCL13 in Th1 cells in an active phase of SLE. Pathway analysis highlighted the importance of immunometabolic process for SLE (e.g., oxidative phosphorylation) in cell-type-specific resolution.Moreover, we demonstrated cell-type-specific contributions to diverse organ involvement, e.g., Th1 for mucocutaneous, monocyte-lineage cells for musculoskeletal, neutrophil-lineage cells for renal activity, respectively.We also observed the strong associations of disease-activity signatures with treatment effect: (i) belimumab suppressed activity signatures from B-lineage cells, especially in good responders and (ii) mycophenolate mofetil substantially suppressed activity signatures from plasmablast, Th1, and central memory CD8 cells.However, through stratified LD score regression using large-scale SLE-GWASs, we revealed that disease-activity signatures were less enriched around SLE risk variants than disease-state signatures. Consistent with this result, the directions of SLE risk alleles’ expression quantitative trait locus (eQTL) effects were significantly concordant with the directions of disease-state signatures, but not with those of activity signatures. These findings suggested that the current genetic case-control studies may not well capture clinically vital biology linked to drug target discovery for SLE. Meanwhile, we also detected some examples of activity signatures that might contribute to the disease risk by modulating risk allele’s eQTL effects.Figure 1.ConclusionWe identified comprehensive gene signatures reflecting the establishment and exacerbation of SLE, which provide essential foundations for future genomic, genetic, and clinical studies.References[1]Ota, M. et al. Dynamic landscape of immune cell-specific gene regulation in immune-mediated diseases. Cell 2021;184:3006-21.e17.AcknowledgementsThis study was supported by Chugai Pharmaceutical Co., Ltd., Tokyo, Japan; the Ministry of Education, Culture, Sports; and the Japan Agency for Medical Research and Development (AMED) (JP21tm0424221 and JP21zf0127004).Disclosure of InterestsMasahiro Nakano: None declared, Mineto Ota Grant/research support from: Mineto Ota belongs to the Social Cooperation Program, Department of functional genomics and immunological diseases, supported by Chugai Pharmaceutical., Yusuke Takeshima Grant/research support from: Yusuke Takeshima belonged to the Social Cooperation Program, Department of functional genomics and immunological diseases, supported by Chugai Pharmaceutical., Yukiko Iwasaki: None declared, Hiroaki Hatano: None declared, Yasuo Nagafuchi Grant/research support from: Yasuo Nagafuchi belongs to the Social Cooperation Program, Department of functional genomics and immunological diseases, supported by Chugai Pharmaceutical., Kwangwoo Kim: None declared, So-Young Bang: None declared, Hye Soon Lee: None declared, Hirofumi Shoda: None declared, Xuejun Zhang: None declared, Sang-Cheol Bae: None declared, Chikashi Terao: None declared, Kazuhiko Yamamoto: None declared, Tomohisa Okamura Grant/research support from: Tomohisa Okamura belongs to the Social Cooperation Program, Department of functional genomics and immunological diseases, supported by Chugai Pharmaceutical., Kazuyoshi Ishigaki: None declared, Keishi Fujio Speakers bureau: Keishi Fujio receives speaker fees from Chugai Pharmaceutical., Consultant of: Keishi Fujio receives consulting honoraria from Chugai Pharmaceutical., Grant/research support from: Keishi Fujio receives research support from Chugai Pharmaceutical.
Collapse
|
4
|
Uchida T, Nakamura Y, Tanaka H, Nakamura S, Okamura T, Watanabe H, Murayama N. Validity of a selective recall method for assessing water intake and its relationship with hydration status. Eur Rev Med Pharmacol Sci 2021; 25:6623-6632. [PMID: 34787866 DOI: 10.26355/eurrev_202111_27106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE We previously established a descriptive dietary record method that accurately quantifies habitual water intake from food and beverages, to ascertain the relationship between water intake and health. Here, we verified the validity of a selective recall method, which is easy for users to answer and analyze. PATIENTS AND METHODS Japanese men and women aged 20-44 years (n = 16) and 45-64 years (n = 16) participated over three working days and one non-working day. The day following each of the surveyed days, participants collected their first morning urine for urinalysis and completed a selective recall and descriptive dietary record questionnaire. RESULTS The two methods of determining water intake were positively correlated (r = 0.94, p < 0.0001). Water intake volumes from non-alcoholic beverages (r = 0.94, p < 0.0001), alcoholic beverages (r = 1.00, p < 0.0001), and food (r = 0.72, p < 0.0001), calculated using the two methods, exhibited strong correlation. No correlation was observed between urinalysis parameters and total water intake. A significant, negative correlation was observed between urine osmolarity and total water intake in men (r = -0.55, p = 0.0011) and women (r = -0.51, p = 0.0032) aged 20-44 years. CONCLUSIONS Selective recall is a valid method for assessing water intake from food and beverages.
Collapse
Affiliation(s)
- T Uchida
- Suntory Global Innovation Center Limited, Research Institute, Seika-cho, Soraku-gun, Kyoto, Japan.
| | | | | | | | | | | | | |
Collapse
|
5
|
Shima A, Tanaka H, Okamura T, Nishikawa T, Godai K, Kimura T, Tatsumi Y, Morino A, Kawatsu Y, Miyamatsu N. Providing mammography in workplaces improved screening rates: cluster randomized controlled trial. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.375] [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: 11/14/2022] Open
Abstract
Abstract
Background
Despite sufficient evidence on the importance of breast cancer screening, the screening rate has remained less than 50% in Japan. To promote behavioral change of individuals, it is important to reduce barriers to taking screening. The purpose of this study was to examine the effect of an environmental approach providing opportunities for mammography (MMG) in workplaces.
Methods
Female employees aged 40 years or older were eligible. Supermarket stores were randomly assigned into two groups, the intervention arm (leaflet and MMG) and the control arm (leaflet). From May to July 2018, participants in the intervention arm were given a leaflet informing the subsidies for breast cancer screening and were provided the opportunity to have MMG in their workplace. Participants in the control group were given the same leaflet, but they had to take the screening outside the workplace as usual. The primary outcome was the breast cancer screening rate in 2018, evaluated using self-administered questionnaires. The odds ratio (OR) and 95% confidence intervals (CIs) for the screening rate in the intervention arm compared with the control arm was estimated using multilevel logistic regression.
Results
We analyzed 1624 participants (mean age was 53 years) from 25 supermarket stores (intervention: 578 patients in 8 stores, control: 1046 patients in 17 stores). The screening rate in the intervention arm was 312 (54%) and was 125 (12%) in the control arm. The OR (and 95% CIs) was 7.81 (5.03-12.12) in the final model adjusted store level effects (i.e., stores and screening rate in 2017 at each store) and individual age and current smoking.
Conclusions
In a worksite-based cluster-randomized controlled trial conducted in a Japanese population, an environmental approach providing MMG opportunities in workplaces significantly increased the self-reported breast cancer screening rate within one year. (UMIN000030465)
Key messages
Providing the opportunity of mammography in Japanese supermarket stores improved the breast cancer screening rate. An environmental approach reducing barriers to screening may be more effective than conventional approaches in improving breast cancer screening rate.
Collapse
Affiliation(s)
- A Shima
- Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan
- Occupational Health Care Office, Heiwado Co.,Ltd, Shiga, Japan
| | - H Tanaka
- Fujiidera Public Health Center of Osaka Prefecture, Osaka, Japan
| | - T Okamura
- Department of Preventive Medicine and Public Health, Keio University, Tokyo, Japan
| | - T Nishikawa
- Department of Health and Nutrition, Kyoto Koka Wemen’s University, Kyoto, Japan
| | - K Godai
- Department of Health Promotion Science, Osaka University Graduate School of Medicine, Osaka, Japan
| | - T Kimura
- General Incorporated Foundation Kinki Health Administration, Shiga, Japan
| | - Y Tatsumi
- Department of Hygiene and Public Health, Teikyo University, Tokyo, Japan
| | - A Morino
- Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan
- Occupational Health Care Office, Heiwado Co.,Ltd, Shiga, Japan
| | - Y Kawatsu
- Occupational Health Care Office, Heiwado Co.,Ltd, Shiga, Japan
| | - N Miyamatsu
- Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan
| |
Collapse
|
6
|
Okamura T, Akune Y, Mori T, Morisaka T, Otomo W, Wakabayashi I, Watanabe S, Yoda K. Contribution of flippers and dorsal fins to the lateral/directional inherent stability during straight‐line swimming in small cetaceans. J Zool (1987) 2021. [DOI: 10.1111/jzo.12915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- T. Okamura
- Graduate School of Science and Technology University of Tsukuba Tsukuba Japan
| | - Y. Akune
- Port of Nagoya Public Aquarium Nagoya Japan
| | - T. Mori
- Port of Nagoya Public Aquarium Nagoya Japan
| | - T. Morisaka
- Cetacean Research Center Graduate school of Bioresources Mie University Tsu Japan
| | - W. Otomo
- Port of Nagoya Public Aquarium Nagoya Japan
| | | | - S. Watanabe
- Graduate School of Engineering Nagoya University Nagoya Japan
| | - K. Yoda
- Graduate School of Environmental Studies Nagoya University Nagoya Japan
| |
Collapse
|
7
|
Imai Y, Sakurai M, Nakagawa H, Hirata A, Murakami Y, Kiyohara Y, Ninomiya T, Ishikawa S, Saitoh S, Irie F, Sairenchi T, Kiyama M, Miura K, Ueshima H, Okamura T. Impact of Proteinuria and Low eGFR on Lifetime Risk of Cardiovascular Disease Death: A Pooled Analysis of Data From the Evidence for Cardiovascular Prevention From Observational Cohorts in Japan Study. Eur J Prev Cardiol 2021. [DOI: 10.1093/eurjpc/zwab061.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): H20–Junkankitou [Seishuu]–Ippan–013; H23–Junkankitou [Seishuu]–Ippan–005; H26-Junkankitou [Seisaku]-Ippan-001; H29–Junkankitou–Ippan–003 and 20FA1002
OnBehalf
EPOCH-JAPAN
Introduction
Absolute risk of Lifetime risk (LTR) is useful estimate for risk communication compared with short term risk or relative risk especially for young people. Proteinuria is leading cause of end-stage kidney disease (ESKD) and independent risk factor for cardiovascular disease (CVD). Although nonproteinuric renal disease is global burden of ESKD, it has been poorly focused. To date, there have been no reports of impact of proteinuria and low eGFR on LTR with the outcome of CVD death in Asian population.
