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Watazu T, Hiraiwa MK, Inoue M, Mishima H, Ushimaru A, Hosaka T. Dominance of non-wetland-dependent pollinators in a plant community in a small natural wetland in Shimane, Japan. J Plant Res 2024; 137:191-201. [PMID: 38206495 PMCID: PMC10899375 DOI: 10.1007/s10265-023-01518-9] [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] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 12/20/2023] [Indexed: 01/12/2024]
Abstract
Many wetland plants rely on insects for pollination. However, studies examining pollinator communities in wetlands remain limited. Some studies conducted in large wetlands (> 10 ha) have suggested that wetland-dependent flies, which spend their larval stage in aquatic and semi-aquatic habitats, dominate as pollinators. However, smaller wetlands surrounded by secondary forests are more prevalent in Japan, in which pollinators from the surrounding environment might be important. Additionally, information regarding floral traits that attract specific pollinator groups in wetland communities is scarce. Therefore, this study aimed to understand the characteristics of insect pollinators in a small natural wetland (2.5 ha) in Japan. We examined the major pollinator groups visiting 34 plant species and explored the relationship between the flower visitation frequency of each pollinator group and floral traits. Overall, flies were the most dominant pollinators (42%), followed by bees and wasps (33%). Cluster analysis indicated that fly-dominated plants were the most abundant among 14 of the 34 target plant species. However, 85% of the hoverflies, the most abundant flies, and 82% of the bees were non-wetland-dependent species, suggesting that these terrestrial species likely originated from the surrounding environment. Therefore, pollinators from the surrounding environment would be important in small natural wetlands. Flies tend to visit open and white/yellow flowers, whereas bees tended to visit tube-shaped flowers, as in forest and grassland ecosystems. The dominance of flies in small wetlands would be due to the dominance of flowers preferred by flies (e.g., yellow/white flowers) rather than because of their larval habitats.
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Affiliation(s)
- Tomohiro Watazu
- Development Technology Course, Graduate School for International Development and Cooperation, Hiroshima University, 1-5-1 Kagamiyama, Higashi-Hiroshima City, Hiroshima, 739-8529, Japan
| | - Masayoshi K Hiraiwa
- Department of Environmental Management, Faculty of Agriculture, Kindai University, 3327-204 Nakamachi, Nara, 631-8505, Japan
| | - Masahito Inoue
- The Shimane Nature Museum of Mt. Sanbe, 1121-8 Tane, Sanbe-cho, Ohda, Shimane, 694-0003, Japan
| | - Hideo Mishima
- The Shimane Nature Museum of Mt. Sanbe, 1121-8 Tane, Sanbe-cho, Ohda, Shimane, 694-0003, Japan
| | - Atushi Ushimaru
- Graduate School of Human Development and Environment, Kobe University, 3-11 Tsurukabuto, Nada, Kobe, 657- 8501, Japan
| | - Tetsuro Hosaka
- Transdisciplinary Science and Engineering Program, Graduate School of Advanced Science and Engineering, Hiroshima University, 1-5-1 Kagamiyama, Higashi-Hiroshima, 7398529, Japan.
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Usuda K, Hayashi K, Ishikawa T, Aizawa Y, Kato T, Kusayama T, Tsuda T, Usui S, Sakata K, Kawashiri M, Mishima H, Yoshiura K, Makita N, Takamura M. Novel variant of the glycerol-3-phosphate dehydrogenase-1 Like (GPD1-L) gene in Japanese Brugada syndrome patients. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The incidence of Brugada syndrome (BrS) varies among racial groups. Several studies reported Glycerol-3-Phosphate Dehydrogenase 1-Like (GPD1-L) gene is associated with BrS. However, most of these studies were reported from Western countries, so the evidence about GPD1-L mutation is limited especially among Asian BrS patients. This study aimed to search for rare variants in GPD1-L among Japanese BrS patients and to investigate the pathogenicity.
Method
We performed whole-exome sequencing for patients with Brugada type 1 ECG pattern from Japanese multicenter BrS cohort consisting of SCN5A-negative BrS probands (n=288) and controls (n=372). We conducted patch-clamp study in human embryonic kidney (HEK) 293 cells cotransfected with the wild-type sodium channel (SCN5A) and wild-type or mutant GPD1-L expression plasmid.
Results
We identified a rare variant in GPD1-L, p.D262N (c.784g>a) in 2 of 288 BrS probands, which was not identified in 372 controls. The minor allele frequency of the variant is 0.0014% in the Genome Aggregation Database. One proband was a 49-year-old man and the other was 34-year-old man who both developed a ventricular fibrillation. ECGs of both probands showed Brugada Type 1 pattern after administration of the pilsicainide. In functional study, coexpression of D262N GPD1-L with SCN5A in HEK293 cells significantly reduced inward sodium currents compared with wild-type GPD1-L. Additionally, inward sodium currents with D262N were similar to those with A280V GPD1-L, which was associated with BrS in previous reports (Figure). Also, several pathogenicity prediction programs, such as SIFT (score: 0.031) and PolyPhen2 (score: 0.937) predicted deleterious effects of GPD1-L D262N.
Conclusion
We identified a rare variant in GPD1-L at the rate of 0.7% in Japanese BrS patients without SCN5A mutations. GPD1-L, p.D262N reduces inward sodium currents and may be a novel susceptible variant for BrS in the Japanese population.
Funding Acknowledgement
Type of funding sources: None. Figure 1. Current–voltage curve
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Affiliation(s)
- K Usuda
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - K Hayashi
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - T Ishikawa
- National Cerebral and Cardiovascular Center Hospital, Omics Research Center, Osaka, Japan
| | - Y Aizawa
- International University of Health and Welfare, Department of Cardiovascular Medicine, Tochigi, Japan
| | - T Kato
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - T Kusayama
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - T Tsuda
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - S Usui
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - K Sakata
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - M Kawashiri
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
| | - H Mishima
- Nagasaki University, Department of Human Genetics, Nagasaki, Japan
| | - K Yoshiura
- Nagasaki University, Department of Human Genetics, Nagasaki, Japan
| | - N Makita
- National Cerebral and Cardiovascular Center Hospital, Omics Research Center, Osaka, Japan
| | - M Takamura
- Kanazawa University Graduate School of Medicine, Department of Cardiovascular Medicine, Kanazawa, Japan
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Asai M, Koike Y, Kuwatsuka Y, Yagi Y, Kashiyama K, Tanaka K, Mishima H, Yoshiura K, Utani A, Murota H. Multifaceted array-based keloidal gene expression profiling reveals specific MDFI upregulation in keloid lesions. Clin Exp Dermatol 2021; 46:1255-1261. [PMID: 33899950 DOI: 10.1111/ced.14698] [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] [Accepted: 04/20/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Keloid lesions are characterized by mesenchymal cell proliferation and excessive extracellular matrix deposition. Previous microarray analyses have been performed to investigate the mechanism of keloid development. However, the molecular pathology that contributes to keloid development remains obscure. AIM To explore the underlying essential molecules of keloids using microarrays. METHODS We performed microarray analyses of keloid and nonlesional skin tissues both in vivo and in vitro. Gene expression levels were compared between tissues and cells. Quantitative reverse transcription (qRT)-PCR and immunohistochemical staining were used to determine the expression levels of molecules of interest in keloid tissues. RESULTS Several common molecules were upregulated in both keloid tissues and keloid-lesional fibroblasts. PTPRD and NTM were upregulated both in vivo and in vitro. The genes MDFI and ITGA4 were located at the centre of the gene coexpression network analysis using keloid tissues. qRT-PCR revealed significant expression levels of PTPRD and MDFI in keloid tissues. Immunopathological staining revealed that MDFI-positive cells, which have fibroblast characteristics, were located in the keloid-associated lymphoid tissue (KALT) portion of the keloid tissue. CONCLUSION Our gene expression profiles of keloids could distinguish the difference between lesional tissue and cultured lesional fibroblasts, and MDFI was found to be commonly expressed in both tissues and cells. Thus, MDFI-positive cells, which were located in the KALT, may play an important role in keloid pathogenesis and thus might be useful for in vitro keloid studies.
