Publications by authors named "Enomoto T"

Detection of microorganisms from bovine using real-time PCR (Dembo PCR) is a comprehensive detection technique that was developed to detect pathogens causing bovine diseases. In Japan, the definitive tests for monitored infectious diseases, which are defined by law, are carried out at government agencies. On the other hand, the existence of pathogens other than monitored infectious diseases are not well understood.

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Insulin-producing pancreatic β-like cells derived from human pluripotent stem cells (PSCs) are anticipated as a novel cell source for cell replacement therapy for diabetes patients. Here, we describe the identification of small molecule compounds that promote the differentiation of the PSCs into insulin-producing cells by high throughput screening with a chemical library composed of 55,000 compounds. The initial hit compound K-1 and one derivative K-3 increased the proportion of PSC-derived insulin-positive endocrine cells and their glucose-stimulated insulin secretory (GSIS) functions.

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  • Cancerous tissues absorb significantly more glucose than normal tissues, prompting the development of a gadobutrol-glucose contrast solution for improved MRI imaging of tumors.
  • The contrast medium was successfully mixed, tested on VX7 cancerous rabbits, and showed increased signal intensity after vein infusion compared to a gadobutrol-saline solution.
  • The use of the gadobutrol-glucose solution effectively enhanced the visualization of the cancerous regions in the MRI scans, indicating its potential for better cancer imaging.
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Background: To improve the outcome in newly diagnosed glioblastoma patients with maximal resection, we aimed to evaluate the efficacy and safety of implantation of carmustine wafers (CWs), radiation concomitant with temozolomide and bevacizumab, and maintenance chemotherapy with six cycles of temozolomide and bevacizumab.

Method: This prospective phase II study enrolled glioblastoma patients considered candidates for complete resection (> 90%) of a contrast-enhanced lesion. The CWs were intraoperatively implanted into the resection cavity after achieving maximal resection.

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Introduction: To perform energy-dispersive X-ray imaging, we constructed a photon-counting X-ray computed tomography (CT) scanner to perform enhanced K-edge CT.

Methods: X-ray photons penetrating through an object were detected using a cadmium telluride flat panel detector (FPD) with pixel dimensions of 100 × 100 mm, and 720 radiograms from the FPD were sent to the personal computer to reconstruct tomograms. Gadolinium (Gd) K-edge energy is 50.

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Wilms' tumor protein 1 (WT1)-targeted immunotherapy has been used in patients with leukemia and solid tumors. However, the spontaneous WT1-specific immune response before WT1 peptide vaccination in patients with WT1-expressing tumors (PTs) remains unclear. Therefore, we investigated whether WT1-specific cytotoxic CD8 T-lymphocytes (CTLs) are clonally expanded in the peripheral blood outside of tumor sites.

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  • * A nationwide case-control study aimed to estimate the vaccine's effectiveness against advanced cervical lesions (like CIN3+) among women aged 20-26 from 2013 to 2020, revealing a significant risk reduction for vaccinated individuals.
  • * Results showed that vaccinated women had an odds ratio of 0.14 for developing CIN3 or higher compared to unvaccinated women, indicating an 86% effectiveness of the HPV vaccine; notably, none of the squamous cell carcinoma cases were from vaccinated women.
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Developing artificial autonomous materials is crucial for a deeper understanding of the emergence of life-like behavior. In nature, cells achieve autonomy through chemical processing systems incorporated into soft material-based frameworks. Inspired by natural cells, we herein describe a straightforward methodology for constructing artificial autonomous materials consisting of a polymer-based chemical processing system and a hydrogel-based soft framework.

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Purpose: Neoadjuvant chemoradiotherapy (nCRT) is employed for the local control of locally advanced rectal cancer; however, its prognostic impact is limited and often impairs pelvic organ function. Therefore, careful patient selection is essential. This study aimed to investigate the impact of nCRT on relapse-free survival (RFS) by stratifying patients according to MRI detected circumferential resection margin (mrCRM) or extramural vascular invasion (mrEMVI), as the ability of MRI findings to identify patients who will have beneficial outcomes from nCRT is uncertain.

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Background And Purpose: Efficacy of tumor embolization for posterior fossa meningioma is controversial due to the lack of adequate embolization for dangerous feeders. Of these, a meningohypophyseal trunk (MHT) has high therapeutic value despite the high risks associated with embolization.

Materials And Methods: To analyze the utility of preoperative MHT embolization for posterior fossa meningiomas using BCA with dual balloon protection, a single center retrospective record review was performed on eight consecutive patients who underwent preoperative tumor embolization via the MHT for posterior fossa meningiomas between 2020 and 2024.

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  • Cancer stem cells contribute to the aggressive behavior of malignant tumors, and in uterine endometrial cancer, the PI3K-Akt-mTOR pathway is notably activated.
  • * The research found differences in how sensitive endometrial cancer stem cell-enriched spheroids are to a specific inhibitor, with results from lab tests mirroring those in animal models.
  • * Combining ALDH and PI3K-Akt inhibitors showed a significant suppressive effect on cancer cell growth, highlighting the importance of the ALDH-LDHA-mTORC1 pathway in endometrial cancer and suggesting new treatment strategies.*
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Type 1 diabetes mellitus (T1DM) affects 8.4 million people worldwide, with patients primarily relying on exogenous insulin injections to maintain blood glucose levels. Islet transplantation via the portal vein has allowed for the direct internal release of insulin by glucose-sensitive islets.

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Recently, there has been a significant increase in the utilization of self-expandable metallic stents (SEMSs) for treating malignant colorectal obstructions through colorectal stenting. The mechanical properties of SEMSs are usually considered to affect clinical outcomes of patients with malignant colorectal obstructions. : This single-arm, prospective, multicenter study of SEMS with a lower axial force and high axial force zero-border included 200 patients with malignant colorectal obstruction.