Purpose
We aimed to estimate LTR of CVD death stratified by the status of proteinuria and low eGFR.
Methods
We used modified Kaplan-Meier approach to estimate the remaining lifetime risk of cardiovascular death based on EPOCH-JAPAN(Evidence for Cardiovascular Prevention From Observational Cohorts in Japan) database. LTR was estimated at each index age starting from 40 years for those with proteinuria and without proteinuria stratified by low eGFR, which is defined as eGFR <60 ml/min/1.73 m². Participants were classified into three groups, which were those with proteinuria (Proteinuria (+)), those without proteinuria with low eGFR (Proteinuria (-)/Low eGFR (+)), those without proteinuria without low eGFR (Proteinuria (-)/Low eGFR (-)).
Results
A total of 47,292 participants from 9 cohorts was included in the analysis. Mean follow-up period was 14.6 years with 690,463 person years and total CVD death was 1,075 in men and 1,193 in women. The LTRs at the index age of 40 years were as follows: 17.7% (95% confidence interval: 15.4 – 19.0%) in Proteinuria (-)/Low eGFR (-) group, 26.2% (20.2 – 31.1%) in Proteinuria (-)/low eGFR (+) group, 24.5% (15.1 – 29.3%) in Proteinuria (+) group for men; 15.3%(13.7 – 16.5%), 29.9%(14.7 – 46.8%) , 28.3%(19.4 – 34.7%) for women.
Conclusions
We observed that those without proteinuria with low eGFR have equivalently high LTR with those with proteinuria. These results indicate that even in the absence of proteinuria, low eGFR has high impact on LTR. Lifestyle modification from young age is necessary to prevent from renal dysfunction.
Collapse
Affiliation(s)
- Y Imai
- Keio University School of Medicine, Tokyo, Japan
| | - M Sakurai
- Kanazawa Medical University, Department of Epidemiology and Public Health, Kanazawa, Japan
| | - H Nakagawa
- Kanazawa Medical University, Department of Epidemiology and Public Health, Kanazawa, Japan
| | - A Hirata
- Keio University School of Medicine, Tokyo, Japan
| | - Y Murakami
- Toho University, Department of Medical Statistics, Tokyo, Japan
| | - Y Kiyohara
- Hisayama Research Institute for Lifestyle Disease, Fukuoka, Japan
| | - T Ninomiya
- Kyushu University Graduate School of Medical Sciences, Department of Epidemiology and Public Health, Fukuoka, Japan
| | - S Ishikawa
- Jichi Medical University, Medical Education Center, Tochigi, Japan
| | - S Saitoh
- Sapporo Medical University School of Health Sciences, Department of Nursing, Hokkaido, Japan
| | - F Irie
- Ibaraki Prefectural Office, Department of Health and Welfare, Ibaraki, Japan
| | - T Sairenchi
- Dokkyo Medical University School of Medicine, Department of Public Health, Tochigi, Japan
| | - M Kiyama
- Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
| | - K Miura
- Shiga University of Medical Science, Department of Public Health, Shiga, Japan
| | - H Ueshima
- Shiga University of Medical Science, Department of Public Health, Shiga, Japan
| | - T Okamura
- Keio University School of Medicine, Tokyo, Japan
| |
Collapse
|
8
|
Iwasaki Y, Takeshima Y, Nakano M, Ota M, Nagafuchi Y, Suzuki A, Kochi Y, Okamura T, Endo T, Miki I, Sakurada K, Yamamoto K, Fujio K. THU0225 INTEGRATIVE PLASMA METABOLOME AND TRANSCRIPTOME ANALYSIS REVEALED THE IMPORTANCE OF HISTIDINE HOMEOSTASIS IN SLE PATHOGENESIS WITH POTENTIAL FOR IMPROVED SLE PATIENTS STRATIFICATION. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Recently, immunometabolism has gathered attention of many immunologists. It has been widely recognized that metabolic reprogramming in each immune cell brings different effects on different cells and is important for regulating their functions. Along with the progress of statistical genetics, serum metabolites were shown to be under genetic regulations1). Metabolic changes are now considered not only to be mere phenotypes of cells but also to be key factors for controlling immune cell differentiation, proliferation and function through regulating gene expressions eventually. Although genome-wide association studies have brought deep insights into SLE pathogenesis, the precise pathway from genome to metabolome has been largely unknown, and vice versa.Objectives:The aim of this study is to investigate metabolomic regulation in SLE in relation to gene expressions by integrating plasma metabolome data and transcriptome data.Methods:We collected plasma samples from patients with SLE (n=57) who met the 1997 American College of Rheumatology criteria for SLE. Gender- and age-matched healthy controls (HCs) (n=56) were recruited. Metabolic profiles focusing on 39 amino acids were analyzed with liquid chromatography (LC)-mass spectrometry. Transcriptome data of SLE patients were obtained from our RNA-sequencing data of each immune cell subset (total 19 subsets). Whole-genome sequencing was also performed.Results:Our previous experiment showed that about 160 peaks were detected from comprehensive LC-TOFMS and amino acids were useful for distinguishing SLE patients from HCs. Both partial least squares discriminant analysis (PLS-DA) and random forest, a machine learning algorithm, revealed the importance of histidine (His), one of the essential amino acids, to classify SLE patients from HCs, whose plasma level was lower in SLE patients. In addition, inverse correlation between His level and titer of ds-DNA as well as damage index (SDI) was detected. His level was correlated neither with PSL dosage nor with type I interferon (IFN) signature. Receiver operating characteristic (ROC) analysis showed the best predictability for SLE with the combination of specific amino acids including His. Our transcriptome analysis has revealed the significance of oxidative phosphorylation (OXPHOS) in B cells for SLE pathogenesis. Interestingly, OXPHOS signature was inversely correlated with His level in SLE B cells.Conclusion:His may be an important factor for SLE pathogenesis especially in B cells independently from IFN signal. SLC15A4, a transporter of His on lysosome, is one of the SLE GWAS SNPs and has been reported to play an important role in IFN production in B cells through regulation of TLR7/9 activation 2). We also identified that SLE patients with risk allele of SLC15A4 had tendency to show higher plasma His level, indicating His homeostasis could become a novel treatment target for SLE. Moreover, the inverse correlation of His level to SDI as well as OXPHOS signature suggests that His might play a key role for promoting organ damages in SLE.References:[1]Nat Genet.2017;49:568. 2)Immunity. 2014;41:375. 3)Semin Arthritis Rheum.2019;48:1142Disclosure of Interests: :Yukiko Iwasaki: None declared, Yusuke Takeshima: None declared, Masahiro Nakano: None declared, Mineto Ota: None declared, Yasuo Nagafuchi: None declared, Akari Suzuki: None declared, Yuta Kochi: None declared, Tomohisa Okamura: None declared, Takaho Endo: None declared, Ichiro Miki: None declared, Kazuhiro Sakurada: None declared, Kazuhiko Yamamoto Grant/research support from: Astellas, BMS, MitsubishiTanabe, Pfizer, Ayumi, Takeda, Chugai, Eisai, Taisho Toyama, UCB, and ImmunoFuture, Keishi Fujio Grant/research support from: Astellas, BMS, MitsubishiTanabe, Pfizer, Ayumi, Takeda, Chugai, Eisai, Taisho Toyama, Eli Lilly, Sanofi, and UCB
Collapse
|
9
|
Nishikawa T, Miyamatsu N, Higashiyama A, Nishida Y, Kubota Y, Hirata T, Sugiyama D, Kuwabara K, Miyamoto Y, Okamura T. Age-related and seasonal change in serum osmolarity and water intake in a healthy population. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.445] [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: 11/14/2022] Open
Abstract
Abstract
Background and aim
Few studies have clarified the seasonal and age-related change of serum osmolarity and water intake, which is thought to be associated with heat stroke and ischemic stroke. We investigated the association between them in a healthy population.