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Affiliation(s)
- M Asai
- Department of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Y Koike
- Department of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Y Kuwatsuka
- Department of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Y Yagi
- Department of Dermatology, Osaka Red Cross Hospital, Osaka, Japan
| | - K Kashiyama
- Department of Plastic and Reconstructive Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - K Tanaka
- Department of Plastic and Reconstructive Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - H Mishima
- Department of Human Genetics, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - K Yoshiura
- Department of Human Genetics, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - A Utani
- Department of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - H Murota
- Department of Dermatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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Satake H, Kotaka M, Ishibashi K, Tsuji Y, Kataoka M, Nakamura M, Nagata N, Sakamoto J, Oba K, Mishima H. 460P Update analysis of phase II study of oxaliplatin based regimen in relapsed colorectal cancer patients treated with oxaliplatin based adjuvant chemotherapy: INSPIRE study. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.571] [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: 11/25/2022] Open
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Kotaka M, Ishibashi K, Satake H, Tsuji Y, Kataoka M, Nakamura M, Nagata N, Sakamoto J, Oba K, Mishima H. P-37 phase II study of oxaliplatin-based regimen in relapsed colon cancer patients treated with oxaliplatin-based adjuvant chemotherapy: INSPIRE study. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Nagasaka T, Inada R, Ojima H, Noura S, Tanioka H, Munemoto Y, Shimada Y, Ishibashi K, Shindo Y, Kagawa Y, Tomibayashi A, Okamoto K, Tsuji A, Tsuji Y, Yamaguchi S, Sawaki A, Mishima H, Shimokawa M, Okajima M, Yamaguchi Y. Randomized phase III study of sequential treatment with capecitabine or 5-fluorouracil (FP) plus bevacizumab (BEV) followed by the addition with oxaliplatin (OX) versus initial combination with OX+FP+ BEV in the first-line chemotherapy for metastatic colorectal cancer: The C-cubed study. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz246.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Hattori H, Ishihara M, Kitano S, Miyahara Y, Kato H, Mishima H, Yamamoto N, Funakoshi T, Kojima T, Sasada T, Sato E, Okamoto S, Tomura D, Chono H, Nukaya I, Mineno J, Ikeda H, Watanabe T, Kageyama S, Shiku H. A novel affinity-enhanced NY-ESO-1-targeting TCR-redirected T cell transfer exhibited early-onset cytokine release syndrome and subsequent tumour responses in synovial sarcoma patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz253.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kagawa Y, Satake H, Kato T, Oba K, Yasui H, Nakamura M, Watanabe T, Hirata K, Muro K, Komatsu Y, Yoshino T, Yamazaki K, Mishima H, Kotaka M, Tsuji A, Kakeji Y, Oki E, Nagata N, Junichi S. Phase Ib/II study of biweekly TAS-102 with bevacizumab combination for patients with metastatic colorectal cancer refractory to standard therapies (BiTS study): Phase Ib results. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy431.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Honda M, Matsuda C, Tanaka C, Kondo K, Takahashi T, Kosugi C, Tokunaga Y, Takemoto H, Kim H, Sakamoto J, Oba K, Mishima H. A phase II study of bevacizumab and irinotecan plus alternate-day S-1 as a second-line therapy for colorectal cancer: The AIRS study. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy281.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Takahashi M, Munemoto Y, Nakamura M, Kotaka M, Kuroda H, Kato T, Minagawa N, Noura S, Fukunaga M, Kuramochi H, Touyama T, Takahashi T, Akagi Y, Satake H, Kurosawa S, Miura T, Mishima H, Sakamoto J, Oba K, Nagata N. SAPPHIRE: A randomized phase II study of oxaliplatin discontinuation after 6 cycles of mFOLFOX6 + panitumumab therapy in patients with colorectal cancer: Final analysis of efficacy and safety results. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy150.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kato T, Satake H, Oba K, Kagawa Y, Yasui H, Nakamura M, Watanabe T, Matsumoto T, Hirata K, Muro K, Komatsu Y, Yoshino T, Yamazaki K, Mishima H, Kotaka M, Tsuji A, Kakeji Y, Oki E, Nagata N, Sakamoto J. Multicenter phase Ib/II study of biweekly TAS-102 with bevacizumab combination for patients with metastatic colorectal cancer refractory to standard therapies (BiTS study) - Trial in progress. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Yamaguchi S, Kunieda K, Sato T, Naramoto Y, Kobayashi M, Ogata Y, Furuhata T, Takii Y, Kusunoki M, Maehara Y, Koda K, Okuno K, Ohno M, Mishima H, Sadahiro S, Hamada C, Sakamoto J, Saji S, Tomita N. Phase III trial of 24 weeks vs. 48 weeks capecitabine adjuvant chemotherapy for patients with stage III colon cancer: Final results of JFMC37-0801. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw370.18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nagata N, Mishima H, Kurosawa S, Oba K, Sakamoto J. P-276 Safety and Efficacy of mFOLFOX6 + Panitumumab Combination Therapy and 5-FU/LV + Panitumumab Combination Therapy in Patients with Chemotherapy-Naïve Metastatic Colorectal Cancer (SAPPHIRE). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw199.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Iwamoto S, Hazama S, Kin H, Takemoto H, Kobayashi K, Takahashi Y, Kobayashi M, Maeda H, Nagata N, Oba K, Sakamoto J, Mishima H. P-157 A phase II study of XELOX and Cetuximab (Erbitux) as first-line therapy in patients with KRAS wild-type metastatic colorectal cancer (FLEET2). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw199.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Inada R, Murotani K, Iwamoto S, Kaibori M, Ishizaki M, Iida H, Matsui K, Oishi M, Mastumoto T, Michiura T, Inoue K, Mishima H, Kon M, Hamada M. P-062 Correlation of histological Tumor Regression Grading (TRG) with radiological response and long-term outcome after preoperative chemotherapy for Colorectal Liver Metastases: a propensity score matching analysis. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw199.60] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nagata N, Mishima H, Kurosawa S, Oba K, Sakamoto J. 228TiP Safety and efficacy of mFOLFOX6 + panitumumab combination therapy and 5-FU/LV + panitumumab combination therapy in patients with chemotherapy-naïve metastatic colorectal cancer (SAPPHIRE). Ann Oncol 2015. [DOI: 10.1093/annonc/mdv523.89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kinjo N, Kanazawa N, Mishima H, Kinoshita A, Yoshiura K. A case of neonatal-onset autoinflammatory syndrome with a de novo PSMB9 mutation resembling Nakajo-Nishimura syndrome. Pediatr Rheumatol Online J 2015. [PMCID: PMC4599820 DOI: 10.1186/1546-0096-13-s1-p183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
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Akaogi H, Tomaru Y, Yoshioka T, Sugaya H, Aoto K, Wada H, Hyodo K, Nakatani T, Ochiai N, Yamazaki M, Mishima H. AB0535 Concentrated Autologous Bone Marrow Aspirate Transplantation for Corticosteroid-Induced Osteonecrosis of the Femoral Head in Systemic Lupus Erythematosus. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.1978] [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: 11/04/2022]
