Publications by authors named "Akira Doi"

Background: Hepatocellular carcinoma (HCC) can be classified into several subtypes based on molecular traits, aiding in prognostic stratification. The subtype with a poor prognosis is often associated with stem/progenitor features. This study focused on identifying circulating biomarkers for aggressive HCC.

View Article and Find Full Text PDF

A 55-year-old man with tuberous sclerosis complex (TSC) was diagnosed with left renal angiomyolipoma (AML), a group of perivascular epithelioid cell tumors called PEComas. He had received the mTOR inhibitor everolimus, which resulted in a complete response. However, a left renal mass relapsed in two years, followed by the occurrence of a hepatic mass five months later.

View Article and Find Full Text PDF

Tonsillar focal diseases (TFDs) are defined as "diseases caused by organic and/or functional damage in organs distant from tonsil, and the disease outcome is improved by tonsillectomy." Although several reports and reviews have shown the efficacy of tonsillectomy for TFDs, no guidelines for the clinical management of the diagnosis and treatment of TFDs have been reported. Therefore, the Society of Stomato-pharyngology established a committee to guide the clinical management of patients with TFDs, and the original guide was published in May 2023.

View Article and Find Full Text PDF
Article Synopsis
  • - This study evaluated the effectiveness and safety of atezolizumab plus bevacizumab in treating unresectable hepatocellular carcinoma in real-world settings, involving 222 patients from 19 hospitals.
  • - The findings revealed an objective response rate of 22.0% and a median progression-free survival of 5.7 months, with certain factors (like younger age, more tumors, and macrovascular invasion) linked to shorter progression-free survival.
  • - Despite a median overall survival not being reached, key risk factors for reduced survival included absence of hyperlipidemia, multiple intrahepatic tumors, macrovascular invasion, and elevated neutrophil-to-lymphocyte ratios, with 36.0% of
View Article and Find Full Text PDF
Article Synopsis
  • - A new gated UV-induced spectroscopic lidar was created for daylight use to monitor plant growth and environmental factors affecting it in real time.
  • - Initial tests, both indoors and over short distances, showed that the lidar effectively measures vegetation fluorescence and atmospheric properties using a UV laser.
  • - The collected data provides insights into tree health through chlorophyll fluorescence and helps understand the surrounding atmospheric conditions via various scattering techniques.
View Article and Find Full Text PDF

Aim: Alterations in microbial composition of gut microbiota due to antibiotics (ATB) may lead to resistance to immune checkpoint inhibitors (ICIs). This study aimed to assess the impact of ATB use on therapeutic response in patients with hepatocellular carcinoma (HCC) receiving atezolizumab plus bevacizumab.

Methods: This study retrospectively analyzed 105 patients with HCC treated with atezolizumab plus bevacizumab as a primary systemic therapy from prospectively-registered, multicenter, cohorts.

View Article and Find Full Text PDF

We evaluated the value of secreted glycoprotein thrombospondin-2 (TSP-2) to predict hepatocellular carcinoma (HCC) occurrence in chronic hepatitis C (CHC) patients after Hepatitis C virus (HCV) elimination by direct-acting antiviral agents (DAAs). A total of 786 CHC patients without an HCC history who achieved a sustained virological response (SVR) with DAAs were randomly assigned 2:1, with 524 patients as the derivation cohort and 262 patients as the validation cohort. Serum TSP-2 levels at the end of treatment were measured by enzyme-linked immunosorbent assay (ELISA).

View Article and Find Full Text PDF

Background: Patients with advanced fibrosis are at risk for developing hepatocellular carcinoma (HCC) even after hepatitis C virus (HCV) elimination. We previously reported that serum fucosylated haptoglobin (Fuc-Hp) levels increase as the disease progresses from chronic hepatitis to cirrhosis and then HCC. However, it remains unclear whether serum Fuc-Hp levels can stratify the risk of HCC occurrence after a sustained virological response (SVR) is achieved with direct-acting antivirals (DAAs) in patients with advanced liver fibrosis.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate how direct-acting antiviral therapy affects the long-term health outcomes of patients with decompensated cirrhosis caused by hepatitis C virus.
  • It compared 37 patients undergoing treatment with sofosbuvir and velpatasvir (SOF/VEL) to a historical control group of 65 untreated patients, focusing on rates of liver decompensation, hospitalization, and survival.
  • Results showed that the treatment group had significantly fewer decompensated events and better survival rates over two years, but the risk of developing hepatocellular carcinoma (HCC) was still high in both groups.
View Article and Find Full Text PDF

Infectious enteritis is common in patients with inflammatory bowel disease (IBD). This case presented a young woman who underwent remission maintenance therapy for ulcerative colitis (UC). She was suspected of having concomitant Clostridioides difficile and Edwardsiella tarda infections.

View Article and Find Full Text PDF

Extracellular vesicles (EVs) contain proteins, mRNAs, and microRNAs, and their cargos have emerged as novel diagnostic markers in various diseases. We aimed to discover novel and noninvasive biomarkers of liver fibrosis by proteomic analysis using serum EVs in patients with chronic hepatitis C. We performed shotgun proteomics using serum EVs isolated from 54 patients with histologically assessed liver fibrosis.

View Article and Find Full Text PDF
Article Synopsis
  • A study compared the effectiveness of two cancer treatments, atezolizumab plus bevacizumab and lenvatinib, for patients with hepatocellular carcinoma (HCC), involving 272 patients in total.
  • After analyzing the data, the combination of atezolizumab and bevacizumab resulted in a significantly longer median progression-free survival (8.8 months) compared to lenvatinib (5.2 months), although overall survival rates were similar.
  • Additionally, the atezolizumab plus bevacizumab group maintained better liver function and had fewer severe side effects than the lenvatinib group, suggesting it may be a preferable option for HCC treatment.*
View Article and Find Full Text PDF

Purpose: Candidemia is a bloodstream infection (BSI) by Candida spp. and is associated with high mortality. However, there have been few reports about BSI in head and neck cancer (HNC).