Methods
We conducted a cross-sectional study using database from Kobe Orthopedic and Biomedical Epidemiologic (KOBE) Study. Among 1138 healthy Japanese participants in the baseline survey, 1010 (women 704 and men 306) participants were eligible for the present study. Daily non-alcohol drink (NAD) intake was estimated according to food frequency questionnaire. Alcohol beverage and water in the meal or soup were excluded from the counting. Serum osmolarity (Osm/L) was calculated by Worthley’s formula: 2 (serum sodium (mEq/L)) + (blood urea nitrogen (mg/dL))/2.8 + (glucose (mg/dL))/18. The seasons the surveys were conducted were categorized into 4 groups, March-May (Spring), June-August (Summer), September-November (Autumn), and December-February (Winter). The association between serum osmolarity and daily NAD intake was analyzed using linear regression models.
Results
The seasonal change was observed in the serum osmolarity and daily NAD intake; serum osmolarity increased in spring and summer and daily NAD intake increased in summer. The serum osmolarity increased by aging in any seasons, while daily water intake didn’t. There was no significant association observed between serum osmolarity and the daily NAD intake, even after adjusting for sex, age, and season.
Conclusions
Serum osmolarity showed seasonal and age-related changes, but the serum osmolarity in subjects who had the daily habit of high NAD intake was not necessarily low.
Key messages
Serum osmolarity increased by aging and in spring and summer. Serum osmolarity was not associated with non-alcohol drink intake.
Collapse
Affiliation(s)
- T Nishikawa
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Faculty of Health Science, Kyoto Koka Women’s University, Kyoto, Japan
| | - N Miyamatsu
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Department of Clinical Nursing, Shiga University of Medical Science, Otsu, Japan
| | - A Higashiyama
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Department of Preventive Medicine and Epidemiologic Informat, National Cerebral and Cardiovascular Center, Osaka, Japan
| | - Y Nishida
- Foundation for Biomedical Research and Innovation, Kobe, Japan
| | - Y Kubota
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Department of Environmental and Preventive Medicine, Hyogo College of Medicine, Nishinomiya, Japan
| | - T Hirata
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Department of Preventive Medicine and Epidemiology, Tohoku M, Tohoku University, Sendai, Japan
| | - D Sugiyama
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Faculty of Nursing And Medical Care, Keio University, Tokyo, Japan
| | - K Kuwabara
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Department of Preventive Medicine and Public Health, Keio University, Tokyo, Japan
| | - Y Miyamoto
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Department of Preventive Medicine and Epidemiologic Informat, National Cerebral and Cardiovascular Center, Osaka, Japan
| | - T Okamura
- Foundation for Biomedical Research and Innovation, Kobe, Japan
- Department of Preventive Medicine and Public Health, Keio University, Tokyo, Japan
| |
Collapse
|
10
|
Okamura T, Sata M, Iida M, Kakino A, Harada S, Hirata A, Usami Y, Sugiyama D, Sawamura T, Takabayashi T. Serum modified HDL was associated with cardiovascular disease in a Japanese community-based cohort. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz187.170] [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: 11/14/2022] Open
Abstract
Abstract
Background
Previous studies have shown that high density lipoprotein (HDL) is protective against cardiovascular disease (CVD). However, recent studies suggested that function of HDL was more important than HDL cholesterol levels. The present study aimed to clarify the relationship between modified HDL levels and CVD incidence.
Methods
LOX-1 (lectin-like oxidized LDL receptor) is the receptor that mediates modified LDL (low density lipoprotein) activity; however, some lipoproteins with apolipoprotein A1 (Apo A-1) are also bonded to LOX-1. In this study, serum LOX-1 ligand containing Apo A-1 was defined as modified HDL, which were measured by our new development method. We conducted a nested case-control study in a Japanese cohort study, involving 11,002 community dwellers. During 4.0 years follow-up, we observed 127 new CVD onsets. For each CVD case, age and sex matched three controls were randomly selected (N = 381). Serum samples collected at baseline survey stored at − 80 °C were used for the measurement of modified HDL. We estimated multivariable-adjusted odds ratio (OR) and 95% confidence interval (CI) for the association between modified HDL levels and CVD by conditional logistic regression.
Results
Modified HDL levels were associated with increased risk of CVD (OR for one unit increase of log transformed modified HDL, 2.05: 95% CI, 1.16-3.62) after adjustment for body mass index, hypertension, diabetes, LDL cholesterol, HDL cholesterol, lipid lowering agents, chronic kidney disease, smoking and alcohol drinking. The magnitude of OR was almost equivalent to those of hypertension and diabetes, which were 2.33 (95% CI, 1.37-3.98) and 2.61 (95% CI, 1.48-4.59), respectively. On the other hands, other lipids markers showed relatively weak associations with CVD.
Conclusions
Serum modified HDL, i.e., LOX-1 ligand containing Apo A-1, might be a novel predictive marker for CVD in apparently healthy individuals.
Key messages
Recent epidemiologic studies suggested that function of high-density lipoprotein (HDL) was more important than HDL cholesterol level itself to predict cardiovascular disease. Modified HDL measured by a novel cell-free, non-fluorescent method as LOX-1 ligand containing Apo A-1, was a predictive marker for CVD after adjusting for other traditional risk factors.
Collapse
Affiliation(s)
- T Okamura
- Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - M Sata
- Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - M Iida
- Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - A Kakino
- Molecular Pathophysiology, School of Medicine, Shinshu University, Matsumoto, Japan
| | - S Harada
- Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - A Hirata
- Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - Y Usami
- Molecular Pathophysiology, School of Medicine, Shinshu University, Matsumoto, Japan
| | - D Sugiyama
- Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - T Sawamura
- Molecular Pathophysiology, School of Medicine, Shinshu University, Matsumoto, Japan
| | - T Takabayashi
- Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| |
Collapse
|
11
|
Miyamatsu N, Shima A, Morino A, Azuma S, Ichikawa M, Godai K, Kawatsu Y, Nishikawa T, Tanaka H, Okamura T. Presence of intimate family and cancer screening behavior: a cross-sectional study of 4237 workers. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz187.062] [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: 11/13/2022] Open
Abstract
Abstract
Background
Presence of intimate family is considered as one of the related factors of health behaviors. The study aim was to clarify the relationship between the presence of significant others and having a colorectal cancer screening.
Methods
This study used data of baseline survey of intervention study regarding breast cancer screening at worksites. A total of 6827 workers, aged 40 and over of the retail company, were required to fill out a self-administrated questionnaire related to cancer screening. the intimate family was defined as a person’s spouse or partner and children. Logistic regression analyses were performed to estimate odds ratios [ORs] and 95% confidence intervals [CIs] of undergoing an annual screening for colorectal cancer by the presence of spouse or partner adjusting for age. The same analysis was performed regarding the presence of children.
Results
Response rates were 70% in men and 71% in women. After excluding participants with a past history of cancer and lack of information about colorectal cancer screening or the presence of significant others, 4203 remained for the analyses. A total of 1777 participants reported that they had undergone screening for colorectal cancer within a year (42% in men and 42% in women). Screening rates of participants with/without a spouse were 45% and 30% in men, 44% and 38% in women. Screening rates of participants with/without children were 45% and 33% in men, 43% and 38% in women. ORs of undergoing annual colorectal cancer screening by the presence of spouse were 1.8 (1.3-2.5) in men and 1.3 (1.1-1.5) in women. ORs by the presence of children were 1.6 (1.2-2.1) in men and 1.1 (0.9-1.3) in women.
Conclusions
This study indicated that health behavior in cancer screening could be affected by having a spouse in both men and women. The presence of children positively related in men. Male workers with children might be under some pressure to keep their health, from a sense of responsibility of main income earner.
Key messages
Health behavior in cancer screening could be affected by having a spouse. Health behavior in cancer screening could be affected by having a child only in men.