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Iwamoto S, Takahashi T, Tamagawa H, Nakamura M, Munemoto Y, Kato T, Hata T, Denda T, Morita Y, Inukai M, Kunieda K, Nagata N, Kurachi K, Ina K, Ooshiro M, Shimoyama T, Baba H, Oba K, Sakamoto J, Mishima H. FOLFIRI plus bevacizumab as second-line therapy in patients with metastatic colorectal cancer after first-line bevacizumab plus oxaliplatin-based therapy: the randomized phase III EAGLE study. Ann Oncol 2015; 26:1427-33. [PMID: 25908603 PMCID: PMC4478977 DOI: 10.1093/annonc/mdv197] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Accepted: 04/15/2015] [Indexed: 11/13/2022] Open
Abstract
EAGLE was a randomized, multicenter phase III study which evaluated the superiority of bevacizumab 10 mg/kg plus FOLFIRI compared with bevacizumab 5 mg/kg plus FOLFIRI in patients with mCRC previously treated with first-line bevacizumab plus an oxaliplatin-based regimen. The results suggest that the higher 10 mg/kg dose offers no clear clinical benefit compared with bevacizumab 5 mg/kg in this setting. Background A targeted agent combined with chemotherapy is the standard treatment in patients with metastatic colorectal cancer (mCRC). The present phase III study was conducted to compare two doses of bevacizumab combined with irinotecan, 5-fluorouracil/leucovorin (FOLFIRI) in the second-line setting after first-line therapy with bevacizumab plus oxaliplatin-based therapy. Patients and methods Patients were randomly assigned to receive FOLFIRI plus bevacizumab 5 or 10 mg/kg in 2-week cycles until disease progression. The primary end point was progression-free survival (PFS), and secondary end points included overall survival (OS), time to treatment failure (TTF), and safety. Results Three hundred and eighty-seven patients were randomized between September 2009 and January 2012 from 100 institutions in Japan. Baseline patient characteristics were well balanced between the two groups. Efficacy was evaluated in 369 patients (5 mg/kg, n = 181 and 10 mg/kg, n = 188). Safety was evaluated in 365 patients (5 mg/kg, n = 180 and 10 mg/kg, n = 185). The median PFS was 6.1 versus 6.4 months (hazard ratio, 0.95; 95% confidence interval [CI] 0.75–1.21; P = 0.676), and median TTF was 5.2 versus 5.2 months (hazard ratio, 1.01; 95% CI 0.81–1.25; P = 0.967), respectively, for the bevacizumab 5 and 10 mg/kg groups. Follow-up of OS is currently ongoing. Adverse events, including hypertension and hemorrhage, occurred at similar rates in both groups. Conclusion Bevacizumab 10 mg/kg plus FOLFIRI as the second-line treatment did not prolong PFS compared with bevacizumab 5 mg/kg plus FOLFIRI in patients with mCRC. If bevacizumab is continued after first-line therapy in mCRC, a dose of 5 mg/kg is appropriate for use as second-line treatment. Clinical trial identifier UMIN000002557.
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Affiliation(s)
- S Iwamoto
- Department of Surgery, Kansai Medical University Hirakata Hospital, Hirakata
| | - T Takahashi
- Department of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu
| | - H Tamagawa
- Department of Gastroenterological Surgery, Osaka General Medical Center, Osaka
| | - M Nakamura
- Aizawa Comprehensive Cancer Center, Aizawa Hospital, Matsumoto
| | - Y Munemoto
- Department of Surgery, Fukuiken Saiseikai Hospital, Fukui
| | - T Kato
- Department of Surgery, Kansai Rosai Hospital, Amagasaki
| | - T Hata
- Department of Surgery, Osaka University, Suita
| | - T Denda
- Department of Gastroenterology, Chiba Cancer Center, Chiba
| | - Y Morita
- Department of Radiology, Kobe Medical Center, Kobe
| | - M Inukai
- Department of Integrated Medicine, Kagawa University, Kita
| | - K Kunieda
- Department of Surgery, Gifu Prefectural General Medical Center, Gifu
| | - N Nagata
- Department of Surgery, Kitakyushu General Hospital, Kitakyusyu
| | - K Kurachi
- Second Department of Surgery, Hamamatsu University School of Medicine, Shizuoka
| | - K Ina
- Department of Medical Oncology, Nagoya Memorial Hospital, Nagoya
| | - M Ooshiro
- Department of Surgery, Toho University Medical Center Sakura Hospital, Sakura
| | - T Shimoyama
- Department of Chemotherapy, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo
| | - H Baba
- Department of Gastroenterological Surgery, Kumamoto University, Kumamoto
| | - K Oba
- Department of Biostatistics, School of Public Health, Graduate School of Medicine and Interfaculty Initiative in Information Studies, The University of Tokyo, Tokyo
| | | | - H Mishima
- Cancer Center, Aichi Medical University, Nagakute, Japan
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Miura K, Morisaki S, Abe S, Higashijima A, Hasegawa Y, Miura S, Tateishi S, Mishima H, Yoshiura K, Masuzaki H. Circulating levels of maternal plasma cell-free pregnancy-associated placenta-specific microRNAs are associated with placental weight. Placenta 2014; 35:848-51. [DOI: 10.1016/j.placenta.2014.06.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2014] [Revised: 06/01/2014] [Accepted: 06/06/2014] [Indexed: 12/20/2022]
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Mori Y, Nagasaka T, Umeda Y, Shiwaku R, Inada R, Nishida N, Kishimoto H, Kagawa S, Tanioka H, Mishima H, Fujiwara T, Goel A. Hypermethylation of O6-Methylguanine-Dna Methyltransferase (Mgmt) Promoter As a Prognostic Biomarker for Stage Ii, III and Iv Colorectal Cancers. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu326.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Munemoto Y, Iwamoto S, Takahashi T, Tamagawa H, Nakamura M, Kato T, Hata T, Denda T, Morita Y, Inukai M, Kunieda K, Nagata N, Kurachi K, Ina K, Oshiro M, Shimoyama T, Baba H, Oba K, Sakamoto J, Mishima H. A Phase III Study of Eagle Comparing Two Doses of Bevacizumab Combined with Folfiri in the Second-Line Setting After First-Line Treatment with Bevacizumab Plus Oxaliplatin-Based Therapy : Kras Subgroup Findings. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu333.28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Yoshida Y, Aisu N, Tanimura S, Hoshino S, Ogata K, Uchiyama M, Hara S, Mogi A, Takamatsu Y, Hirata K, Tamura K, Mishima H, Yamashita Y. Chemotherapy for Dihydropyrimidine Dehydrogenase-Deficient Patient. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu358.39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Inada R, Nagasaka T, Mori Y, Nasu J, Matsubara M, Fujiwara Y, Mishima H, Fujiwara T. Differential Treatment Strategies for Advanced Colorectal Cancer by Mutation Spectrum in the RAS-RAF Pathway and MSI. Ann Oncol 2013. [DOI: 10.1093/annonc/mdt459.99] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nagata N, Matsuda C, Munemoto Y, Oshiro M, Kataoka M, Shindo Y, Morita S, Kono T, Sakamoto J, Mishima H. Topical Application of TJ-14 (Hangeshashinto) in the Treatment of Chemotherapy-Induced Oral Mucositis: A Radomized, Placebo-Controlled, Double-Blind, Phase II Trial. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)34143-0] [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: 11/25/2022] Open
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Matsui T, Kono T, Hata T, Fukunaga M, Munemoto Y, Nagata N, Shimada M, Morita S, Sakamoto J, Mishima H. 6089 POSTER Goshajinkigan (TJ-107) for Oxaliplatin-induced Sensory Neurotoxicity in Colorectal Cancer Patients – a Prospective, Randomized, Double-blinded, Placebo-controlled, Phase II Trial (GONE). Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71734-8] [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: 10/17/2022]
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Kato T, Muro K, Yamaguchi K, Bando H, Hazama S, Amagai K, Baba H, Denda T, Shi X, Fukase K, Skamoto J, Mishima H. Cediranib in combination with mFOLFOX6 in Japanese patients with metastatic colorectal cancer: results from the randomised phase II part of a phase I/II study. Ann Oncol 2011; 23:933-41. [PMID: 21828378 DOI: 10.1093/annonc/mdr359] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [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
