Publications by authors named "Hidetaka Kawabata"

Article Synopsis
  • Tailored axillary surgery (TAS) is a new method for selectively removing metastatic lymph nodes in breast cancer patients using a breast biopsy clip and point marker.
  • The study involved 30 patients, with 20 undergoing TAS after neoadjuvant chemotherapy, achieving a 90% success rate and 0% false-negative rate in cases also undergoing traditional dissection.
  • The findings suggest that TAS is a safe and effective approach for treating breast cancer with lymph node metastases.
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  • Chemotherapy is essential for treating certain breast cancers, and the balance between its benefits and side effects can be assessed using the Oncotype DX (ODX) test, although it's costly.
  • Researchers aimed to create a nomogram to predict the recurrence score (RS) using clinicopathological variables, which could help identify patients who might not need the ODX test.
  • The study found that factors like progesterone receptor levels and histological grade effectively predicted RS, with their nomogram showing high accuracy and the potential for cost savings in clinical evaluations.
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  • The study aimed to validate the Japanese version of the Chemotherapy-induced Alopecia Distress Scale (CADS-J) for measuring distress related to hair loss from chemotherapy in breast cancer patients.
  • The research involved 132 breast cancer patients who completed the CADS-J twice to assess test-retest reliability and used various scales to confirm its convergent and discriminant validity.
  • Results showed that the CADS-J is both reliable and valid for assessing distress from chemotherapy-induced alopecia and is expected to be useful in clinical practice and research.
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Recurrence and metastasis are resistant to multimodal treatments, and are the major causes of death in breast cancer. Accumulating evidence suggests that the IL17RB signaling pathway plays a key role in progression and metastasis of breast cancer. Clinical significance of the IL17RB positivity in tumor tissues has been also reported as a poor prognostic factor in breast cancer.

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Background: Hormone receptor (HR)-positive breast cancer is a disease for which no immune checkpoint inhibitors have shown promise as effective therapies. Cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors synergistically increased the effectiveness of antiprogrammed cell death protein-1 (anti-PD-1)/programmed death-ligand 1 (PD-L1) antibodies in preclinical studies.

Methods: This non-randomized, multicohort, phase II study evaluated the efficacy and safety of the anti-PD-1 antibody nivolumab 240 mg administered every 2 weeks in combination with the CDK4/6 inhibitor abemaciclib 150 mg twice daily and either fulvestrant (FUL) or letrozole (LET) as a first-line or second-line treatment for HR-positive HER2-negative metastatic breast cancer.

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  • The study aimed to evaluate the effectiveness and safety of video-assisted thoracoscopic surgery (VATS) for breast cancer patients with internal mammary lymph node metastases, which are less commonly treated surgically compared to axillary metastases.
  • Researchers analyzed 34 patients with abnormal uptake in lymph nodes using PET/CT, identifying 11 who underwent VATS, with promising results showing no complications and an 80% positive predictive value for cancer detection.
  • During an average follow-up of 17.9 months, most patients remained alive and relapse-free, although two experienced recurrence after surgery, suggesting VATS could be a safe option for treating internal mammary lymph node metastasis.
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  • Invasive lobular carcinoma (ILC) tends to grow in a subtle, single-cell pattern, making it challenging to detect axillary lymph node (ALN) metastases through MRI, especially when compared to invasive ductal carcinoma (IDC).
  • A study analyzed MRI findings in 120 female patients with ILC to identify characteristics correlated with ALN metastasis, revealing that 29% had metastasis.
  • The results indicated that focal cortical thickening (FCT) is possibly the most significant MRI indicator for predicting ALN metastasis in ILC, though further validation of this finding is necessary.
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  • Solitary fibrous tumors (SFT) are rare growths that can form anywhere in the body, but finding one in a man's breast is super uncommon, with only 8 cases known before this one.
  • A 73-year-old man had a noticeable lump in his breast and was diagnosed with SFT after tests showed it had certain characteristics and after a biopsy confirmed it.
  • The doctors successfully removed the tumor, and they used a special test called STAT6 immunostaining to help recognize it, marking this case as the first recorded instance of SFT in a male breast that tested positive for STAT6.
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Recent advances in RNA studies have revealed that functional long noncoding RNAs (lncRNAs) contribute to the biology of cancers. In breast cancer, estrogen receptor α (ERα) is an essential transcription factor that primarily promotes the growth of luminal-type cancer, although only a small number of lncRNAs are identified as direct ERα targets and modulators for ERα signaling. In this study, we performed RNA-sequencing for ER-positive breast cancer cells and identified a novel estrogen-inducible antisense RNA in the promoter region, named ().

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  • The study evaluates the effectiveness of using combined PET/CT and MRI imaging to detect axillary lymph node metastasis in invasive ductal breast cancer (IDC), aiming to improve preoperative risk assessment for patients.
  • Researchers analyzed data from 361 female patients, creating a prediction model to classify patients into low-risk and high-risk groups regarding ALN macrometastasis.
  • The results showed that the model was effective, with a false-negative rate of 11% and an overall accuracy of 87.5%, suggesting it could help identify low-risk patients before surgery.
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The purpose was to explore potential biomarkers of the efficacy and toxicity of triple therapy of nivolumab, bevacizumab and paclitaxel in patients with HER2-negative metastatic breast cancer (MBC). Tumor tissues before treatment and blood samples at pretreatment, during and after treatment were collected. The serum samples were used to measure the concentrations of cytokines.

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Background: Preclinical models revealed potential synergistic effects of programmed cell death-1 inhibitors and anti-vascular endothelial growth factor (VEGF) antibodies. Therefore, we investigated the use of nivolumab, bevacizumab, and paclitaxel triple therapy for metastatic breast cancer.