Collapse
Affiliation(s)
- N Miyamatsu
- Shiga University of Medical Science, Otsu, Japan
| | - A Shima
- Shiga University of Medical Science, Otsu, Japan
- Heiwado Co., Ltd., Hikone, Japan
| | - A Morino
- Shiga University of Medical Science, Otsu, Japan
- Heiwado Co., Ltd., Hikone, Japan
| | - S Azuma
- Shiga University of Medical Science, Otsu, Japan
| | - M Ichikawa
- Shiga University of Medical Science, Otsu, Japan
| | - K Godai
- Osaka University, Suita, Japan
| | | | | | - H Tanaka
- Fujiidera Public Health Center, Osaka, Japan
| | | |
Collapse
|
12
|
Okamura T, Kawai K, Minari E, Nakase M, Asano H, Takeshita K. Effect of Cs and Sr separation on occupied area reduction in current nuclear energy system and its evaluation by CAERA index. SEP SCI TECHNOL 2019. [DOI: 10.1080/01496395.2019.1577897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- T. Okamura
- Laboratory for Advanced Nuclear Energy, Institute of Innovative Research, Tokyo Institute of Technology, Tokyo, Japan
| | - K. Kawai
- Laboratory for Advanced Nuclear Energy, Institute of Innovative Research, Tokyo Institute of Technology, Tokyo, Japan
| | - E. Minari
- Laboratory for Advanced Nuclear Energy, Institute of Innovative Research, Tokyo Institute of Technology, Tokyo, Japan
| | - M. Nakase
- Laboratory for Advanced Nuclear Energy, Institute of Innovative Research, Tokyo Institute of Technology, Tokyo, Japan
| | - H. Asano
- Laboratory for Advanced Nuclear Energy, Institute of Innovative Research, Tokyo Institute of Technology, Tokyo, Japan
- Radioactive Waste Management Funding and Research Center, Tokyo, Japan
| | - K. Takeshita
- Laboratory for Advanced Nuclear Energy, Institute of Innovative Research, Tokyo Institute of Technology, Tokyo, Japan
| |
Collapse
|
13
|
Kato T, Mizuno K, Nishio H, Iwatsuki S, Nakane A, Akita H, Okamura T, Yasui T, Hayashi Y. Appropriate management of high-flow priapism based on color Doppler ultrasonography findings in pediatric patients: four case reports and a review of the literature. J Pediatr Urol 2019; 15:187.e1-187.e6. [PMID: 30910454 DOI: 10.1016/j.jpurol.2019.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Accepted: 01/02/2019] [Indexed: 02/07/2023]
Abstract
INTRODUCTION High-flow priapism in children is a very rare condition, and there is no clear consensus on its management. High-flow priapism is associated with increased cavernosal blood flow and broadly divided into two groups based on the presence or absence of arteriocavernous fistula in the corpora cavernosa. OBJECTIVE This study aimed to determine the appropriate management of high-flow priapism based on the existence of arteriocavernous fistula using penile color Doppler ultrasonography (CDU) findings in the pediatric population. STUDY DESIGN The cases of four boys aged between 6 and 11 years with high-flow priapism treated between 2009 and 2017 are reported. Two boys had prior perineal trauma, one boy had blunt penile glans trauma, and one had no obvious cause for the condition. All boys initially underwent penile CDU and were treated conservatively or via selective arterial embolization depending upon the presence or absence of an arteriocavernous fistula. RESULTS Penile CDU revealed an arteriocavernous fistula inside the corpus cavernosum penis in two of four boys and increased blood flow inside the corpus spongiosum in the remaining boys. The former two boys underwent selective arterial embolization and one boy underwent repeated embolization because of remaining arteriocavernous fistula feeding from the contralateral cavernosal artery, whereas the boys with no arteriocavernous fistula on CDU were managed conservatively. All boys were successfully treated within 1 month, and they had normal morning erection and no evidence of recurrent priapism at the follow-up. DISCUSSION Unlike low-flow priapism, high-flow priapism is not a medical emergency. Therefore, conservative therapy is an appropriate initial treatment, although selective arterial embolization can be effective for high-flow priapism with arteriocavernous fistula, with a success rate of 97% and no reported complications to date. Penile CDU is an imaging technique that can detect focal areas of turbulent flow with sensitivity close to 100%. This study has several limitations including a small number of cases, limited follow-up duration, and possibility of spontaneous arteriocavernous fistula closure in cases treated by arterial embolization. CONCLUSION Penile CDU could be a reliable tool to diagnose high-flow priapism and detect the presence or absence of arteriocavernous fistula. Although conservative therapy remains the first choice, selective arterial embolization may be an early treatment option when CDU reveals an arteriocavernous fistula.
Collapse
Affiliation(s)
- T Kato
- Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
| | - K Mizuno
- Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
| | - H Nishio
- Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
| | - S Iwatsuki
- Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
| | - A Nakane
- Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
| | - H Akita
- Department of Urology, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, 446-8602, Japan.
| | - T Okamura
- Department of Urology, Anjo Kosei Hospital, 28 Higashihirokute, Anjo-cho, Anjo, 446-8602, Japan.
| | - T Yasui
- Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
| | - Y Hayashi
- Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
| |
Collapse
|
14
|
Okamura T, Nishio M, Ishii K, Takahashi K, Yoshino J, Kobashikawa H, Jordão de Magalhães Rosa G, Satoh M, Sasaki O. 301 Inferring phenotypic causal networks of reproductive traits in Landrace pigs in Japan. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- T Okamura
- Institute of Livestock and Grassland Science, NARO,Ibaraki, Japan
| | - M Nishio
- Institute of Livestock and Grassland Science, NARO,Ibaraki, Japan
| | - K Ishii
- Institute of Livestock and Grassland Science, NARO,Ibaraki, Japan
| | - K Takahashi
- Chiba Prefectural Livestock Research Center,Ibaraki, Japan
| | - J Yoshino
- Miyagi Livestock Experimental Station,Ibaraki, Japan
| | - H Kobashikawa
- Livestock Industry Division, Department of Agriculture Forestry and Fisheries Okinawa,Ibaraki, Japan
| | | | - M Satoh
- Graduate School of Agricultural Sciences, Tohoku University,Sendai, Japan
| | - O Sasaki
- Institute of Livestock and Grassland Science, NARO,Ibaraki, Japan
| |
Collapse
|
15
|
Nishikawa T, Miyamatsu N, Higashiyama A, Hojo M, Nishida Y, Fukuda S, Ichiura K, Kubo S, Ueba T, Okamura T. Difference in water intake between persons with a history of cerebral infarction and healthy persons. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - N Miyamatsu
- Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan
| | - A Higashiyama
- Department of Preventive Medicine and Epidemiologic Informatics, National Cerebral and Cardiovascular Center, Osaka, Japan
| | - M Hojo
- Department of Neurosurgery, Shiga General Hospital, Shiga, Shiga, Japan
| | - Y Nishida
- Foundation for Biomedical Research and Innovation, Hyogo, Japan
| | - S Fukuda
- Department of Neurosurgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan
| | - K Ichiura
- Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan
| | - S Kubo
- Foundation for Biomedical Research and Innovation, Hyogo, Japan
| | - T Ueba
- Department of Neurosurgery, Kochi Medical School, Kochi University, Kochi, Japan
| | - T Okamura
- Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Tokyo, Japan
| |
Collapse
|
16
|
Murayama H, Sugiyama M, Inagaki H, Ura C, Miyamae F, Edahiro A, Okamura T, Awata S. SOCIOECONOMIC DISADVANTAGE IN EARLY LIFE PREDICTS POOR PHYSICAL PERFORMANCE IN LATE LIFE AMONG OLDER JAPANESE. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- H Murayama
- Institute of Gerontology, The University of Tokyo
| | - M Sugiyama
- Tokyo Metropolitan Institute of Gerontology
| | - H Inagaki
- Tokyo Metropolitan Institute of Gerontology
| | - C Ura
- Tokyo Metropolitan Institute of Gerontology
| | - F Miyamae
- Tokyo Metropolitan Institute of Gerontology
| | - A Edahiro
- Tokyo Metropolitan Institute of Gerontology
| | - T Okamura
- Tokyo Metropolitan Institute of Gerontology
| | - S Awata
- Tokyo Metropolitan Institute of Gerontology
| |
Collapse
|
17
|
Hashimoto Y, Okamura T, Hamaguchi M, Obora A, Kojima T, Fukui M. Impact of respiratory function on the progression from metabolically healthy non-overweight to metabolically abnormal phenotype. Nutr Metab Cardiovasc Dis 2018; 28:922-928. [PMID: 30057013 DOI: 10.1016/j.numecd.2018.05.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 05/30/2018] [Accepted: 05/31/2018] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND AIMS Recent studies identified that metabolically abnormal non-overweight phenotype is a risk factor for cardiovascular diseases. However, only little is known about risk factors for the progression from metabolically healthy non-overweight (MHNO) to metabolically abnormal phenotype. In this study, we investigated the impact of respiratory function on the progression from MHNO to metabolically abnormal phenotype. METHODS AND RESULTS In this retrospective cohort study, 8949 (3872 men and 5077 women) individuals with MHNO, who participated in a health-checkup program from 2004 to 2015, were enrolled. Four metabolic factors (high-normal blood pressure or hypertension, impaired fasting glucose or diabetes, hypertriglyceridemia, and low HDL cholesterol concentration) were used to define metabolically healthy (less than two factors) or metabolically abnormal (two or more factors) phenotypes. Respiratory function was measured by spirometry. Over a median 4.0 years of follow-up, 927 participants progressed to metabolically abnormal phenotype. The percentage of FVC for predicted values (HR 0.98, 95% CI 0.93-1.03, p = 0.418) was not associated with the progression to metabolically abnormal phenotype after adjusting for covariates, including age, sex, alcohol consumption, exercise, smoking status, and body mass index, whereas the percentage of FEV1 for predicted values (%FEV1) (HR 0.87, 95% CI 0.84-0.91, p < 0.001) and the FEV1/FVC ratio (HR 0.86, 95% CI 0.78-0.95, p = 0.004) were associated with the progression to metabolically abnormal phenotype. CONCLUSION Decrease in respiratory function in terms of %FEV1 and the FEV1/FVC ratio is associated with the progression to metabolically abnormal phenotype in individuals with MHNO.