BACKGROUND Colorectal cancer (CRC) is the second most common malignancy in Japan. Treatment with inhibitors of the vascular endothelial growth factor (VEGF) signalling pathway has proven benefit in metastatic CRC. Cediranib is an oral highly potent VEGF signalling inhibitor that inhibits all three VEGF receptors. PATIENTS AND METHODS In this phase II, double-blind, placebo-controlled study, 172 patients with metastatic CRC were randomised to receive once-daily cediranib (20 or 30 mg) or placebo, each combined with modified FOLFOX6 (mFOLFOX6). The primary objective was comparison of progression-free survival (PFS). RESULTS The comparison of cediranib 20 mg versus placebo met the primary objective of PFS prolongation [hazard ratio = 0.70 (95% confidence interval 0.44-1.11), P = 0.167], which met the protocol-defined criterion of P < 0.2. Median PFS was 10.2 versus 8.3 months, respectively. The PFS comparison for cediranib 30 mg versus placebo did not meet the criterion. The most common adverse events (AEs) in the cediranib-containing groups were diarrhoea and hypertension. CONCLUSIONS Cediranib 20 mg plus mFOLFOX6 met the predefined criteria in terms of improved PFS compared with placebo plus mFOLFOX6. Cediranib 20 mg was generally well tolerated and the AE profile was consistent with previous studies.
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Affiliation(s)
- T Kato
- Department of Surgery, Minoh City Hospital, Osaka, Japan
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Matsui T, Kono T, Hata T, Munemoto Y, Fukunaga M, Nagata N, Nishioka M, Hasegawa J, Kunieda K, Morita S, Sakamoto J, Mishima H. Neuroprotective effects of goshajinkigan (TJ-107) in colorectal cancer patients receiving oxaliplatin-based chemotherapy: A double-blind, placebo-controlled, randomized phase II trial from the GONE Study Group. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e14007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Takahashi T, Yoshida K, Hamada C, Sakamoto J, Satoh T, Sadahiro S, Mishima H, Watanabe M, Sugihara K, Tomita N. Six months compared with 12 months of capecitabine as adjuvant chemotherapy for stage III (Dukes' C) colon cancer: Rationale for the open-label randomized phase III study, JFMC37-0801. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.4_suppl.517] [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: 11/20/2022] Open
Abstract
517 Background: The standard duration of adjuvant chemotherapy (CT) in patient with stage III colorectal cancer is 6 months. On the other hand, no clinical trial which investigate an optimal duration of oral chemotherapeutic agents has yet been implemented for adjuvant treatments. According to the ACCENT database (Sargent, et al. J Clin Oncol 27: 872- 877, 2009), 83% of recurrences in stage II and III pts have occurred within the first 3 years after surgery and peak was observed around one year after surgery. Also, single-agent FU-based adjuvant CT reduced the hazard rate of OS, DFS, and TTR, although the peak of events around one year was still remained especially for stage III pts. We analyzed the data of recurrent risk of curatively resected colon cancer pts provided by JFMC7-1-7-2-15, X-ACT. Surgery alone group and 6 months CT (5FU/LV or capecitabine [Cape]) showed highest peak between 12 months to 18 months after surgery, but 12 months oral 5-FUs group did not show recurrence peak between 12 months to 18 months after surgery. Therefore, to clarify the benefit of 12 month administration of Cape, we planned a phase III randomized trial for a comparison of 6 months treatment and 12 months treatment. Methods: JFMC37 is a multicenter, randomized phase III trial. Patients with fully resected stage III colon or recto sigmoid cancer were eligible. Patients were randomized 1:1 to receive Cape of 6 months (arm A) or Cape of 12 months (arm B). Primary endpoint is disease-free survival. The statistical design is based on superiority hypothesis; 5-yrs DFS is 60% in arm A, 67% in arm B; unilateral α=0.05, 1-β=0.8; and planed accrual is 1200 pts. Results: Between September 2008 to December 2009, 1,304 pts were randomized. Patients characteristics are (armA/armB); number 653/651, gender M352-F301/M343-F308, median age 65 years/65 years, ECOG PS=0-1 620-33/632-19, involvement of lymph nodes=N0-N1-N2 503-130-20/499-128-24. There were no differences in baseline characteristics between arm A and arm B. Conclusions: This trial is expected to show if 1 year adjutant chemotherapy with capecitabine can reduce the peak of recurrence in 1 year and provide long-term OS benefit. [Table: see text]
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Affiliation(s)
- T. Takahashi
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - K. Yoshida
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - C. Hamada
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - J. Sakamoto
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - T. Satoh
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - S. Sadahiro
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - H. Mishima
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - M. Watanabe
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - K. Sugihara
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
| | - N. Tomita
- Department of Surgical Oncology, Gifu University School of Medicine, Gifu, Japan; Faculty of Engineering, Tokyo University of Science, Tokyo, Japan; Nagoya University Graduate School of Me, Nagoya, Japan; Department of Medical Oncology, Kinki University School of Medicine, Osaka, Japan; Tokai University, Isehara, Japan; Department of Surgery, Osaka National Hospital, Osaka, Japan; Department of Surgery, Kitasato University School of Medicine, Sagamihara, Japan; Department of Surgical Oncology, Tokyo
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Sasaki K, Okamoto N, Kosaki K, Yorifuji T, Shimokawa O, Mishima H, Yoshiura KI, Harada N. Maternal uniparental isodisomy and heterodisomy on chromosome 6 encompassing a CUL7 gene mutation causing 3M syndrome. Clin Genet 2010; 80:478-83. [DOI: 10.1111/j.1399-0004.2010.01599.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Nishino T, Chang F, Ishii T, Yanai T, Mishima H, Ochiai N. Joint distraction and movement for repair of articular cartilage in a rabbit model with subsequent weight-bearing. ACTA ACUST UNITED AC 2010; 92:1033-40. [DOI: 10.1302/0301-620x.92b7.23200] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We have previously shown that joint distraction and movement with a hinged external fixation device for 12 weeks was useful for repairing a large articular cartilage defect in a rabbit model. We have now investigated the results after six months and one year. The device was applied to 16 rabbits who underwent resection of the articular cartilage and subchondral bone from the entire tibial plateau. In group A (nine rabbits) the device was applied for six months. In group B (seven rabbits) it was in place for six months, after which it was removed and the animals were allowed to move freely for an additional six months. The cartilage remained sound in all rabbits. The areas of type II collagen-positive staining and repaired soft tissue were larger in group B than in group A. These findings provide evidence of long-term persistence of repaired cartilage with this technique and that weight-bearing has a positive effect on the quality of the cartilage.