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Objective: This study aimed to understand the effectiveness of regular care in reducing the incidence of severe peristomal skin disorders, as well as to identify their risk factors.

Summary Background Data: Peristomal skin disorders occur frequently in outpatient settings and require appropriate intervention. It remains, however, to be demonstrated when the need to follow up these patients decreases and whether assessing severity of peristomal skin disorders is useful.

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  • There is a significant challenge in diagnosing ovarian high-grade endometrioid carcinoma (HGEC) and high-grade serous carcinoma (HGSC) due to their similar histopathological features, leading to variability among observers.
  • A study analyzed a variety of ovarian cancer samples using advanced sequencing and clustering techniques, identifying four distinct tumor groups with different characteristics and survival outcomes.
  • The findings suggest that a specific subset of tumors, termed "HGEC-type," shows favorable prognosis and endometrial differentiation, which may often be misclassified as HGSCs, indicating a need for improved diagnostic strategies.
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Background: This study was conducted to determine the optimal monitoring after initial treatment of ovarian clear cell carcinoma (OCCC) using data from patients enrolled in the Japanese Gynecologic Oncology Group (JGOG) 3017 study. The JGOG study evaluated the efficacy of an irinotecan and cisplatin combination regimen compared with that of a paclitaxel and carboplatin regimen for OCCC patients who underwent primary surgery.

Methods: Yielding 619 total patients in this study, to analyze progression-free and overall survival, the hazards over time were estimated using kernel smoothing curves to identify the peak of event occurrence.

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  • * It included 119 women with RA and a control group of 288 women without RA, examining factors like trabecular bone score (TBS) and hip structure analysis (HSA) through dual-energy X-ray absorptiometry.
  • * Results showed no significant differences in BMD between groups, but women on glucocorticoids had a lower TBS compared to those not on them, highlighting the need for doctors to consider TBS along with BMD when treating RA patients.
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To regulate the effective photon energy with a constant tube voltage and to perform enhanced K-edge x-ray imaging, we built a prototype fully digitalized triple-energy x-ray computed tomography (TECT) scanner utilizing beam hardening. An object on the turntable is irradiated by a 0.1-mm-focus x-ray tube at 1.

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  • Enfortumab vedotin (EV) is an effective treatment for patients with locally advanced or metastatic urothelial carcinoma that has progressed after immune checkpoint inhibitors, showing improved overall survival (OS) in clinical trials.
  • A retrospective cohort study analyzed patients who received EV, non-EV chemotherapy, or best supportive care, concluding that the median OS was significantly higher for the EV group (20 months) compared to non-EV (15 months) and best supportive care (7 months).
  • Key predictive factors for improved OS after EV treatment included age, neutrophil-to-lymphocyte ratio, dysgeusia, and rash, with NLR and dysgeusia emerging as independent predictors in multivariate analysis.
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  • This study developed an AI-based algorithm to classify four subtypes of high-grade serous carcinoma (HGSC) with better accuracy than human assessors, using deep learning techniques on images from cancer datasets.
  • The algorithm achieved high mean accuracies of 0.933, 0.910, and 0.862 across three different cohorts (TCGA, JGOG3022A1, and Kindai/Kyoto), demonstrating its reliability in subtype classification.
  • An analysis of survival rates indicated that the mesenchymal transition (MT) group had a worse prognosis compared to non-MT, confirming the importance of AI in predicting clinical outcomes alongside traditional factors like stage and age.
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To observe fine blood vessels as uneven tomographic images at a high contrast, we performed tentative experiments on embossed x-ray computed tomography (CT). We constructed a cone-beam CT scanner and carried out dual-energy CT with tube voltages of 60 and 100 kV. X-ray photons penetrating through an object were detected using an indirect-conversion flat panel detector, and radiograms were produced and sent to a personal computer to reconstruct tomograms.

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Purpose: The mortality rate for non-occlusive mesenteric ischemia remains high even after patients survive the acute postoperative period with tremendous treatment efforts, including emergency surgery, which is challenging. The aim of this study was to explore the preoperative risk factors for 90-day postoperative mortality in patients with non-occlusive mesenteric ischemia.

Methods: This single-center, retrospective cohort study included patients diagnosed with non-occlusive mesenteric ischemia who underwent emergency surgery between August 2014 and January 2023.

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Recent reports have focused on the usefulness of conversion surgery, in which chemotherapy is given to patients with unresectable advanced gastric cancer (GC), and radical surgery is subsequently performed if resection becomes possible; however, no consensus has been reached regarding the usefulness of this strategy. We report on a 74-year-old man who was diagnosed with esophagogastric junction cancer (T3N3M1 (LYM): stage IV). Chemotherapy was chosen and seven courses of S1 + cisplatin (SP) + trastuzumab (HCN) and two courses of S1 + HCN were administered.

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Progressive pulmonary fibrosis (PPF), defined as the worsening of various interstitial lung diseases (ILDs), currently lacks useful biomarkers. To identify novel biomarkers for early detection of patients at risk of PPF, we performed a proteomic analysis of serum extracellular vesicles (EVs). Notably, the identified candidate biomarkers were enriched for lung-derived proteins participating in fibrosis-related pathways.

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Purpose: This study investigated the impact of sidedness of colorectal cancer (CRC) in elderly patients on the prognosis.

Methods: In a sub-analysis of a multicenter case-control study of CRC patients who underwent surgery at ≥ 80 years old conducted in Japan between 2003 and 2007, both short- and long-term outcomes were compared between right-sided colon cancers (RCCs) and left-sided colorectal cancers (LCCs). RCCs were defined as those located from the cecum to the transverse colon.

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