Collapse
Affiliation(s)
- Y Hashimoto
- Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan
| | - T Okamura
- Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan
| | - M Hamaguchi
- Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan; Department of Diabetology, Kameoka Municipal Hospital, Kameoka, Japan.
| | - A Obora
- Department of Gastroenterology, Murakami Memorial Hospital, Asahi University, Gifu, Japan
| | - T Kojima
- Department of Gastroenterology, Murakami Memorial Hospital, Asahi University, Gifu, Japan
| | - M Fukui
- Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan
| |
Collapse
|
18
|
Okamura T, Kakino A, Miura K, Fujiyoshi A, Kadota A, Fujita Y, Zaid M, Usami Y, Hisamastu T, Horiuchi S, Kunimura A, Sugiyama D, Kondo K, Sawamura T, Ueshima H. 51Serum modified high density lipoprotein levels assessed by a novel assay was associated with coronary artery calcification in an apparently healthy population. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.51] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- T Okamura
- Keio University School of Medicine, Preventive Medicine and Public Health, Tokyo, Japan
| | - A Kakino
- Shinshu University, Physiology, Matsumoto, Japan
| | - K Miura
- Shiga University of Medical Science, Otsu, Japan
| | - A Fujiyoshi
- Shiga University of Medical Science, Otsu, Japan
| | - A Kadota
- Shiga University of Medical Science, Otsu, Japan
| | - Y Fujita
- Shinshu University, Physiology, Matsumoto, Japan
| | - M Zaid
- Shiga University of Medical Science, Otsu, Japan
| | - Y Usami
- Shinshu University, Physiology, Matsumoto, Japan
| | - T Hisamastu
- Shimane University, Faculty of Medicine, Izumo, Japan
| | - S Horiuchi
- Shinshu University, Physiology, Matsumoto, Japan
| | - A Kunimura
- Shiga University of Medical Science, Otsu, Japan
| | - D Sugiyama
- Keio University School of Medicine, Preventive Medicine and Public Health, Tokyo, Japan
| | - K Kondo
- Shiga University of Medical Science, Otsu, Japan
| | - T Sawamura
- Shinshu University, Physiology, Matsumoto, Japan
| | - H Ueshima
- Shiga University of Medical Science, Otsu, Japan
| | | |
Collapse
|
19
|
Kadota A, Miura K, Fujiyoshi A, Hisamatsu T, Kadowaki S, Zaid M, Miyagawa N, Kondo K, Kunimura A, Okamura T, Ueshima H. P4448The association of coronary artery calcification progression, albuminuria and estimated glomerular filtration rate among general population. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Kadota
- Shiga University of Medical Science, Center for Epidemiologic Research in Asia, Otsu, Japan
| | - K Miura
- Shiga University of Medical Science, Center for Epidemiologic Research in Asia, Otsu, Japan
| | - A Fujiyoshi
- Shiga University of Medical Science, Department of Public Health, Otsu, Japan
| | - T Hisamatsu
- Shimane University, Dpeartment of Enviromental Medicine and Public Health, Izumo, Japan
| | - S Kadowaki
- Shiga University of Medical Science, Department of Public Health, Otsu, Japan
| | - M Zaid
- Shiga University of Medical Science, Center for Epidemiologic Research in Asia, Otsu, Japan
| | - N Miyagawa
- Shiga University of Medical Science, Department of Public Health, Otsu, Japan
| | - K Kondo
- Shiga University of Medical Science, Department of Public Health, Otsu, Japan
| | - A Kunimura
- Shiga University of Medical Science, Center for Epidemiologic Research in Asia, Otsu, Japan
| | - T Okamura
- Keio University School of Medicine, Department of Preventive Medicine and Public Health, Tokyo, Japan
| | - H Ueshima
- Shiga University of Medical Science, Center for Epidemiologic Research in Asia, Otsu, Japan
| | | |
Collapse
|
20
|
Tsukinoki R, Murakami Y, Miura K, Okamura T, Kadota A, Hayakawa T, Okayama A, Ueshima H. The relationship between healthy life expectancy and smoking, hypertension and body mass index in a Japanese population: A multistate life table method using Nippon Data90. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.238] [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: 10/28/2022] Open
|
21
|
Murakami Y, Tsukinoki R, Miura K, Okamura T, Kadota A, Okayama A, Ueshima H. Comparison of methods for calculating healthy life expectancy in a Japanese population: An analysis of Nippon Data90. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.247] [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: 11/27/2022] Open
|
22
|
Nishikawa T, Miyamatsu N, Higashiyama A, Hojo M, Nishida Y, Fukuda S, Ichiura K, Kubo S, Okamura T. PO2-5DIFFERENCES IN DRINKING HISTORY BETWEEN HEALTHY PEOPLE AND PATIENTS WITH CEREBRAL INFARCTION. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx074.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
23
|
Hino T, Yokota C, Nishimura K, Nakai M, Arimizu T, Tomari S, Wada S, Kato S, Kuwabara K, Takekawa H, Okamura T, Ohnishi H, Toyoda K, Minematsu K. School-based stroke education using a manga for elementary schoolchildren aiming at spreading awareness of stroke: A meta-analysis. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.3658] [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: 11/26/2022]
|
24
|
Godai K, Miyamatsu N, Higashiyama A, Kubo S, Nishida Y, Sugiyama D, Nii Y, Tatsumi Y, Nishikawa T, Okamura T. PO3-2ALCOHOL CONSUMPTION AND PSYCHOLOGICAL DISTRESS IN HEALTHY JAPANESE RESIDENTS: THE KOBE STUDY. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx074.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
25
|
Okamura T, Sawamura T, Miura K, Fujiyoshi A, Miyagawa N, Miyamastu N, Ueshima H. PO4-7THE EFFECT OF ALCOHOL DRINKING AND SMOKING ON MODIFIED ATHEROGENIC HIGH DENSITY LIPOPROTEIN CHOLESTEROL LEVELS IN A JAPANESE GENERAL POPULATION. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx074.51] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
26
|
Murasato Y, Mori T, Okamura T, Nagoshi R, Yamawaki M, Serikawa T, Nakao F, Hikichi Y, Ono S, Sakamoto T, Shinke T, Shite J. P3314Efficacy of proximal optimization technique on cross-over stenting in the Japanese 3-D OCT bifurcation registry. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Y. Murasato
- Kyushu Medical Center, Department of Cardiology, Fukuoka, Japan
| | - T. Mori
- Kyushu Medical Center, Department of Cardiology, Fukuoka, Japan
| | - T. Okamura
- Yamaguchi University Graduate School of Medicine, Ube, Japan
| | - R. Nagoshi
- Osaka Saiseikai Nakatsu Hospital, Osaka, Japan
| | - M. Yamawaki
- Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan
| | - T. Serikawa
- Saiseikai Fukuoka General Hospital, Fukuoka, Japan
| | - F. Nakao
- Yamaguchi Prefectural Grand Medical Center, Hofu, Japan
| | | | - S. Ono
- Saiseikai Yamaguchi General Hospital, Yamaguchi, Japan
| | - T. Sakamoto
- Saiseikai Kumamoto Hospital, Kumamoto, Japan
| | | | - J. Shite
- Osaka Saiseikai Nakatsu Hospital, Osaka, Japan
| | | |
Collapse
|
27
|
Ishiguchi H, Kobayashi S, Kohno M, Nanno T, Myoren T, Oda S, Tateishi H, Mochizuki M, Oda T, Yamada J, Okamura T, Yano M. P5408Urinary 8-hydroxy-2-deoxyguanosine as a novel myocardial oxidative stress marker for sustained ventricular tachycardia in patients with active cardiac sarcoidosis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
28
|
Sugiyama M, Murayama H, Inagaki H, Ura C, Miyamae F, Edahiro A, Okamura T, Awata S. THE ASSOCIATION OF CHILDHOOD SOCIOECONOMIC DISADVANTAGE WITH COGNITIVE IMPAIRMENT IN OLDER JAPANESE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- M. Sugiyama
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - H. Murayama
- The University of Tokyo, Tokyo, Japan
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - H. Inagaki
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - C. Ura
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - F. Miyamae
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - A. Edahiro
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - T. Okamura
- The University of Tokyo, Tokyo, Japan
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - S. Awata
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| |
Collapse
|
29
|
Ura C, Okamura T, Yamazaki S, Ishiguro T, Miyazaki M, Ibe M, Kubota A, Kawamuro Y. RICE-FARMING CARE FOR PEOPLE WITH DEMENTIA; A NOVEL WAY OF SOCIAL PARTICIPATION FOR THE ELDERLY. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- C. Ura
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
| | - T. Okamura
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan,
- University of Tokyo, Tokyo, Japan,
| | | | | | | | - M. Ibe
- Kawamuro Memorial Hospital, Niigata, Japan
| | - A. Kubota
- Kawamuro Memorial Hospital, Niigata, Japan
| | | |
Collapse
|
30
|
Murayama H, Sugiyama M, Inagaki H, Ura C, Miyamae F, Edahiro A, Okamura T, Awata S. ARE NEIGHBORHOODS ASSOCIATED WITH THE LIKELIHOOD OF DEMENTIA? A STUDY IN THE TOKYO METROPOLITAN AREA. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- H. Murayama
- Institute of Gerontology, The University of Tokyo, Tokyo, Japan,
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - M. Sugiyama
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - H. Inagaki
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - C. Ura
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - F. Miyamae
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - A. Edahiro
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - T. Okamura
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - S. Awata
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| |
Collapse
|
31
|
Imagawa S, Mito T, Takahata K, Yamada S, Yanagi N, Chikaraishi H, Maekawa R, Tamura H, Iwamoto A, Hamaguchi S, Obana T, Okamura T, Shirai Y, Ise T, Hamajima T. Overview of LHD Superconducting Magnet System and Its 10-Year Operation. Fusion Science and Technology 2017. [DOI: 10.13182/fst10-a10843] [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)