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Affiliation(s)
- T. Nishino
- Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan
| | - F. Chang
- Department of Orthopaedic Surgery China-Japan Union Hospital of Jilin University, 126 Xian Tai Street, Changchun, Jilin 130033, China
| | - T. Ishii
- Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan
| | - T. Yanai
- Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan
| | - H. Mishima
- Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan
| | - N. Ochiai
- Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan
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Hyodo K, Xu C, Mishima H, Miyakawa S. Optical Stress Imaging for Orthopedic Biomechanics – Comparison of Thermoelastic Stress Analysis and Developed Mechanoluminescent Method. IFMBE Proceedings 2010. [DOI: 10.1007/978-3-642-14515-5_139] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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Affiliation(s)
- M. Seguchi
- Faculty of Home Economics, Laboratory of Food Technology, Kobe Women's University, Suma-Ku, Kobe City 654-8585, Japan
- Corresponding author. E-mail:
| | - H. Mishima
- Faculty of Home Economics, Laboratory of Food Technology, Kobe Women's University, Suma-Ku, Kobe City 654-8585, Japan
| | - C. Kumashiro
- Faculty of Home Economics, Laboratory of Clinical Nutrition, Osaka Shoin Women's University, 4-2-26, Hishiyanishi, Higashi-Osaka 577-8550, Japan
| | - Y. Yoshino
- Faculty of Home Economics, Laboratory of Culinary Science, Kyoto Women's University, Higashiyama-ku, Kyoto City 605-8501, Japan
| | - C. Kusunose
- Faculty of Food and Nutrition, Laboratory of Cookery Science, Kyushu Nutrition Welfare University, Shimoitozu 5-1-1, Kokurakita-ku, Kitakyushu, Fukuoka 803-8511, Japan
| | - M. Goto
- Faculty of Home Economics, Laboratory of Food Technology, Kobe Women's University, Suma-Ku, Kobe City 654-8585, Japan
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Nagata N, Kondo K, Kato T, Shibata Y, Okuyama Y, Ikenaga M, Tanemura H, Oba K, Nakao A, Sakamoto J, Mishima H. Multicenter phase II study of FOLFOX for metastatic colorectal cancer (mCRC) in Japan; SWIFT-1 and 2 study. Hepatogastroenterology 2009; 56:1346-1353. [PMID: 19950789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
BACKGROUND/AIMS This study assessed the efficacy and toxicity of the FOLFOX4 (SWIFT1) and mFOLFOX6 (SWIFT2) regimens in Japanese patients with metastatic colorectal cancer (mCRC). METHODOLOGY Patients with mCRC were required to have ECOG performance status of 0 to 1, and to have adequate organ function. Two multicenter Phase II studies (SWIFT1/SWIFT2) were conducted in chemotherapy naive patients with mCRC. RESULTS 112 patients were enrolled in these studies (SWIFT1: 54 patients / SWIFT2: 58 patients). The disease sites for each study were the colon in 27 patients and 28 patients, and the rectum in 27 patients and 30 patients, respectively. All patients received a median of 8 courses. After a median follow-up period of 35 months, 54 patients and 58 patients were evaluable in the respective studies, and the overall response rate was 50.0% (CR:31 PR:53). The response rate according to the sites of metastasis were as follows: liver, 54.1% (46/85); lung, 17.4% (4/23); and lymph node, 23.3% (7/30). Grade 3/4 neutropenia occurred in 14 patients (12.5%), while Grade 3/4 non-hematological toxicities were observed in 16 patients (31.0%) and Grade 3 neurotoxicity was observed in 6patients (5.4%) and 5 patients (4.5%), respectively. CONCLUSIONS FOLFOX4 (SWIFT1) and mFOLFOX6 (SWIFT2) regimens complying with the international standard dosage and schedule can also be administered safely and effectively in Japan.
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Affiliation(s)
- N Nagata
- Kitakyushu General hospital, Kitakyushu, Japan.
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Hashida M, Mishima H, Tokita S, Sakabe S. Non-thermal ablation of expanded polytetrafluoroethylene with an intense femtosecond-pulse laser. Opt Express 2009; 17:13116-13121. [PMID: 19654716 DOI: 10.1364/oe.17.013116] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Ablation of expanded polytetrafluoroethylene without disruption of the fine porous structure is demonstrated using an intense femtosecond-pulse laser. As a result of laser-matter interactions near ablation threshold fluence, high-energy ions are emitted, which cannot be produced by thermal dissociation of the molecules. The ion energy is produced by Coulomb explosion of the elements of (-CF(2)-CF(2)-)(n) and the energy spectra of the ions show contributions from the Coulomb explosions of the ions rather than those of thermal expansion to generate high-energy ions. The dependence of ion energy on the laser fluence of a 180-fs pulse, compared with that of a 400-ps pulse, also suggests that the high-energy ions are accelerated by Coulomb explosion.
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Affiliation(s)
- M Hashida
- Institute for Chemical Research, Kyoto University, gokasho, Uji, Kyoto 611-0011, Japan.
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Hazama S, Okuyama Y, Kato T, Okayama N, Hinoda Y, Sakamoto J, Mishima H, Fujita Y, Hamamoto Y, Oka M. Use of genotype subset selections of multi-UGT1As polymorphisms to predict severe neutropenia and tumor responses of metastatic CRC patients received FOLFIRI regimen. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.e15038] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e15038 Introduction: The pharmacogenetics of irinotecan indicate that a common polymorphism in the uridine diphosphate glucuronosyltransferase 1As (UGT1As) gene predict severe toxicity. However the tumor response to irinotecan is variable and unpredictable. Methods: Two multi-center phase II studies of FOLFIRI (FLIGHT-1 and FLIGHT-2 study) were conducted for patients with metastatic colorectal cancer (CRC) in Japan. FLIGHT-1 study was first-line chemotherapy, and FLIGHT-2 study was FOLFOX-refractory second-line chemotherapy. 103 patients have been enrolled in these studies (53 patients in FLIGHT-1 and 50 patients in FLIGHT-2) from 20 institutions by April 2007 from November 2005. Seventy one patients were analyzed UGT1As polymorphisms, UGT1A1*28 (TA6>TA7), UGT1A1*6 (G>A), UGT1A1*60 (T>C), UGT1A7 (N129K; T>G), UGT1A7 (-57 T>G), UGT1A9*22 (T10>T9). Results: Out of 71 patients, 34 had G3/4 neutropenia or leukopenia, and 23 had tumor responses (CR +PR). G3/4 neutropenia was more frequent in patients with *6, N129K(G), -57(G), *22 allele than patients without these allele (p<0.05). Other polymorphism was not the predictive factor for toxicity and tumor response, independently. On the other hand, genotype subset selection of multi-UGT1As polymorphisms was useful to predict severe toxicities and tumor responses. Only 7 patients of 22 patients with TA6/TA6 and T10/T10, or TA6/TA7 and -57(T/T), or *6(G/G) and *60(T/T) had grade3/4 toxicity. Similarly, high risk group of toxicity or high and low tumor responses groups was also predicted by genotype subset selections. Conclusions: Genotype subset selections of multi-UGT1As polymorphisms were the excellent predictor for severe toxicities and tumor responses of metastatic CRC patients received FOLFIRI regimen. No significant financial relationships to disclose.