Methods: This phase 2, multicentre, single-arm study (NEWBEAT) investigated the safety and efficacy of first-line nivolumab, paclitaxel, and bevacizumab in patients with human epidermal growth factor receptor 2-negative metastatic breast cancer, regardless of programmed cell death-ligand 1 expression.

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Breast cancer is the most common cancer type among women worldwide. The majority of breast cancer expresses estrogen receptor (ER) and endocrine therapy is a standard treatment of ER-positive breast cancer. However, development of the therapy resistance is still a major challenge and thus new therapeutic approaches are needed.

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Tripartite motif (TRIM) family proteins are involved in various biological processes and the pathophysiology of cancers. However, the roles of TRIM39, a TRIM family member, in breast cancer is not well-understood. Here, we performed immunohistochemical study of TRIM39 protein in clinical estrogen receptor-positive (ER ) breast cancer tissues from 108 patients.

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Article Synopsis
  • - The study investigates the role of Octamer transcription factor 1 (OCT1) in breast cancer, particularly in estrogen receptor (ER)-positive cases, finding that high levels of OCT1 are linked to shorter disease-free survival.
  • - OCT1 knockdown reduces cell growth in MCF-7 breast cancer cells, while overexpression increases proliferation, indicating its significant influence on cancer cell behavior.
  • - The research identifies NCAPH as a new target gene of OCT1, and both OCT1 and NCAPH are associated with poor prognostic outcomes, suggesting they could serve as therapeutic targets for ER-positive breast cancer patients.
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Purpose: The sequence of taxanes (T) followed by anthracyclines (A) as neoadjuvant chemotherapy has been the standard of care for almost 20 years for locally advanced breast cancer (LABC). Sequential administration of eribulin (E) following A/T could provide a greater response rate for women with LABC.

Methods: In this single-arm, multicenter, Phase II prospective study, the patients received 4 cycles of the FEC regimen and 4 cycles of taxane.

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Purpose: To investigate clinical usefulness of eribulin-based neoadjuvant chemotherapy in triple-negative breast cancer (TNBC) patients.

Methods: Patients in group A (aged < 65 years with homologous recombination deficiency, HRD, score ≥ 42, or those at any age with germline BRCA mutation, gBRCAm) were randomized to 4 cycles of paclitaxel plus carboplatin (group A1) or eribulin plus carboplatin (group A2), followed by 4 cycles of anthracycline. Patients in group B (aged < 65 years with HRD score < 42, or aged ≥ 65 years without gBRCAm) were randomized to 6 cycles of eribulin plus cyclophosphamide (group B1) or eribulin plus capecitabine (group B2); non-responders to the first 4 cycles of the eribulin-based therapy received anthracycline.

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Background: We previously identified estrogen-responsive finger protein (Efp) as an estrogen-induced gene, and showed that the positive immunoreactivity of Efp is a poor prognostic factor for patients with breast cancer. We also demonstrated that Efp has distinctive roles in innate immunity by activating pattern recognition receptor retinoic acid-inducible gene I (RIG-I). The clinical value of RIG-I protein expression in breast cancer had not been evaluated in relationship with patients' prognosis.

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We previously reported that a strong immunoreactivity of tripartite motif-containing 44 (TRIM44) predicts the poor prognosis of patients with invasive breast cancer, and proposed that TRIM44 activates nuclear factor-κB (NF-κB) signaling as a causative mechanism. In the present study, we examined the clinicopathological roles of A20, which is known to be an NF-κB responsive gene, with TRIM44, in an updated cohort. Tissue samples of invasive breast cancer were obtained from 140 Japanese female breast cancer patients who underwent surgical treatment.

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Background: Sodium channels located in the dorsal root ganglion, particularly Nav1.7 and Nav1.8, encoded by SCN9A and SCN10A, respectively, act as molecular gatekeepers for pain detection.

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Article Synopsis
  • Endocrine therapy is common for treating estrogen receptor-positive breast cancer, but long-term use can lead to resistance, resulting in cancer recurrence and spread.
  • This study highlights PSF/SFPQ, an RNA-binding protein, as a potential prognostic marker for patients with ER-positive breast cancer, correlating high PSF levels with reduced survival rates.
  • PSF is associated with tamoxifen resistance and influences the regulation of key genes, suggesting it and another target, SCFD2, could serve as important diagnostic and treatment options for hormone-resistant breast cancers.
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The majority of breast cancers are primarily hormone-sensitive and can be managed by endocrine therapy, although therapy-resistant or hormone-refractory cancers need alternative treatments. Recently, increasing attention is being paid to RNA-binding proteins (RBP) in cancer pathophysiology. The precise role of RBP in breast cancer, however, remains to be clarified.

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Background: While denosumab has been shown to prevent skeletal-related events in patients with bone metastasis, there is a concern that it may cause atypical femoral fracture (AFF). While AFF has been reported in patients with osteoporosis receiving denosumab, data are scarce in the context of AFF occurring in patients with bone metastasis receiving monthly denosumab therapy.

Methods: To analyze the incidence of AFF in patients with bone metastasis, we reviewed the medical records of patients who had received monthly denosumab (120 mg) treatment from May 2012 to June 2017 at any of the three participant institutions.

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Acquired endocrine therapy resistance is a significant clinical problem for breast cancer patients. In recent years, increasing attention has been paid to long noncoding RNA (lncRNA) as a critical modulator for cancer progression. Based on RNA-sequencing data of breast invasive carcinomas in The Cancer Genome Atlas database, we identified thymopoietin antisense transcript 1 () as a functional lncRNA that significantly correlates with proliferative biomarkers.

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