- S. Imagawa
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - T. Mito
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - K. Takahata
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - S. Yamada
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - N. Yanagi
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - H. Chikaraishi
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - R. Maekawa
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - H. Tamura
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - A. Iwamoto
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - S. Hamaguchi
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - T. Obana
- National Institute for Fusion Science, Toki 509-5292, Japan
| | - T. Okamura
- Tokyo Institute of Technology, Yokohama 226-8502, Japan
| | - Y. Shirai
- Kyoto University, Kyoto 606-8501, Japan
| | - T. Ise
- Osaka University, Suita 565-0871, Japan
| | | | | |
Collapse
|
32
|
Uchida Y, Katayama K, Okamura T, Imaoka R, Nishikawa M, Fukada S. Hydrogen Retention in Deposition Layers Formed from Type 316 Stainless Steel. Fusion Science and Technology 2017. [DOI: 10.13182/fst08-a1874] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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)
- Y. Uchida
- Graduate School of Engineering Science, Kyushu University, Hakozaki 6-10-1, Higashi-ku, Fukuoka 812-8581, Japan
| | - K. Katayama
- Graduate School of Engineering Science, Kyushu University, Hakozaki 6-10-1, Higashi-ku, Fukuoka 812-8581, Japan
| | - T. Okamura
- Graduate School of Engineering Science, Kyushu University, Hakozaki 6-10-1, Higashi-ku, Fukuoka 812-8581, Japan
| | - R. Imaoka
- Graduate School of Engineering Science, Kyushu University, Hakozaki 6-10-1, Higashi-ku, Fukuoka 812-8581, Japan
| | - M. Nishikawa
- Graduate School of Engineering Science, Kyushu University, Hakozaki 6-10-1, Higashi-ku, Fukuoka 812-8581, Japan
| | - S. Fukada
- Graduate School of Engineering Science, Kyushu University, Hakozaki 6-10-1, Higashi-ku, Fukuoka 812-8581, Japan
| |
Collapse
|
33
|
Ogiya R, Niikura N, Kumaki N, Bianchini G, Kitano S, Iwamoto T, Hayashi N, Yokoyama K, Oshitanai R, Terao M, Morioka T, Tsuda B, Okamura T, Saito Y, Suzuki Y, Tokuda Y. Abstract P2-04-13: Difference of immune microenvironment between primary and recurrent tumours in breast cancer patients. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p2-04-13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background
Immune checkpoint therapy only benefits a fraction of patients, thus huge efforts have been made to develop predictive biomarkers to identify those patients. Immune biomarkers like PD-L1 expression are extremely dynamic and the timing of evaluation, on primary or metastatic disease, may be critical. We have already shown that tumour-infiltrating lymphocytes (TILs) decrease during metastatic progression in triple-negative (TN) and human epidermal growth factor-2 positive (HER2+) breast cancers (Ogiya R, ASCO 2015), suggesting that mechanisms of immune escape contribute and favour the metastatic progression. In this work we aimed to characterize the modulation and changes of specific immune markers during the metastatic spread comparing paired samples from primary and recurrent breast cancers.
Methods
We retrospectively identified 25 patients with HER2+ (n = 14) and TN (n = 11) early breast cancer diagnosed between 1990 and 2009 at Tokai University Hospital, and who subsequently experienced a first regional or distant recurrence confirmed by tumour biopsy/resection. Haematoxylin and eosin-stained slides of these paired samples were evaluated for stromal TILs. Immunohistochemical staining was performed using primary antibodies against CD4, CD8, Foxp3, PD-L1, PD-L2, and HLA-class I.
Results
The sites of first recurrence was the skin (n = 7), brain (n = 6), lymph node (n = 4), lung (n = 3), bone (n = 2), and one of each of bone marrow, liver and muscle. Immunohistochemical evaluations could not be performed in 5 primary tumours and 2 recurrent tumours because of the small quantity of the specimens. The percentage of CD8+ T cells staining in the primary tumours was significantly higher (median 16%) than that in recurrent tumours (median 10%) (paired t-test, p = 0.008) Similarly, the percentage of CD4+ T cells staining in the primary tumours was significantly higher (median 40%) than that in recurrent tumours (median 25%) (p = 0.026). The percentage of Foxp3+ T cells was low (<10%) and similar in both primary and recurrent tumours (p = 0.16). PD-L1, PD-L2, and HLA class I antibody expression was not statistically different between primary and recurrent tumours, but conversions from positive to negative and vice versa were observed. PD-L1+ staining (≥1%) was 90% and 85% in primary and metastatic tumours, respectively.
Comparison of positivity rate between primary and recurrent tumours for each antibody Primary tumourRecurrent tumourPTotal breast tumours (N)2023 TILs positivity rate, median (%) CD440%25%.03CD816%10%.01Foxp3<10%<10%.16Expression in tumour cells (N) PD-L1 Strong85.46Weak1015 Negative23 PD-L2 Strong69.78Weak1011 Negative43 HLA Strong46.89Weak1415 Negative22
Conclusions
Tumours at first metastatic recurrence in HER2+ and TN breast cancers have a lower percentage of both CD8+ and CD4+ T cells compared to primary tumours, confirming a potential role of immune escape in tumour progression. Other immune markers, including PD-L1, were not found to change significantly, but negative/positive conversions were observed. This suggest that an evaluation of disease at the time of immunotherapy administration might be more informative. These findings warrant larger confirmation studies.
Citation Format: Ogiya R, Niikura N, Kumaki N, Bianchini G, Kitano S, Iwamoto T, Hayashi N, Yokoyama K, Oshitanai R, Terao M, Morioka T, Tsuda B, Okamura T, Saito Y, Suzuki Y, Tokuda Y. Difference of immune microenvironment between primary and recurrent tumours in breast cancer patients [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P2-04-13.
Collapse
Affiliation(s)
- R Ogiya
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - N Niikura
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - N Kumaki
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - G Bianchini
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - S Kitano
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - T Iwamoto
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - N Hayashi
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - K Yokoyama
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - R Oshitanai
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - M Terao
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - T Morioka
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - B Tsuda
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - T Okamura
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - Y Saito
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - Y Suzuki
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| | - Y Tokuda
- Tokai University, School of Medicine, Isehara, Kanagawa, Japan; Ospedale San Raffaele, Milan, Italy; National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Okayama University Hospital, Okayama, Japan; St. Luke's International Hospital, Chuo-ku, Tokyo, Japan
| |
Collapse
|
34
|
Okamura T, Niikura N, Yokoyama K, Ogiya R, Oshitanai R, Terao M, Morioka T, Tsuda B, Saito Y, Suzuki Y, Tokuda Y. Abstract P3-13-11: Utility of LigaSureTM vessel-sealing device in axillary dissection for breast cancer surgery: A randomized single center study. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p3-13-11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction
Axillary lymph node dissection is standard therapy for patients with positive-node breast cancer, and can be performed with an electrocautery scalpel and suture ligation in most cases. However, knot slipping can occur during suture ligation and this can spread thermal damage to peripheral tissues. The LigaSureTM Small Jaw vessel-sealing system was developed as an alternative to suture ligatures, staplers, and other energy-dependent devices for sealing blood and lymphatic vessels, but its use in axillary dissection for breast cancer is limited. We prospectively compared the duration until drain removal after surgery, total lymph fluid drainage volume, intraoperative blood loss, and incidence of complications after axillary dissections, between this device and conventional methods.
Methods
This prospective randomized study was conducted at the Department of Breast and Endocrine Surgery at Tokai University School of Medicine, Kanagawa, Japan, between October 2011 and March 2015. Major eligibility criteria included (1) pathologically confirmed breast cancer diagnosis, (2) age ≥20 and ≤80 years, and (3) a signed informed consent form. The primary endpoint was duration until drain removal after surgery. The secondary endpoints were total lymph fluid drainage volume, intraoperative blood loss, and incidence of postoperative surgical complications. We defined the criterion for drain removal as a lymph fluid drainage volume of <40 mL/day for two consecutive days.The target accrual was 100 patients, with a two-sided error rate of 5%, and 90% power. The assumed duration until drain removal after surgery was 7.2 days in the control group (conventional use of an electrocautery scalpel and suture ligation) and 5.8 days in the study group (use of the LigaSureTM Small Jaw). This clinical study was approved by the Institutional Review Board of the Tokai University School of Medicine and is registered with UMIN (No. 000013034).