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Affiliation(s)
- S. Hazama
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - Y. Okuyama
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - T. Kato
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - N. Okayama
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - Y. Hinoda
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - J. Sakamoto
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - H. Mishima
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - Y. Fujita
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - Y. Hamamoto
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
| | - M. Oka
- Yamaguchi University Graduate School of Medicine, Ube Yamaguchi, Japan; Kyoto First Red Cross Hospital, Kyoto, Japan; Minoh City Hospital, Minoh, Japan; Yamaguchi University Hospital, Ube Yamaguchi, Japan; Nagoya University Graduate School of Medicine, Nagoya, Japan; National Hospital Organization Osaka National Hosp, Osaka, Japan; Yamaguchi University. Graduate School of Medicine, Ube, Japan
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Hotta T, Takifuji K, Tonoda S, Mishima H, Sasaki M, Yukawa H, Mori K, Fuku A, Yamaue H. Risk Factors and Management for Massive Bleeding of an Acute Hemorrhagic Rectal Ulcer. Am Surg 2009. [DOI: 10.1177/000313480907500114] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
An acute hemorrhagic rectal ulcer (AHRU) is considered to be a potentially life-threatening illness requiring urgent identification and management because of massive bleeding. It is therefore important to clarify the factors associated with the massive bleeding of an AHRU and the best management. The factors associated with the massive bleeding of 14 patients with AHRU were determined by comparing the clinicopathologic features, laboratory data, and treatment between four patients with more transfusions (≥12 U) and 10 patients with less transfusions (≤3 U). Patients with AHRU of the more transfusion group had lower performance status (PS), more diabetes mellitus, more comorbid diseases, and lower serum albumin concentrate than those of the less transfusion group. More surgical treatment and the administration of hemostatic agents were necessary for the patients with AHRU of the more transfusion group than for those of the less transfusion group, and the duration from bleeding to hemostasis in patients with AHRU of the more transfusion group was larger than that of the less transfusion group. Patients with AHRU of the more transfusion group had a longer duration of no oral food intake, total parenteral nutrition, and hospital stay from bleeding day than those of the less transfusion group. Thus, the factors associated with the massive bleeding of AHRU were identified.
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Affiliation(s)
- Tsukasa Hotta
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Katsunari Takifuji
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Shigehiko Tonoda
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Hideo Mishima
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Masakazu Sasaki
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Hirofumi Yukawa
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Kazunari Mori
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Akito Fuku
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
| | - Hiroki Yamaue
- From the Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
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Hotta T, Takifuji K, Tonoda S, Mishima H, Sasaki M, Yukawa H, Mori K, Fuku A, Yamaue H. Risk factors and management for massive bleeding of an acute hemorrhagic rectal ulcer. Am Surg 2009; 75:66-73. [PMID: 19213400] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
An acute hemorrhagic rectal ulcer (AHRU) is considered to be a potentially life-threatening illness requiring urgent identification and management because of massive bleeding. It is therefore important to clarify the factors associated with the massive bleeding of an AHRU and the best management. The factors associated with the massive bleeding of 14 patients with AHRU were determined by comparing the clinicopathologic features, laboratory data, and treatment between four patients with more transfusions (> or = 12 U) and 10 patients with less transfusions (< or = 3 U). Patients with AHRU of the more transfusion group had lower performance status (PS), more diabetes mellitus, more comorbid diseases, and lower serum albumin concentrate than those of the less transfusion group. More surgical treatment and the administration of hemostatic agents were necessary for the patients with AHRU of the more transfusion group than for those of the less transfusion group, and the duration from bleeding to hemostasis in patients with AHRU of the more transfusion group was larger than that of the less transfusion group. Patients with AHRU of the more transfusion group had a longer duration of no oral food intake, total parenteral nutrition, and hospital stay from bleeding day than those of the less transfusion group. Thus, the factors associated with the massive bleeding of AHRU were identified.
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Affiliation(s)
- Tsukasa Hotta
- Second Department of Surgery, Wakayama Medical University, School of Medicine, Wakayama, Japan
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Miyagaki H, Fujitani K, Tsujinaka T, Hirao M, Yasui M, Kashiwazaki M, Ikenaga M, Miyazaki M, Mishima H, Nakamori S. The significance of gastrectomy in advanced gastric cancer patients with non-curative factors. Anticancer Res 2008; 28:2379-2384. [PMID: 18751422] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
BACKGROUND The role of gastrectomy in the treatment of advanced gastric cancer patients with non-curative factors remains controversial. We investigated prognostic factors and evaluated the role of gastrectomy in such patients. PATIENTS AND METHODS Eighty-eight advanced gastric cancer patients with non-curative factors were prospectively studied. The patients were categorized into the following two groups: Group A: 52 patients who underwent gastrectomy and subsequently received chemotherapy, Group B: 36 patients who received chemotherapy alone. RESULTS The median survival times of group A and B patients were 351 and 182 days, respectively (p=0.008). Multivariate analysis showed that gastrectomy was the only positive independent prognostic factor, with no effect on the results of chemotherapy. There was no significant difference in the duration of hospital stay between patients of the two groups, while significantly longer maintenance of oral intake was observed for group A. CONCLUSION In advanced gastric cancer patients with non-curative factors, gastrectomy was beneficial for survival with longer maintenance of oral intake.
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Affiliation(s)
- H Miyagaki
- Department of Surgery, National Hospital Organization Osaka National Hospital, Japan
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Asaoka Y, Yoshida K, Oka M, Shinomura T, Mishima H, Matsushima S, Nishizuka Y. The signal-induced phospholipid degradation cascade and protein kinase C activation. Ciba Found Symp 2007; 164:50-9; discussion 59-65. [PMID: 1395935 DOI: 10.1002/9780470514207.ch5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Acting in synergy with diacylglycerol, unsaturated free fatty acids such as arachidonic, oleic, linoleic, linolenic and docosahexaenoic acids dramatically activate some members of the protein kinase C family at the basal level of Ca2+ concentration. It is plausible that phospholipase C and phospholipase A2, and possibly phospholipase D as well, are involved in the activation of protein kinase C. Presumably, this enzyme activation is integrated into the signal-induced membrane phospholipid degradation cascade, prolonging the activation of protein kinase C. The sustained activity of this enzyme appears to be of importance for long-term cellular responses such as development of neuronal plasticity and gene activation.
