Publications by authors named "Fukutomi T"

Some endothelial cells in the tumor vasculature express a system L amino acid transporter, LAT1. To elucidate the role of LAT1 in tumor-related endothelial cells, tumor cells were injected into endothelial cell-specific LAT1 conditional knockout mice (Slc7a5flox/flox; Cdh5-Cre-ERT2), and we found that the shape of the tumor vasculature was normalized and the size and numbers of lung metastasis was reduced. TNF-α-induced expression of VCAM1 and E-selectin at the surface of HUVEC, both of which are responsible for enhanced monocyte attachment and premetastatic niche formation, was reduced in the presence of LAT1 inhibitor, nanvuranlat.

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  • The study investigates the inflammatory responses in patients who develop pneumonia or anastomotic leakage following minimally invasive esophagectomy, focusing on serum C-reactive protein (CRP) and procalcitonin (PCT) levels after surgery.
  • It involved 439 patients and found that pneumonia occurred in 96 patients, and anastomotic leakage in 51, with CRP levels peaking on postoperative day 3 and PCT levels on day 2.
  • The results suggest that pneumonia elicits a stronger inflammatory response than anastomotic leakage, and measuring PCT levels post-surgery could help distinguish between these complications before further diagnostic procedures.
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A man in his 50s who presented an abnormal shadow on chest X-ray was diagnosed with posterior mediastinal tumor that had grown compared to the previous chest X-ray. Computed tomography showed a 5.7×3.

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Syntaxin-1A (stx1a) repression causes a neurodevelopmental disorder phenotype, low latent inhibition (LI) behavior, by disrupting 5-hydroxytryptaminergic (5-HTergic) systems. Herein, we discovered that lysine acetyltransferase (KAT) 3B increases stx1a neuronal transcription and TTK21, a KAT3 activator, induces stx1a transcription and 5-HT release in vitro. Furthermore, glucose-derived CSP-TTK21 could restore decreased stx1a expression, 5-HTergic systems in the brain, and low LI in stx1a (+/-) mice by crossing the blood-brain barrier, whereas the KAT3 inhibitor suppresses stx1a expression, 5-HTergic systems, and LI behaviors in wild-type mice.

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  • Anastomotic leakage is a common complication after esophagectomy, and Laser Doppler flowmetry (LDF) helps assess blood flow in the gastric conduit used for reconstruction.
  • A study involving 326 patients identified zones in the gastric conduit to measure blood flow before surgery, revealing that leakage occurred in 32 patients, notably linked to low blood flow at the conduit tip.
  • The findings suggest that maintaining sufficient blood supply to the gastric conduit tip is crucial in reducing the risk of leakage, with a cutoff ratio of 0.41 indicating increased risk.
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  • * Researchers created a deletion mutant (Δ1019700) to assess its impact on parasite growth and virulence, finding that PBANKA_1019700 deletion affects the sexual reproductive phase of the parasite but does not impact the asexual phase.
  • * Live-cell imaging and mass spectrometry revealed that PBANKA_1019700 is cytoplasmic and interacts with ubiquitin-related proteins, suggesting its role in mRNA export is distinct from that of traditional nuclear proteins. *
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  • The study investigates the role of the DNA mismatch repair system in esophageal squamous cell carcinoma (ESCC) and its potential as a diagnostic and prognostic tool.
  • Researchers examined four mismatch repair markers (MLH1, PMS2, MSH2, and MSH6) in 189 ESCC specimens using immunohistochemistry to assess their expression levels.
  • Results showed that decreased mismatch repair status in these markers correlates with poorer patient outcomes and may influence treatment responses, suggesting the importance of mismatch repair as a biomarker for ESCC.
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A 30-year-old woman who presented loss of consciousness was diagnosed as having large anterior mediastinal tumor. Computed tomography (CT) showed a 17.0×13.

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  • A double aortic arch (DAA) is a rare vascular condition that complicates esophageal cancer surgeries, particularly during upper mediastinal dissection.
  • A 73-year-old man with stage III esophageal cancer and DAA underwent successful surgery using a unique strategy that involved creating a 3D-printed model to plan the procedure.
  • The surgery utilized a bilateral thoracoscopic approach, which proved effective for navigating the complex anatomy and resulted in the patient’s discharge without major complications.
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Esophageal intramural pseudodiverticulosis (EIPD) is a rare disease. A 78-year-old man with dysphagia presented to our hospital. The presence of diffuse esophageal spasm was suspected by his primary-care doctor.

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Background: The cause of podocyte injury in idiopathic nephrotic syndrome (INS) remains unknown. Although recent evidence points to the role of B cells and autoimmunity, the lack of animal models mediated by autoimmunity limits further research. We aimed to establish a mouse model mimicking human INS by immunizing mice with Crb2, a transmembrane protein expressed at the podocyte foot process.

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  • The study aimed to create a new method to reduce complications, specifically stenosis, after esophageal endoscopic mucosal resection (EMR) by using human amniotic epithelial cells in pigs.
  • Researchers isolated these cells from the placenta of a cesarean section and performed EMRs on six swine, comparing treated (AE group) and untreated (control group) ulcers.
  • Results showed that the treated group had a significantly higher epithelialization rate, suggesting that amniotic epithelial cell transplantation could help manage ulcer scar stenosis after EMR procedures.
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Oral administration of cystine and theanine (CT) increases glutathione levels to modulate the inflammatory response, which has yet to be sufficiently explored for patients' recovery and early rehabilitation. We planned a randomized, double-blind, placebo-controlled trial to determine whether perioperative oral administration of CT promotes recovery after esophagectomy. Patients were randomized into either CT or placebo groups, who received preoperative and postoperative treatments for 4 and 13 days, respectively.