Results
Initially, 100 patients were assigned as eligible; however, two patients were later excluded because of the exclusion criteria. Of 98 patients, 49 were randomized to the study group, and 49 to the control group. The mean duration until drain removal after surgery was 5.2 days in the study group and 5.0 days in the control group (p=0.573). The mean total lymph fluid drainage volumes were 260.3 and 233.5 mL (p=0.502), and the mean intraoperative blood loss volumes were 17.8 and 18.0 mL (p=0.949), for the study and control groups, respectively. No significant differences were found between the two groups regarding drain removal duration, total drainage volume, and intraoperative blood loss volume. Both groups had low incidence rates of postoperative hematoma, wound infection, lymphedema, and pain, and had similar incidence rates of seroma formation after drain removal.
Conclusion
Our study results indicated that the use of the LigaSureTM Small Jaw in axillary dissection for breast cancer was as safe as conventional methods. However, using the LigaSureTM Small Jaw did not improve surgical outcomes such as duration until drain removal and total lymph fluid drainage volume compared with conventional methods.
Citation Format: Okamura T, Niikura N, Yokoyama K, Ogiya R, Oshitanai R, Terao M, Morioka T, Tsuda B, Saito Y, Suzuki Y, Tokuda Y. Utility of LigaSureTM vessel-sealing device in axillary dissection for breast cancer surgery: A randomized single center study [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P3-13-11.
Collapse
Affiliation(s)
- T Okamura
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - N Niikura
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - K Yokoyama
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - R Ogiya
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - R Oshitanai
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - M Terao
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - T Morioka
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - B Tsuda
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Y Saito
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Y Suzuki
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Y Tokuda
- Tokai University School of Medicine, Isehara, Kanagawa, Japan
| |
Collapse
|
35
|
Nishikawa T, Nakamura T, Takaoka R, Miyamatsu N, Okamura T, Nakayama H. Difference in knowledge of stroke symptoms between female university students and middle-old age. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
36
|
Miyamatsu N, Shima A, Godai K, Tanaka H, Mekata E, Kawatsu Y, Matsumura Y, Nishikawa T, Okamura T. Effects of health-prone behavior concerning breast cancer on blood pressure control in hypertensives. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
37
|
El-Saed A, Masaki K, Okamura T, Evans RW, Nakamura Y, Willcox BJ, Lee S, Maegawa H, Seto TB, Choo J, Fujiyoshi A, Miura K, Kuller LH, Ueshima H, Sekikawa A. The Associations of C-Reactive Protein with Serum Levels of Polyunsaturated Fatty Acids and Trans Fatty Acids Among Middle-Aged Men from Three Populations. J Nutr Health Aging 2016; 20:16-21. [PMID: 26728928 DOI: 10.1007/s12603-016-0670-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND C-reactive protein (CRP) and many fatty acids (FAs) have been linked to cardiovascular disease. Associations of serum CRP with FAs in different populations have not been established. METHODS Participants were 926 men aged 40-49 (2002-2006) from a population-based sample; 310 Whites from Pennsylvania, U.S., 313 Japanese from Shiga, Japan, and 303 Japanese Americans from Hawaii, U.S. Serum CRP (mg/L) was measured using immunosorbent assay while serum FAs (%) were measured using capillary-gas-liquid chromatography. RESULTS Whites had CRP (mg/L) levels higher than Japanese with Japanese Americans in-between (age-adjusted geometric mean "GM" 0.96, 0.38, 0.66, respectively). Whites had also higher levels of total n-6 FAs (%) and trans fatty acids (TFAs) but lower levels of marine-derived n-3 FAs compared to Japanese (41.78 vs. 35.05, 1.04 vs. 0.58, and 3.85 vs. 9.29, respectively). Japanese Americans had FAs levels in-between the other two populations. Whites had significant inverse trends between CRP and tertiles of total n-6 FAs (GM 1.20, 0.91 and 0.80; p=0.002) and marine-derived n-3 FAs (GM 1.22, 1.00 and 0.72; p<0.001) but a significant positive trend with TFAs (GM 0.80, 0.95 and 1.15; p=0.007). Japanese had a significant inverse trend between CRP and only total n-6 FAs (GM 0.50, 0.35 and 0.31; p<0.001). Japanese Americans had CRP associations with n-3 FAs, n-6 FAs, and TFAs similar to but weaker than Whites. CONCLUSIONS With the exception of consistent inverse association of CRP with total n-6 FAs, there are considerable variations across the three populations in the associations of CRP with different FAs.
Collapse
Affiliation(s)
- A El-Saed
- Akira Sekikawa MD, PhD, PhD, Associate Professor of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 North Bellefield Avenue, Suite 546, Pittsburgh, PA, 15213, Phone: +1-412-624-3225, Fax: +1-412-383-1956
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
38
|
Nakahara Y, Takagi Y, Nagamata M, Watanabe K, Takahashi S, Yomota M, Okuma Y, Hosomi Y, Okamura T, Masuda N. 437P Activity of S-1 for non-small cell lung cancer pretreated with pemetrexed. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv532.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
39
|
Nishikawa T, Okamura T, Shima A, Kawatsu Y, Sugiyama D, Kadota A, Morimoto A, Tatsumi Y, Godai K, Miyamatsu N. Casual serum triglyceride as a predictor of premature type 2 diabetes mellitus: an 8-year cohort study of middle-aged Japanese workers. Diabetol Int 2015; 7:252-258. [PMID: 30603271 DOI: 10.1007/s13340-015-0241-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 07/24/2015] [Accepted: 09/23/2015] [Indexed: 12/22/2022]
Abstract
Background The utility of casual serum triglyceride (TG) as a predictor of type 2 diabetes mellitus (DM) is unclear, especially during the most productive years. Methods Participants were 3271 workers (913 men and 2358 women, age 20-57) without DM at baseline. They underwent consecutive annual medical check-ups for 8 years. The association between newly diagnosed DM and casual serum TG level was determined by classifying the participants into 4 groups according to casual serum TG level at baseline: below 50 mg/dL (group A), 50-100 mg/dL (group B), 100-150 mg/dL (group C), and ≥150 mg/dL (group D). The effects of casual serum TG level in combination with sex, obesity, or serum glucose level on newly diagnosed DM were also evaluated. Results A total of 222 newly diagnosed type 2 DM cases with a mean age of 50 years old were observed during the follow-up period, i.e., 10/406 in group A, 66/1534 in group B, 58/712 in group C, and 88/619 in group D. Compared with group A, the odds ratio (ORs) for newly diagnosed DM (after adjusting for DM-associated factors) was found to increase with casual serum TG level: 1.38 (group B), 1.79 (group C), and 2.36 (group D). Moreover, the OR for newly diagnosed DM was higher in participants with high casual serum TG levels who were also male (OR 2.46), obese (OR 4.18), or had a high serum glucose level (OR 6.96) than in the reference group. Conclusions Serum TG level ≥150 mg/dL when fasting or nonfasting is a significant predictor of type 2 diabetes in middle-aged Japanese workers.