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Affiliation(s)
- Y Asaoka
- Biosignal Research Center, Kobe University, Japan
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41
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Moran E, Cattaneo C, Mishima H, López de Mishima BA, Silvetti SP, Rodriguez JL, Pastor E. Ammonia oxidation on electrodeposited Pt–Ir alloys. J Solid State Electrochem 2007. [DOI: 10.1007/s10008-007-0407-0] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Seshimo I, Yamamoto H, Mishima H, Kurata A, Suzuki R, Ezumi K, Takemasa I, Ikeda M, Fukushima T, Tsujinaka T, Sekimoto M, Kikkawa N, Takenoshita S, Monden M. Expression and mutation of SMAD4 in poorly differentiated carcinoma and signet-ring cell carcinoma of the colorectum. J Exp Clin Cancer Res 2006; 25:433-42. [PMID: 17167985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Poorly differentiated adenocarcinoma (Por) and signet-ring cell carcinoma (Sig) are rare but highly malignant types of colorectal cancer. To explore their genetic backgrounds we investigated TGF-beta type II receptor (TGF-beta RII) and SMAD4 in the TGF-beta signaling pathway, and to identify their mutator phenotype we examined microsatellite instability (MSI) status. Loss of SMAD4 expression was significantly more frequent in Por (12 of 38; 31%) and Sig (4 of 5; 80%) tumors than in well (Well) and moderately differentiated (Mod) carcinomas (p = 0.04, 0.003, respectively). Mutation of the SMAD4 gene was detected in 2 of 26 Por tumors. MSI was positive in 14 of the 38 Por tumors and in 1 of the 5 Sig tumors, but in none of the Well or Mod tumors examined. We also found mutation of TGF-beta RII, a putative target of MSI, in 10 of 35 Por tumors (28.6%), but in none of 3 Sig tumors. As a whole, about 50% of the Por tumors and 80% of the Sig tumors showed abnormalities of either TGF-beta RII or SMAD4 expression. This suggests that disruption of the TGF-beta signaling pathway may play a central role in the pathogenesis of Por and Sig tumors of the colorectum.
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Affiliation(s)
- I Seshimo
- Department of Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan
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Kato T, Miyake Y, Ikenaga M, Mishima H, Fukunaga M, Murata K, Ota H, Sekimoto M, Sakamoto J, Monden M. In-depth analysis of high effectivity in phase II study (irinotecan and doxifluridine, an intermediate form of capecitabine) for metastatic colorectal cancer: MCSGO, Colorectal Cancer Treatment Group. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.13570] [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: 11/20/2022] Open
Abstract
13570 Background: We have already reported the results of the Phase II multicenter study [a combination of irinotecan (CPT-11) and doxifluridine (5’-DFUR) for MCRC], including the survival period (2006 GI Cancer Symposium Abst #130). In this report, we mention the details of the treatment introduced after this combination and discuss the response observed in each metastatic lesion. Methods: The subjects were 60 CPT-11 naive patients with MCRC. They had a measurable disease that satisfied the RECIST criteria and had gone through not more than one regimen of chemotherapy (median age: 64 years (28–74); male/female: 37/23; ECOG PS 0/1: 52/8; main location of metastatic lesion: liver 31, lung 13, lymph node 15). CPT-11 (150 mg/m2, i.v.) was administered on days 1 and 15, 5’-DFUR (800 mg/body, p.p.) was administered day 3 to 15 and day 17 to 28. One cycle of treatment consisted of 5 weeks. No requirements were imposed on the follow-up treatment. Results: According to the results of this regimen, ORR was 40% [23/60, CR;1, PR;23], OS was 20.5 months, and PFS was 5.9 months. The main NCI-CTC grade 3–4 adverse events included neutropenia (28.3%), fatigue (11.6%), nausea (8.3%), vomiting (6.6%), and diarrhea (5.0%).A follow-up therapy regimen was selected and implemented by each investigator. The main regimens adopted for the 49 patients who received this combination as a 1st line therapy included FOLFOX (n=10), hepatic arterial infusion (HAI) (n=10), and others (n=13). 16 patients received no follow-up therapy. The duration of treatment was 5.0 months in the case of 2nd line therapy and 3.0 months in the case of 3rd line therapy. The response rate by metastatic lesion was as follows: liver 35.4% (11/31, PR;11), lung 53.5% (7/13, CR;1, PR;6), and lymph node 46.6% (7/15, PR;7). Conclusions: The combination of CPT-11 and 5’-DFUR is effective in treating lung metastasis and HAI in treating liver metastasis was suggested. No significant financial relationships to disclose.
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Affiliation(s)
- T. Kato
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - Y. Miyake
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - M. Ikenaga
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - H. Mishima
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - M. Fukunaga
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - K. Murata
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - H. Ota
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - M. Sekimoto
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - J. Sakamoto
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
| | - M. Monden
- Minoh city Hospital, Minoh, Japan; Osaka National Hospital, Osaka, Japan; Sakai Municipal Hospital, Sakai, Japan; Suita Municipal Hospital, Suita, Japan; Osaka Saiseikai Senri Hospital, Suita, Japan; Osaka University Hospital, Suita, Japan; Kyoto University, Kyoto, Japan
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Danno K, Sugimoto T, Ikeda M, Ikeda K, Ohnishi T, Fukunaga M, Ohta H, Mishima H, Watase M, Sekimoto M, Monden M. Impact of preoperative CEA levels on the prediction of lymphnode (LN) metastasis. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.20070] [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: 11/20/2022] Open
Abstract
20070 Background: Although CEA is the most commonly used tumor marker for colorectal carcinoma (CRC) and it may correlate with poorer prognosis, data are insufficient to support its use to determine adjuvant therapy. Monitoring preoperative CEA might be useful if it would assist in staging and treatment planning. Methods: This study was a pooled data analysis of 1791 CRC patients (pts) collected prospectively from 25 hospitals participating in the MCSGO. The purpose of this study was to investigate the impact of preoperative CEA on the prediction of the number of LN metastasis (#LN). Data of 1328 pts were completed with preoperative CEA and clinicopathological (CP) data (number of dissected LN, #LN, tumor size, distant metastasis, macroscopic type, depth of invasion, histological type, and lymphatic and vessel invasion). Data of 582 pts with the number of dissected LN 12 were analyzed in this study. #LN was categorized in 5 levels (0, 1, 2, 3, and ≥4), and relationship between #LN and CEA was first investigated via a multivariate analysis based on adjusting for the other CP factors. Discrete logistic regression analysis was used, in which a random effect was incorporated to adjust some bias between hospitals. The linear effects for the factors were evaluated via the regression model. The multivariate adaptive regression spline (MARS), the most powerful tool in the statistical prediction, was employed for the prediction of #LN. Results: The effect of the CEA adjusted by the other CP factors had a positive trend with two-sided P-value of 0.0394 for #LN. The adjusted R-squared measure (R2*) by the MARS fitting, a prediction performance index of #LN, was 0.369, and that averaged based on Bootstrap sampling (Bagging method) was R2* = 0.405. The relative importance of each factor in the prediction of #LN estimated by the decrease rate of R2* on masking each factor is shown in the Table . The relative importance of CEA in the prediction of LN# was ranked second next to lymphatic invasion. Conclusions: Preoperative CEA has a significant impact on the prediction of #LN. [Table: see text] No significant financial relationships to disclose.
