Publications by authors named "Hiroshi Fujiwara"

"Wound, Pressure Ulcer, and Burn Guidelines-5: Guidelines for the management of lower leg ulcers and varicose veins, second edition" is revised from the first edition, which was published in the Japanese Journal of Dermatology in 2011. The guidelines were drafted by the Wound, Pressure Ulcer, and Burn Guidelines Drafting Committee delegated by the Japanese Dermatological Association and intend to facilitate physicians' clinical decisions in preventing, diagnosing and management of lower leg ulcers and varicose veins. We updated all sections by collecting documents published since the publication of the first edition.

View Article and Find Full Text PDF

Background: The development of chimeric antigen receptor (CAR)-T cell therapies for solid tumors has attracted considerable attention, yet their clinical efficacy remains limited. Therefore, various efforts have been made to improve the efficacy of CAR-T cell therapy. As one promising strategy, incorporating the T-cell receptor (TCR) machinery into CAR structures has been reported to improve the efficacy of CAR-T cells in studies using conventional CARs targeting such as EGFR.

View Article and Find Full Text PDF
Article Synopsis
  • Inappropriate meal timing may lead to lifestyle-related diseases by disrupting the circadian clock in the body, but it's unclear how this compares to genetic alterations in clock genes.
  • This study compared the impacts of a 28-hour feeding cycle and a specific genetic alteration (Bmal1 cKO) on gene expression in mice's uterine tissues.
  • Results showed that while both conditions led to significant changes in gene expression, the specific genes affected were largely different and often oppositely regulated, indicating distinct pathways influenced by meal timing and genetic factors.
View Article and Find Full Text PDF

Accumulating evidence indicates that disruption of the circadian clock contributes to the development of lifestyle-related diseases. We have previously shown that exenatide, a glucagon-like peptide-1 (GLP-1) receptor agonist, can strongly affect the molecular clocks in the peripheral tissues. This study aimed to investigate the effects of its dosing time and the central nervous system-specific GLP-1 receptor knockdown (GLP1RKD) on the hepatic clock in mice treated with exenatide.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to explore how often women eat meals, particularly breakfast, affects their success with assisted reproductive technology (ART) when dealing with infertility.
  • Conducted at Tokyo Medical University over two years, it included 101 patients who provided data on their meal habits, lifestyle, and medical history.
  • Results indicated that women who ate breakfast 6-7 times a week had higher rates of live births and lower miscarriage rates after ART, emphasizing the significance of regular breakfast for improving ART outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • Cytosine methylation plays a crucial role in gene regulation and normal blood cell development, and is facilitated by DNA methyltransferases like DNMT1, DNMT3A, and DNMT3B.
  • Peripheral T-cell lymphomas (PTCLs) are aggressive cancers with complex features and poor outcomes, prompting research to understand their underlying molecular mechanisms through DNA methylation and gene expression analysis.
  • The study revealed significant deregulated methylation patterns in PTCLs, identified key hypo- and hypermethylated regions, and pinpointed specific genes, such as TRIP13, that could be targeted for potential therapies aimed at controlling cancer cell proliferation.
View Article and Find Full Text PDF

Immune reconstitution after human leukocyte antigen (HLA)-mismatched (haploidentical) hematopoietic stem cell transplantation (haplo-HCT) can significantly influence long-term outcomes. The three possible HLA haplotypes after transplantation are: one carried by both the patient and the donor (shared HLA), one by donor only (donor-specific HLA), and one by patient only (host-specific HLA), and the donor T cells remain restricted to one of these three haplotypes. Understanding the presence of donor T cells restricted to each haplotype may provide more detailed insights into post-transplant immune response and potentially provide valuable information for the development of chimeric antigen receptor T cell or T cell receptor T cell constructs.

