Publications by authors named "Atsuhito Suyama"

Cryptococcus prostatitis is an uncommon manifestation of cryptococcal infection that occurs mostly in immunocompromised patients. Tocilizumab, an anti-interleukin-6 receptor monoclonal antibody, has been associated with an increased risk of cryptococcal infections. However, there have been no documented cases of cryptococcal prostatitis in patients receiving tocilizumab therapy.

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Serum levels of growth hormone (GH) and insulin-like growth factor (IGF)-I are crucial in the diagnosis and management of GH-related diseases. However, these levels are affected by nutritional and metabolic status. To elucidate the correlations between GH and IGF-I in various conditions, a retrospective analysis was performed for adult patients in which GH levels were examined by general practitioners during the period from January 2019 to December 2021.

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The bone morphogenetic protein (BMP) system in the adrenal cortex plays modulatory roles in the control of adrenocortical steroidogenesis. BMP-6 enhances aldosterone production by modulating angiotensin (Ang) II-mitogen-activated protein kinase (MAPK) signaling, whereas activin regulates the adrenocorticotropin (ACTH)-cAMP cascade in adrenocortical cells. A peripheral clock system in the adrenal cortex was discovered and it has been shown to have functional roles in the adjustment of adrenocortical steroidogenesis by interacting with the BMP system.

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Article Synopsis
  • Orexins are neuronal peptides that influence sleep and feeding behaviors and were studied for their impact on catecholamine synthesis in rat adrenomedullary cells.
  • Treatment with Orexin A decreased mRNA levels of key enzymes involved in catecholamine synthesis, while BMP-4 had a dual effect: it suppressed some enzyme levels and enhanced another.
  • The interaction between orexin A and BMP-4 appears to involve mutual upregulation of their signaling pathways, suggesting a complex interplay in regulating catecholamine synthesis in adrenal cells.
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Orexins are neuropeptides that play important roles in sleep-wake regulation and food intake in the central nervous system, but their receptors are also expressed in peripheral tissues, including the endocrine system. In the present study, we investigated the functions of orexin in adrenal steroidogenesis using human adrenocortical H295R cells by focusing on its interaction with adrenocortical bone morphogenetic proteins (BMPs) that induce adrenocortical steroidogenesis. Treatment with orexin A increased the mRNA levels of steroidogenic enzymes including StAR, CYP11B2, CYP17, and HSD3B1, and these effects of orexin A were further enhanced in the presence of forskolin.

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  • The study investigates how arginine vasopressin (AVP) influences ovarian steroid production, particularly focusing on its relationship with the bone morphogenetic protein (BMP) system.
  • AVP significantly boosts progesterone production in granulosa cells while having no major impact on estradiol levels; it also increases cAMP synthesis and enhances the expression of key progesterogenic enzymes.
  • Additionally, AVP promotes BMP signaling through increased phosphorylation of specific proteins and upregulates BMP receptor expression, suggesting it fine-tunes progesterone production in granulosa cells.
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To elucidate the reproductive role of oxytocin (OXT) in ovarian steroidogenesis and its functional interaction with bone morphogenetic proteins (BMPs), the effects of OXT on ovarian steroidogenesis were investigated by utilizing primary culture of rat granulosa cells and human granulosa KGN cells. Here we revealed that the OXT receptor was expressed in both rat and human granulosa cells and that OXT treatment significantly increased follicle-stimulating hormone (FSH)- and forskolin (FSK)-induced progesterone production, but not estradiol production, by rat and human granulosa cells, respectively. In accordance with the effects of OXT on progesterone production, OXT enhanced mRNA expression of CYP11A1 and HSD3B2 induced by FSK in human granulosa cells.

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We herein report a rare case of acute hemorrhagic rectal ulcer (AHRU) complicated by cytomegalovirus enteritis following steroid pulse therapy for interstitial pneumonia. An 86-year-old woman underwent steroid pulse therapy for interstitial pneumonia. She was bedridden with dyspnea and suddenly developed melena.

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  • Orexin is crucial for controlling sleep, wakefulness, and feeding, and this study investigates its effects on pituitary gonadotropin regulation using mouse cells that express specific orexin receptors.
  • Orexin A increases the expression of LHβ and FSHβ mRNA in a dose-dependent way, but it also suppresses gonadotropin expression induced by GnRH, while affecting the expression of GnRH receptors.
  • The study reveals that orexin A influences gonadotropin expression through clock genes and interacts with BMP signaling, highlighting a complex regulatory relationship in gonadotrope cells.
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Roles of Clock genes and the bone morphogenetic protein (BMP) system in the regulation of gonadotropin secretion by gonadotropin-releasing hormone (GnRH) were investigated using mouse gonadotropin LβT2 cells. It was found that luteinizing hormone (LH)β mRNA expression level in LβT2 cells changed gradually over time, with LHβ expression being suppressed in the early phase up to 12 h and then elevated in the late phase 24 h after GnRH stimulation. In addition, the mRNA expression levels of Clock genes, including Bmal1, Clock, Per2, and Cry1, also showed temporal changes mimicking the pattern of LHβ expression in the presence and absence of GnRH.

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The functional role of the transcription factors NR5A1 and NR5A2 and their interaction with Clock gene and bone morphogenetic proteins (BMPs) were investigated in human granulosa KGN cells. Treatment with BMP-15 and GDF-9 suppressed forskolin (FSK)-induced steroidogenesis as shown by the mRNA expression levels of StAR and P450scc but not the mRNA expression level of P450arom. Of interest, treatment with BMP-15 and GDF-9 also suppressed FSK-induced NR5A2 mRNA expression.

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Functional interactions between the levels of clock gene expression and adrenal steroidogenesis were studied in human adrenocortical H295R cells. Fluctuations of Bmal1, Clock, Per2 and Cry1 mRNA levels were found in H295R cells treated with forskolin (FSK) in a serum-free condition. The changes of clock gene expression levels were diverged, with Clock mRNA level being significantly higher than Cry1 and Per2 mRNA levels after 12-h stimulation with FSK.

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Article Synopsis
  • Aldosterone plays a significant role in cardiovascular diseases and is linked to heightened levels in patients with polycystic ovary syndrome, with detected mineralocorticoid receptors in the ovary.
  • Research showed that aldosterone increased progesterone production in rat granulosa cells by enhancing follicle-stimulating hormone (FSH) effects and modulating relevant enzyme expressions, while it did not affect estradiol synthesis.
  • The study also revealed a feedback loop between aldosterone and the bone morphogenetic protein (BMP) system, suggesting that aldosterone's impact on ovarian steroidogenesis occurs primarily through the inhibition of BMP-Smad signaling pathways.
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