Publications by authors named "Hiroaki Itoh"

Efrapeptin C (1a) is a large peptidic natural product comprising a 15-mer linear sequence and exerts potent anticancer activity by inhibiting mitochondrial FF-ATP synthase. Residues 1-6 and 9-15 of 1a fold into two 3-helical domains and interact with ATP synthase, while the central β-Ala-7-Gly-8 region functions as a flexible linker of the two domains. To enhance the function of 1a by minimally modifying its structure, we envisioned attaching one small methyl group to the β-Ala-7-Gly-8 and designed six methylated analogues 1b-1g, differing only in the position and configuration of the methyl group.

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  • This study examined the expression of proteins crucial for uterine contractions, comparing tissue samples from 38 PAM patients and 10 controls during cesarean sections.
  • Results showed reduced expression of several contraction-associated proteins in PAM tissues, suggesting that inflammation could hinder uterine contractions and contribute to uterine atony, prompting the need for further research on the underlying mechanisms.
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The placenta is the largest fetal organ, which connects the mother to the fetus and supports most aspects of organogenesis through the transport of nutrients and gases. However, further studies are needed to assess placental pathology as a reliable predictor of long-term physical growth or neural development in newborns. The Consensus Statement of the Amsterdam Placental Workshop Group (APWGCS) on the sampling and definition of placental lesions has resulted in diagnostic uniformity in describing the most common pathological lesions of the placenta and contributed to the international standardization of descriptions of placental pathology.

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Objectives: Despite the rapid aging of the population in Japan, clinical predictors for major adverse cerebrovascular and cardiovascular events (MACCE) in patients with new onset of acute coronary syndromes (ACS) have not been well studied. This study therefore aimed to identify the predictors of MACCE in the first onset of ACS patients requiring care.

Materials And Methods: Using the Yokohama Original Medical Database, we identified 3,373 patients who experienced a first onset of ACS and had certified care information from April 2014 to March 2016.

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  • * A case study describes a 42-year-old woman experiencing urgent cesarean delivery due to abnormal fetal heart rates, where signs of coagulopathy were present before she exhibited breathing difficulties or low blood pressure.
  • * The findings suggest that monitoring for AFE-related coagulopathy should be initiated earlier, especially when there are changes in fetal heart patterns and uterine activity, to improve patient outcomes.
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Our previous study, which aimed to understand the early neurodevelopmental trajectories of children with and without neurodevelopmental disorders, identified five classes of early neurodevelopmental trajectories, categorized as high normal, normal, low normal, delayed, and markedly delayed. This investigation involved measurement using the Mullen Scale of Early Learning in a representative sample of Japanese infants followed up from the age of 0 to 2 years (Nishimura et al., 2016).

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  • Amniotic fluid embolism (AFE) and placental abruption (PA) are pregnancy-related conditions linked to severe blood clotting issues known as disseminated intravascular coagulation (DIC).
  • AFE tends to have more pronounced fibrinolysis compared to PA and may activate a different mechanism for the fibrinolytic process.
  • In a study comparing various coagulation factors in patients with AFE, severe PA, and healthy controls, results showed increased levels of certain markers in both AFE and severe PA, but AFE also exhibited significant changes in specific agents associated with enhanced fibrin breakdown.
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Aim: This study aimed to determine the weight gain during pregnancy that minimizes the predicted probability of various perinatal adverse events according to the pre-pregnancy body mass index (BMI) and make recommendations for optimal weight gain in Japan.

Methods: The Japan Society of Obstetrics and Gynecology perinatal database for 2015-2017 was used. From the 719 723 deliveries included in this database, parturients with underlying diseases or missing data were excluded, and 419 114 deliveries were analyzed.

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Lysocin E (1 a) and WAP-8294A2 (2 a) are peptidic natural products with 37- and 40-membered macrocycles, respectively. Compounds 1 a and 2 a have potent antibacterial activities against Gram-positive bacteria and share a unique mode of action. The electron-rich indole ring of d-Trp-10 of 1 a and 2 a interacts with the electron-deficient benzoquinone ring of menaquinone, which is a co-enzyme in the bacterial respiratory chain.

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Objective: Genetic and environmental factors contribute to the development of Attention Deficit/Hyperactivity Disorder (ADHD). Perinatal inflammation is one of the promising environmental risk factors for ADHD, but the relationship between the genetic risk for ADHD and perinatal inflammation requires further examination.