View Article and Find Full Text PDF
Article Synopsis
  • - A new prognostic model was developed to predict cancer-specific survival (CSS) for patients with de novo metastatic hormone-sensitive prostate cancer (mHSPC) using data from 1,092 Japanese patients treated between 2014 and 2020.
  • - Key factors for predicting CSS included disease severity, liver metastasis, certain lab results, and primary tumor characteristics, leading to significant differences in 5-year CSS rates among low-risk (86%) and high-risk (22%) groups.
  • - This model displayed high accuracy and reproducibility, and it may help tailor treatment approaches for patients with mHSPC, especially in determining the intensity of therapies needed.
View Article and Find Full Text PDF
Article Synopsis
  • Low estrogen levels are thought to suppress uterine endometrial carcinoma, yet most cases arise after menopause, prompting a focus on declining androgen levels as a potential factor in its progression.
  • The study examines the role of androgen and its receptor (AR) by analyzing clinical data, culturing cancer cell lines, and using murine models, showing that higher androgen receptor expression and dihydrotestosterone (DHT) levels correlate with lower disease-free survival.
  • DHT reduces cancer cell proliferation and suppresses FOXP4 expression, suggesting that the androgen/AR system can inhibit malignant behavior in endometrial carcinoma, pointing to FOXP4 as a key target for future clinical strategies.
View Article and Find Full Text PDF

Although adenomyosis is a benign uterine disease, it can turn malignant in rare instances. Cystic adenomyosis is a rare variation of adenomyosis, arising from which 8 cases of clear cell carcinoma have been reported. However, to the best of our knowledge, there have been no previous reports describing the mechanism by which clear cell carcinoma develops from cystic adenomyosis.

View Article and Find Full Text PDF

Introduction: Contrast-enhanced computed tomography (CECT) is an emergent diagnostic imaging modality to identify the bleeding site and survey the abdominal cavity. The diagnostic utility of CECT for ectopic pregnancy (EP) has not been well-investigated. The objective of this study was to evaluate the characteristics of CECT findings in patients with EP and extract specific findings that could contribute to the identification of implantation sites.

View Article and Find Full Text PDF

The data presented here aim to show how to analyze crack propagation of a novel metallic matrix composite of Ti-6Al-4V reinforced with 1 wt.% nano-yttria-stabilized zirconia processed by laser powder bed fusion technology. The data was acquired via microstructural observations and electron backscatter diffraction (EBSD) analyses after the quasistatic tensile tests at room temperature.

View Article and Find Full Text PDF

Cytosine methylation of genomic DNA contributes to the regulation of gene expression and is involved in normal development including hematopoiesis in mammals. It is catalyzed by the family of DNA methyltransferases (DNMTs) that include DNMT1, DNMT3A, and DNMT3B. Peripheral T-cell lymphomas (PTCLs) represent a diverse group of aggressive mature T-cell malignancies accounting for approximately 10-15% of non-Hodgkin lymphoma cases in the US.

View Article and Find Full Text PDF
Article Synopsis
  • This study investigates how the gene BMAL1 influences steroid production in human luteinized granulosa cells, which are essential for female reproductive health.
  • * Researchers used siRNA to decrease BMAL1 expression and found that this reduction led to lower levels of key steroid biosynthesis genes (CYP11A1, CYP19A1, STAR, and ESR2) and corresponding steroid production.
  • * The study concludes that BMAL1 is vital for regulating steroid biosynthesis and emphasizes the role of circadian rhythms in female reproductive physiology.*
View Article and Find Full Text PDF

The mammalian oviductal lumen is a specialized chamber that provides an environment that strictly regulates fertilization and early embryogenesis, but the regulatory mechanisms to gametes and zygotes are unclear. We evaluated the oviductal regulation of early embryonic development using Ovgp1 (encoding an oviductal humoral factor, OVGP1)-knockout golden hamsters. The experimental results revealed the following: (1) female Ovgp1-knockout hamsters failed to produce litters; (2) in the oviducts of Ovgp1-knockout animals, fertilized eggs were sometimes identified, but their morphology showed abnormal features; (3) the number of implantations in the Ovgp1-knockout females was low; (4) even if implantations occurred, the embryos developed abnormally and eventually died; and (5) Ovgp1-knockout female ovaries transferred to wild-type females resulted in the production of Ovgp1-knockout egg-derived OVGP1-null litters, but the reverse experiment did not.