Collapse
Affiliation(s)
- Tomofumi Nishikawa
- 1Department of Health and Nutrition, Kyoto Koka Women's University, 38 Kadonocho, Nishikyogoku, Ukyo-Ku, Kyoto, 615-0822 Japan
- 4Department of Clinical Nursing, Shiga University of Medical Science, Otsu, Japan
| | - T Okamura
- 2Preventive Medicine and Public Health, Keio University, Tokyo, Japan
| | - A Shima
- Heiwado Co., Ltd., Hikone, Japan
- 4Department of Clinical Nursing, Shiga University of Medical Science, Otsu, Japan
| | | | - D Sugiyama
- 2Preventive Medicine and Public Health, Keio University, Tokyo, Japan
| | - A Kadota
- 5Osaka Kyoiku University, Osaka, Japan
| | - A Morimoto
- 4Department of Clinical Nursing, Shiga University of Medical Science, Otsu, Japan
| | - Y Tatsumi
- 4Department of Clinical Nursing, Shiga University of Medical Science, Otsu, Japan
- 6Department of Mathematical Health Science, Graduate School of Osaka University, Suita, Japan
| | - K Godai
- 4Department of Clinical Nursing, Shiga University of Medical Science, Otsu, Japan
| | - N Miyamatsu
- 4Department of Clinical Nursing, Shiga University of Medical Science, Otsu, Japan
| |
Collapse
|
40
|
Murakami Y, Okamura T, Miura K, Ueshima H. Sex and Age-Specific Population Attributable Fractions of CVD Risk Factors Combination from the Pooled Analysis of 85,432 Participants in Japan. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Y. Murakami
- Shiga University of Medical Science, Otsu, Japan,
| | | | - K. Miura
- Shiga University of Medical Science, Otsu, Japan,
- Center for epidemiological research in Asia, Otsu, Japan,
| | - H. Ueshima
- Shiga University of Medical Science, Otsu, Japan,
- Center for epidemiological research in Asia, Otsu, Japan,
| | | |
Collapse
|
41
|
Nishikawa T, Miyamatsu N, Higashiyama A, Nishida Y, Kubota Y, Hirata T, Sugiyama D, Kuwabara K, Miyamoto Y, Okamura T. Water intake for preventing stroke in healthy Japanese: KOBE Study. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv175.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
42
|
Harada S, Takebayashi T, Kurihara A, Okamura T, Sugiyama D, Takeuchi A, Hirayama A, Sugimoto M, Soga T, Tomita M. Metabolomic Biomarkers of Daily Alcohol Intake and Alcohol-Induced Hepatopathy in Community-Dwelling Adults: Tsuruoka Metabolomic Cohort Study, Japan. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
43
|
Nakamura F, Nishimura K, Watanabe M, Kokubo Y, Higashiyama A, Takegami M, Nakao YM, Nakai M, Okamura T, Miyamoto Y. Stroke risk assessment tool including chronic kidney disease improve a predictive probability. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv175.171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
44
|
Nishi N, Okuda N, Hayakawa T, Fujiyoshi A, Kadota A, Ohkubo T, Nakamura Y, Sakata K, Okamura T, Ueshima H, Okayama A, Miura K. Sex Differences in Smoking Habit by Educational and Marital Status in a Representative Japanese Population: the NIPPON DATA2010. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
45
|
Kubota Y, Higashiyama A, Imano H, Sugiyama D, Kawamura K, Kadota A, Nishimura K, Miyamatsu N, Miyamoto Y, Okamura T. Serum Polyunsaturated Fatty Acid Composition and Serum High-Sensitivity C-Reactive Protein Levels in Healthy Japanese Residents: The KOBE Study. J Nutr Health Aging 2015; 19:719-28. [PMID: 26193854 DOI: 10.1007/s12603-015-0497-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND/OBJECTIVES Serum polyunsaturated fatty acid (PUFA) composition reflects dietary intake and is related to risks for cardiovascular diseases. We hypothesized that serum n-3 PUFA composition, especially including long-chain n-3 PUFA such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), is associated with inflammatory status, which is related to increased risk for cardiovascular diseases. SUBJECTS/METHODS We investigated the relationship between serum PUFA composition and high-sensitivity C-reactive protein (hs-CRP) levels in a cross-sectional study among 1,102 healthy men and women aged 40-74 years who reside in Kobe City. Multiple linear regression models that predict hs-CRP level were prepared to confirm the contribution of serum total n-3 PUFA, long-chain n-3 PUFA, EPA and DHA compositions after adjusting for other PUFAs and atherosclerotic risk factors. RESULTS The serum n-3 PUFA, particularly long-chain n-3 PUFA, compositions were inversely associated with the hs-CRP levels. The standardized regression coefficient was -0.089 (p < 0.01) for total n-3 PUFA, -0.091 (p < 0.01) for long-chain n-3 PUFA, -0.071 (p = 0.03) for EPA, and -0.068 (p = 0.04) for DHA. The n-6 PUFA compositions were also inversely associated with the hs-CRP levels (-0.169 [p < 0.01] for total n-6 PUFA and -0.159 [p < 0.01] for linoleic acid). CONCLUSIONS The serum n-3 PUFA compositions were inversely related with the hs-CRP levels, similar associations were also observed in n-6 PUFA compositions. Our results suggest that dietary PUFA intake was inversely associated with attenuated inflammation in healthy Japanese population.
Collapse
Affiliation(s)
- Y Kubota
- Yoshimi Kubota, Department of Environmental and Preventive Medicine, Hyogo College of Medicine 1-1, Mukogawa-cho, Nishinomiya, Hyogo 663-8501 Japan, TEL; +81-798-45-6562 FAX; +81-798-45-6563 E-mail;
| | | | | | | | | | | | | | | | | | | |
Collapse
|
46
|
El-Saed A, Masaki K, Okamura T, Evans RW, Nakamura Y, Willcox BJ, Lee S, Maegawa H, Seto TB, Choo J, Fujiyoshi A, Miura K, Kuller LH, Ueshima H, Sekikawa A. The associations of C-reactive protein with serum levels of polyunsaturated fatty acids and trans fatty acids among middle-aged men from three populations. J Nutr Health Aging 2015. [DOI: 10.1007/s12603-015-0551-7] [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]
|
47
|
Kanda H, Okamura T. P-7 * INADEQUATE USE OF ALCOHOL DRINKING INCREASED THE MEDICAL COSTS AND ECONOMIC BURDEN AMONG JAPANESE. Alcohol Alcohol 2014. [DOI: 10.1093/alcalc/agu054.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
48
|
Takagi Y, Nakahara Y, Hosomi Y, Kagei A, Yamamoto T, Yomota M, Okuma Y, Mikura S, Okamura T. Noninvasive Genotyping Using Digital Pcr Before and After Combination Therapy with Gefitinib and Pemetrexed (Pem) or S-1 for Non-Small Cell Lung Cancer (Nsclc) Resistant to Epidermal Growth Factor Receptor (Egfr) Tyrosine Kinase Inhibitors (Tki). Ann Oncol 2014. [DOI: 10.1093/annonc/mdu326.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
49
|
Tsuda B, Kametani Y, Ohgiya R, Oshitanai R, Terao M, Terada M, Morioka T, Niikura N, Okamura T, Saito Y, Suzuki Y, Tokuda Y. Abstract P5-01-11: A new anti-HER2 peptide “CH401MAP” can stimulate the immunity of breast cancer patients. Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-p5-01-11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
In previous decades, numerous attempts have been made to develop therapeutic peptide vaccines for cancer. However, the HLA (Human Leukocyte Antigen) types are limited because most peptide vaccines are specific to the major HLA types of the area. Peptide vaccines specific for Caucasians thus may not be specific to Japanese. Moreover, they are not designed to stimulate both helper and killer T cells. We are trying to make a peptide vaccine specific to the MHC of Japanese patients that stimulates both helper and killer T cells. We selected a new-HER2 peptide including a B-cell epitope which has anti-tumor effects in a mouse system. The B-cell epitope was determined for a H401 monoclonal antibody (mAb) specific for HER2. As for epitope mapping of the chimera mAb CH401, enzyme-linked immunosorbent assay was employed with 20mer MAPs carrying a partial HER2 sequence. The CH401 epitope was determined as N:163-182, and the CH401MAP including the epitope induced anti-tumor effects in HER2-overexpressing tumor cells in a mouse system. We predicted the peptide MHC affinity and examined the in vitro reaction of PBMCs from Japanese breast cancer patients. The study enrolled 173 female breast cancer patients who underwent surgery between October 2010 and July 2012 at Tokai University Hospital. We used SYFPEITHI, BIMAS and IEDB algorithms to estimate peptide and HLA affinity. Lymphocyte proliferation ability, cell surface marker expression, cytokine (interleukin (IL)-2, IL-4 and interferon (IFN)-g) secretion and specific antibody production were analyzed in vitro. According to the algorithms, 97.1% of patients showed high to intermediate affinity of the CH401 epitope peptide to Japanese major HLA class I. Similarly, 34.5% of patients showed high to moderate affinity to HLA class II. The proliferative ability of patient groups was significantly higher than that of the HD group (HER2 0 group, p<0.05; HER2 1+2+ group, p<0.01; HER2 3+ group, p<0.01). Cell percentages of CD8+ cells were significantly increased after 21 days of CH401MAP stimulation. In the HER2 0 patient group, CD4+CD25+ cell ratio was also increased, while no significant increase was seen in the other groups. Foxp-3 expression was not increased in any groups, suggesting that these cells were not regulatory T cells. Concentrations of IL2 in stimulated supernatant tended to increase in all patient groups. In particular, concentration in the HER2 1+2+ group at 48 h was significantly increased (p<0.001). IL-4 and IFN-g secretion also tended to increase. CH401MAP-specific antibodies were measured for all breast cancer patient groups and HD, showing significant differences. However, within each patients’ group, no significant differences were observed irrespective of CH401MAP stimulation (p<0.001). As a result, reactivity with CH401MAP and breast cancer patient PBMCs activated immunity in the total breast cancer patient group, and the association with HER2 expression level of the primary cancer was poor overall. Collectively, CH401MAP may become a promising peptide vaccine to prevent recurrent breast cancer in Japanese patients.
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P5-01-11.
Collapse
Affiliation(s)
- B Tsuda
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - Y Kametani
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - R Ohgiya
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - R Oshitanai
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - M Terao
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - M Terada
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - T Morioka
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - N Niikura
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - T Okamura
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - Y Saito
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - Y Suzuki
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| | - Y Tokuda
- Tokai Univercity School of Medicine; Tokai University School of Medicine
| |
Collapse
|
50
|
Yomota M, Sekihara K, Nakahara Y, Okuma Y, Takagi Y, Hosomi Y, Shibuya M, Okamura T. Lung Cancer in Patients with Combined Pulmonary Fibrosis and Emphysema. Ann Oncol 2013. [DOI: 10.1093/annonc/mdt459.64] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|