Methods: A possible gene-environmental interaction between perinatal inflammation and ADHD polygenic risk score (ADHD-PRS) on ADHD symptoms was investigated in children aged 8-9 from the Hamamatsu Birth Cohort for Mothers and Children (N = 531).

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  • The study focused on analyzing obstetric patients in intensive care using data from the Japanese Intensive care Patient Database (JIPAD) from 2015 to 2020.
  • Out of 184,705 ICU patients, only 750 (0.41%) were obstetric cases, with common issues including postoperative complications and a median age of 34 years.
  • Although the proportion of obstetric patients in the ICU remained stable, there was a notable decline in the severity of illness and the length of hospital stays over the years.
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  • * Researchers developed synthetic methods to create five isomers of Trp by altering the indole ring's position and successfully used these isomers in solid-phase peptide synthesis.
  • * The study demonstrated that these synthesized Trp isomers of the antibiotic lysocin E exhibited much weaker antibacterial activity compared to the original, highlighting the importance of Trp's specific shape in maintaining biological function.
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Objective: To identify pulmonary/uterine thrombus formation in amniotic fluid embolism (AFE).

Design: Retrospective, observational.

Setting: Nationwide.

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  • - Exposure to environmental chemicals, while generally low in the general population, varies based on factors like location, lifestyle, and diet, necessitating specific assessments of their relation to cancer risk.
  • - A review of Japanese studies indicated no strong link between blood levels of certain chemicals (like DDT and PFASs) and breast or prostate cancer risk, but dietary intake of cadmium and arsenic showed some associations with specific cancers.
  • - Notable findings include a positive connection between dietary cadmium intake and estrogen receptor-positive breast cancer in postmenopausal women, and dietary arsenic intake and lung cancer risk in male smokers, emphasizing the need for targeted research.
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Polytheonamide B (1) is an exceptionally large peptide that forms a transmembrane ion channel. The potent cytotoxicity of 1 against MCF-7 cancer cells originates from its two ion transport functions. Compound 1 depolarizes the plasma membrane and neutralizes acidic lysosomes.

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Immunohistochemical analysis of formalin-fixed paraffin-embedded (FFPE) tissue blocks is routinely used to identify virus-infected cells. However, detecting virus particles in FFPE sections using light microscopy is difficult because of the light diffraction resolution limitations of an optical microscope. In this study, light microscopy and field emission scanning electron microscopy were performed to observe 3-dimensional virus particles in FFPE sections in a nondestructive manner using NanoSuit or osmium conductive treatment methods.

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Importance: Whether the association between higher screen time in infancy and later suboptimal neurodevelopment can be mitigated by frequency of outdoor play is unknown.

Objective: To investigate whether higher screen time at age 2 years is associated with neurodevelopmental outcomes at age 4 years and whether this association is mediated by frequency of outdoor play at age 2 years 8 months.

Design, Setting, And Participants: Participants were a subsample of the Hamamatsu Birth Cohort Study for Mothers and Children (HBC Study, N = 1258).

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Global DNA methylation levels in peripheral blood leukocytes can be a biomarker for cancer risk; however, levels can be changed by various factors such as environmental pollutants. We investigated the association between serum concentrations of perfluoroalkyl substances (PFASs) and global DNA methylation levels of leukocytes in a cross-sectional study using the control group of a Japanese breast cancer case-control study [397 women with a mean age of 54.1 (SD 10.

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Background: Depression is a major social concern in Japan. It is therefore necessary to develop a scale in Japanese that can assess depression literacy.

Aims: The present study aimed to develop the Japanese version of the Depression Literacy Scale (D-Lit-J), and examined its validity and reliability.

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Gramicidin A (1) is a linear 15-mer peptidic natural product. Because of its sequence of alternating d- and l-chirality, 1 folds into a β-helix in a lipid bilayer and forms a head-to-head dimer to function as a transmembrane channel for monovalent cations (H, Na, and K). The potent anticancer activity of 1 was believed to be mainly attributed to the free ion diffusion across the plasma membrane.

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This review focuses on a new solid-phase synthetic strategy for an anticancer natural product yaku'amide B (1) and its target identification and structure-function relationship study using synthetic analogues and probes. To realize the Fmoc-based solid-phase synthesis of 1, we developed new synthetic methods for enamide formation. Namely, modified traceless Staudinger ligation using alkenyl azides and newly designed phosphinophenol esters enabled stereoselective construction of the (E)- and (Z)-ΔIle moieties.

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