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Affiliation(s)
- K. Danno
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - T. Sugimoto
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - M. Ikeda
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - K. Ikeda
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - T. Ohnishi
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - M. Fukunaga
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - H. Ohta
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - H. Mishima
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - M. Watase
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - M. Sekimoto
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
| | - M. Monden
- Multi-Center Study Group of Osaka, Suita, Japan; Osaka University, Suita, Japan
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Washio T, Mizuhara K, Mishima H, Miyakawa S, Hyodo K. Evaluation of femoral stress distribution change caused by hip stem implantation conditions. J Biomech 2006. [DOI: 10.1016/s0021-9290(06)85111-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Otani T, Shioiri T, Mishima H, Ishihara A, Maeshiro T, Matsuo A, Umekita N, Warabi M. Bile duct schwannoma developed in the remnant choledochal cyst-a case associated with total agenesis of the dorsal pancreas. Dig Liver Dis 2005; 37:705-8. [PMID: 15925554 DOI: 10.1016/j.dld.2004.12.017] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2004] [Accepted: 12/26/2004] [Indexed: 12/11/2022]
Abstract
A 59-year-old Japanese woman was referred to our hospital due to upper abdominal pain. At the age of 44, she was diagnosed with a congenital choledochal cyst, Todani's type Ic. She then underwent bypass operation with end-to-side choledochojejunostomy with Roux-en-Y technique as well as cholecystectomy. Magnetic resonance cholangiopancreatography revealed an 'oval' shaped cystic lesion with a maximal diameter of 25 mm, which had been 'spindle' shaped with a maximal diameter of 18 mm, 15 years ago. It also showed an anomalous pancreaticobiliary ductal union. In addition, a complete absence of the dorsal primordia of pancreas was revealed by magnetic resonance image and computed tomography scan. The patient underwent the surgical exploration for the resection of the 'oval' shaped cystic lesion. Haematoxylin and eosin staining of the thin section of the resected cyst showed a compact spindle cell pattern which was compatible with schwannoma, Antoni type A, which was confirmed by immunocytochemical technique. We present a very interesting case showing choledochal cyst, anomalous pancreaticobiliary ductal union, total agenesis of the dorsal pancreas and late-development of bile duct schwannoma in the remnant choledochal cyst.
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Affiliation(s)
- T Otani
- Department of Surgery, Tokyo Metropolitan Bokuto Hospital, Tokyo, Japan.
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Ikenaga M, Kato T, Mishima H, Fukunaga M, Murata K, Tominaga S, Kano T, Morita S, Sekimoto M, Sakamoto J, Monden M. A multicenter phase 2 study of irinotecan (CPT-11) and doxifluridine (5’-DFUR), an intermediate form of capecitabine, for metastatic colorectal cancer (MCRC). J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.3698] [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: 11/20/2022] Open
Affiliation(s)
- M. Ikenaga
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - T. Kato
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - H. Mishima
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - M. Fukunaga
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - K. Murata
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - S. Tominaga
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - T. Kano
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - S. Morita
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - M. Sekimoto
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - J. Sakamoto
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
| | - M. Monden
- MCSGO Colorectal Cancer Treatment Group, Suita, Osaka, Japan; ECRIN, Kyoto, Japan
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Mishima H, Ishida H, Iwamoto S, Morimoto T, Kato T, Tsujinaka T, Furukawa H. Multi-center phase II study of irinotecan + 5-FU/ l-LV (RPMI) chemotherapy for patients with metastasic colorectal cancer (OGSG0201). J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.3700] [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: 11/20/2022] Open
Affiliation(s)
- H. Mishima
- Osaka National Hosp, Osaka, Japan; Osaka Seamens Insurance Hosp, Osaka, Japan; Kansai Medcl Univ, Moriguchi, Japan; Yao City Hosp, Yao, Japan; Mino City Hosp, Mino, Japan; Sakai City Hosp, Sakai, Japan
| | - H. Ishida
- Osaka National Hosp, Osaka, Japan; Osaka Seamens Insurance Hosp, Osaka, Japan; Kansai Medcl Univ, Moriguchi, Japan; Yao City Hosp, Yao, Japan; Mino City Hosp, Mino, Japan; Sakai City Hosp, Sakai, Japan
| | - S. Iwamoto
- Osaka National Hosp, Osaka, Japan; Osaka Seamens Insurance Hosp, Osaka, Japan; Kansai Medcl Univ, Moriguchi, Japan; Yao City Hosp, Yao, Japan; Mino City Hosp, Mino, Japan; Sakai City Hosp, Sakai, Japan
| | - T. Morimoto
- Osaka National Hosp, Osaka, Japan; Osaka Seamens Insurance Hosp, Osaka, Japan; Kansai Medcl Univ, Moriguchi, Japan; Yao City Hosp, Yao, Japan; Mino City Hosp, Mino, Japan; Sakai City Hosp, Sakai, Japan
| | - T. Kato
- Osaka National Hosp, Osaka, Japan; Osaka Seamens Insurance Hosp, Osaka, Japan; Kansai Medcl Univ, Moriguchi, Japan; Yao City Hosp, Yao, Japan; Mino City Hosp, Mino, Japan; Sakai City Hosp, Sakai, Japan
| | - T. Tsujinaka
- Osaka National Hosp, Osaka, Japan; Osaka Seamens Insurance Hosp, Osaka, Japan; Kansai Medcl Univ, Moriguchi, Japan; Yao City Hosp, Yao, Japan; Mino City Hosp, Mino, Japan; Sakai City Hosp, Sakai, Japan
| | - H. Furukawa
- Osaka National Hosp, Osaka, Japan; Osaka Seamens Insurance Hosp, Osaka, Japan; Kansai Medcl Univ, Moriguchi, Japan; Yao City Hosp, Yao, Japan; Mino City Hosp, Mino, Japan; Sakai City Hosp, Sakai, Japan
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Ishida H, Mishima H, Iwamoto S, Morimoto T, Kato T, Tsujinaka T, Furukawa H. Multicenter phase II study of irinotecan plus weekly bolus 5-FU and high dose l-leucovorin for patients with metastatic colorectal cancer (OGSG 0201). J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.3718] [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: 11/20/2022] Open
Affiliation(s)
- H. Ishida
- Osaka Gastrointestinal Cancer Chemotherapy Study Group, Osaka, Japan
| | - H. Mishima
- Osaka Gastrointestinal Cancer Chemotherapy Study Group, Osaka, Japan
| | - S. Iwamoto
- Osaka Gastrointestinal Cancer Chemotherapy Study Group, Osaka, Japan
| | - T. Morimoto
- Osaka Gastrointestinal Cancer Chemotherapy Study Group, Osaka, Japan
| | - T. Kato
- Osaka Gastrointestinal Cancer Chemotherapy Study Group, Osaka, Japan
| | - T. Tsujinaka
- Osaka Gastrointestinal Cancer Chemotherapy Study Group, Osaka, Japan
| | - H. Furukawa
- Osaka Gastrointestinal Cancer Chemotherapy Study Group, Osaka, Japan
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