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Podocyte damage is a major pathological lesion leading to focal segmental glomerulosclerosis (FSGS). Podocytes damaged by cellular stress undergo hypertrophy to compensate for podocytopenia. It is known that cyclin-dependent kinase inhibitors induced by p53 ensure podocytes hypertrophy; however, its precise mechanism remains to be further investigated.

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The tumor microenvironment is considered to play a pivotal role in various human malignancies. Neuroendocrine and non-neuroendocrine neoplasms are considered to have different tumor microenvironments. However, owing to differences in the systemic and/or local immune statuses, tumor microenvironments in different patients may be difficult to compare.

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  • Definitive chemoradiotherapy (dCRT) with docetaxel, cisplatin, and 5-fluorouracil (DCF-RT) is a promising first-line treatment for advanced cervical esophageal squamous cell carcinoma (ESCC), aimed at preserving the larynx.
  • In a study of 18 patients, the treatment achieved a complete response (CR) in 15 individuals, but 7 of those experienced recurrence, while 2 had stable disease and 1 progressive disease.
  • The 3-year survival rates were reported as 44.2% overall, with 47.7% disease-free and 48.6% disease-specific, suggesting that while the treatment shows potential,
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Purpose: With de novo cancer, esophagectomy after lung transplantation (LTx) can be challenging because of intrathoracic adhesions, delayed wound healing, and postoperative pulmonary complications, which might be lethal.

Case Presentation: A 52-year-old woman with esophageal cancer had undergone bilateral LTx for end-stage diffuse panbronchiolitis at 50 years of age. Thoracoscopic esophagectomy was performed.

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Background: Thioredoxin reductase 1 (TXNRD1) and heme oxygenase-1 (HO-1) are both involved in the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway and play key roles in antioxidant responses. In patients with esophageal squamous cell carcinoma (ESCC), the correlation between the expression of these two proteins and the therapeutic response to neoadjuvant chemoradiation therapy (NACRT), as well as the difference in their expression after chemoradiotherapy, remains unknown.

Methods: Proteins involved in the Nrf2 pathway were immunolocalized in carcinoma cells in ESCC patients on NACRT with 5-fluorouracil and cisplatin, followed by esophagectomy.

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Background: Liver disease is a common feature of malaria in pregnancy, but its pathogenesis remains unclear.

Methods: To understand the pathogenesis of liver disease during malaria in pregnancy, comparative proteomic analysis of the liver in a mouse model of malaria in pregnancy was performed.

Results: Decreased levels of mitochondrial and peroxisomal proteins were observed in the livers of pregnant mice infected with the lethal rodent malaria parasite Plasmodium berghei strain NK65.

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Mastitis is an inflammation of the mammary gland in the breast and is typically due to bacterial infection. In malaria-endemic areas, mastitis with accompanying fever can be challenging to differentiate from malaria. At the same time, it is unclear whether malaria infection is directly involved in the development of mastitis.

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In recent years, brown adipose tissue (BAT), which has a high heat-producing capacity, has been confirmed to exist even in adults, and it has become a focal point for the prevention and the improvement of obesity and lifestyle-related diseases. However, the influences of obesity and physical activity (PA) on the fluid factors secreted from BAT (brown adipokines) are not well understood. In this study, therefore, we focused on brown adipokines and investigated the effects of obesity and PA.

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The quality control and export of mRNA by RNA-binding proteins are necessary for the survival of malaria parasites, which have complex life cycles. Nuclear poly(A) binding protein 2 (NAB2), THO complex subunit 4 (THO4), nucleolar protein 3 (NPL3), G-strand binding protein 2 (GBP2) and serine/arginine-rich splicing factor 1 (SR1) are involved in nuclear mRNA export in malaria parasites. However, their roles in asexual and sexual development, and in cellular localization, are not fully understood.

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Necroptosis is a pivotal process in cancer biology; however, the clinical significance of necroptosis in esophageal squamous cell carcinoma (ESCC) has remained unknown. Therefore, in this study, we aimed to verify the potential involvement of necroptosis in the clinical outcome, chemotherapeutic resistance, and tumor microenvironment of ESCC. Mixed lineage kinase domain-like protein (MLKL) and phosphorylated MLKL (pMLKL) were immunohistochemically examined in 88 surgically resected specimens following neoadjuvant chemotherapy (NAC) and 53 pre-therapeutic biopsy specimens, respectively.

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Background: Esophageal achalasia causes dysphagia following impaired relaxation of the lower esophageal sphincter due to the degeneration of Auerbach's plexus in the esophageal smooth muscle. Recently, peroral endoscopic myotomy (POEM) has become one of the preferred treatment options for esophageal achalasia. However, pathomorphological changes after POEM have not been well examined.

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Background: Lymph node metastasis is one of the pivotal factors of the clinical outcomes of patients with esophageal cancer receiving neoadjuvant chemoradiation therapy (NACRT). Both the nuclear factor-erythroid 2-related factor 2 (Nrf2) signaling pathway and heme oxygenase-1 (HO-1) are frequently upregulated in various human malignancies and associated with resistance to chemoradiation therapy, subsequently resulting in adverse clinical outcomes. However, the Nrf2 and HO-1 status in lymph node metastasis and their differences between primary and metastatic lesions are unknown.

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