View Article and Find Full Text PDF

Background: After hepatitis C virus (HCV) elimination, patients should be followed up due to risk of hepatocellular carcinoma (HCC). Growth differentiation factor 15 (GDF15) is a cytokine induced by mitochondrial dysfunction or oxidative stress. Aim To evaluate the prognostic value of GDF15 for HCC occurrence after HCV elimination.

View Article and Find Full Text PDF

Radiation therapy is one of the treatment methods for hepatocellular carcinoma. However, radiation tolerance of the liver is low, and the detailed effect of radiation on liver regeneration has not been clarified. C57BL/6J mice or hepatocyte-specific p53 knockout (KO) mice (albumin [Alb]-Cre Trp53 ) were irradiated with a single fraction of 10 Gy localized to the upper abdomen.

View Article and Find Full Text PDF
Article Synopsis
  • A new endoscopic gastric cancer screening program was initiated in Kurashiki city, focusing on infection status based on endoscopic features, to evaluate its feasibility in a prospective study involving 1784 participants.
  • The study found that 68.1% of subjects showed no gastritis, while 26.3% had active or inactive gastritis, with an endoscopic false-negative rate of 16.3% when compared to a serum test method.
  • Although endoscopic assessments are generally reliable, the presence of mild gastric atrophy may lead to false negatives, prompting researchers to suggest incorporating antibody tests to improve diagnostic accuracy.
View Article and Find Full Text PDF

Here, we report a case of severe thrombocytopenia induced by nivolumab. A 70‒year‒old woman with advanced gastric cancer was treated with nivolumab. After the first dose, she noticed an erythematous rash.

View Article and Find Full Text PDF

Hepatitis C virus (HCV) can be eliminated by direct-acting antivirals in patients with decompensated liver cirrhosis. Although viral clearance in decompensated liver cirrhosis leads to improvement of the liver function and quality of life, changes in the skeletal muscle mass after sustained virologic response (SVR) in patients with decompensated liver cirrhosis have not been reported. We present the first report of skeletal muscle mass improvement with the achievement of SVR for HCV in a 76-year-old woman with decompensated liver cirrhosis.

View Article and Find Full Text PDF
Article Synopsis
  • Hepatocellular carcinoma is linked to chronic hepatitis, with hepatocyte apoptosis (cell death) playing a key role in removing mutated cells and eventually contributing to liver tumors.
  • In experiments with Mcl-1 knockout mice, persistent hepatocyte apoptosis led to oxidative stress and promoted liver tumor development after exposure to diethylnitrosamine (DEN), while normal mice showed no tumors.
  • Treatment with N-acetyl-L-cysteine reduced oxidative stress and tumor formation in Mcl-1 mice, suggesting that managing oxidative stress could help prevent liver cancer in patients with chronic liver damage.
View Article and Find Full Text PDF

Trousseau's syndrome (TS) and tumor thrombosis (TT) are known as cancer-associated thrombosis with poor prognosis. TS is extremely rare in patients with squamous cell carcinoma. In this study, we report an unknown primary squamous cell carcinoma of the head and neck (SCCHN) patient with TS and TT in pulmonary artery definitely diagnosed by autopsy.

View Article and Find Full Text PDF

Background And Aim: Duodenal ulcer bleeding has a higher risk of mortality than bleeding from other portions of the gastrointestinal tract. AIMS65 is an effective risk-scoring system to predict prognosis of upper gastrointestinal bleeding and can be easily calculated without endoscopic findings. In this study, we investigate the usefulness of AIMS65 to predict prognosis of patients with duodenal ulcer bleeding.

View Article and Find Full Text PDF

A 70-year-old Japanese man undergoing remission induction therapy for acute monocytic leukemia (AML-M5b) developed fever and headache, and was started on antibiotics and liposomal amphotericin B (L-AMB). There was no improvement, and computed tomography and contrast-enhanced magnetic resonance imaging revealed acute rhinosinusitis and brain abscess. Successful endoscopic endonasal surgery was performed at this point, providing drainage for the rhinosinusitis and abscess.

View Article and Find Full Text PDF
Article Synopsis
  • Autophagy is a cellular process that maintains balance in cells, but its relationship with Hepatitis C virus (HCV) infection was examined in this study, showing that HCV reduces autophagy and increases the protein Rubicon.
  • Knocking down Rubicon in HCV-infected liver cells promoted autophagy and led to increased HCV replication, while overexpressing Rubicon or using autophagy inhibitors suppressed autophagy and activated the immune response.
  • In humanized mouse models, HCV infection raised Rubicon levels and enhanced immune signaling, and reducing HCV led to decreased Rubicon, highlighting its role in HCV replication and the body’s immune response.
View Article and Find Full Text PDF
Article Synopsis
  • A pilot study was conducted to evaluate the safety and effectiveness of using cold forceps biopsy (CFB) to remove very small pharyngeal lesions, which are 3 mm or smaller in size.
  • The study involved 39 lesions, with the primary focus on the rate of local recurrence after three months, as well as determining risk factors and potential adverse events associated with the procedure.
  • Results showed a 20% endoscopic recurrence rate and 16.7% pathological recurrence rate, with high-grade dysplasia found in a significant portion of the lesions, suggesting CFB is both safe and effective for treating these types of neoplasms.
View Article and Find Full Text PDF