View Article and Find Full Text PDF

Objective: Imeglimin is a novel antidiabetic drug structurally related to metformin. Metformin has been shown to modulate the circadian clock in rat fibroblasts. Accordingly, in the present study, we aimed to determine whether imeglimin can impact the circadian oscillator in mouse embryonic fibroblasts (MEFs).

View Article and Find Full Text PDF

Pregnancies with chronic kidney disease (CKD) and high disease activity in rheumatic diseases are high-risk events with adverse outcomes for both the mother and fetus. We herein report a 35-year-old woman with juvenile idiopathic arthritis (JIA), amyloid A (AA) amyloidosis related to JIA, and CKD stage G4A2 who wished to have children. She achieved a successful pregnancy, even in the presence of these multiple risk factors, using tocilizumab to control the disease activity of JIA and AA amyloidosis, along with antihypertensive drugs to control her blood pressure before and during pregnancy.

View Article and Find Full Text PDF

Adoptive cell therapy using allogeneic γδ-T cells is a promising option for off-the-shelf T cell products with a low risk of graft-versus-host disease (GVHD). Long-term persistence may boost the clinical development of γδ-T cell products. In this study, we found that genetically modified Vγ9Vδ2 T cells expressing a tumor antigen-specific αβ-TCR and CD8 coreceptor (GMC) showed target-specific killing and excellent persistence.

View Article and Find Full Text PDF
Article Synopsis
  • Human extravillous trophoblast (EVT) cells invade the maternal uterus and work with immune cells, avoiding rejection despite containing paternal antigens.
  • A specific peptidase called laeverin (LVRN) on EVT interacts with monocytes to boost the production of indoleamine 2,3-dioxygenase-1 (IDO1), which plays a role in immune response.
  • The research indicates that LVRN helps create an immunosuppressive environment at the maternal-fetal interface, promoting the healthy development of the fetus by allowing EVT to coexist with maternal immune cells.
View Article and Find Full Text PDF

Background/aim: Gangliosides (acidic glycosphingolipids) have crucial regulatory roles in normal physiological processes, as well as in pathological conditions, including tumor onset and progression. GD2 is highly expressed in triple-negative breast cancer (TNBC), particularly in cancer stem cells. However, little is known on the clinical impact of GD2 expression on the prognosis of TNBC.

View Article and Find Full Text PDF
Article Synopsis
  • This study aimed to improve the detection of somatic UBA1 variants in patients suspected of having VEXAS syndrome and to create a scoring system to identify those with pathogenic variants.
  • Researchers analyzed 89 Japanese patients (mostly male, median age 69.3 years) using advanced genetic techniques such as PNA-PCR and deep sequencing to screen for UBA1 variants.
  • They found that 44.9% of patients had pathogenic variants, and their scoring system, which included factors like age and specific symptoms, effectively predicted the presence of these variants with a high accuracy (AUC of 0.908).
View Article and Find Full Text PDF

Adult T-cell leukaemia/lymphoma (ATL) remains incurable. The NF-κB and interferon regulatory factor 4 (IRF4) signalling pathways are among the critical survival pathways for the progression of ATL. TGF-β-activated kinase 1 (TAK1), an IκB kinase-activating kinase, triggers the activation of NF-κB.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how cytotrophoblast cells differentiate into extravillous trophoblast (EVT) and interact with maternal immune cells during early pregnancy, focusing on the role of chemokines in this process.
  • Researchers used a three-dimensional culture model of Swan71 cells to analyze gene and protein expressions related to chemokines and EVT markers, discovering that certain chemokines were significantly upregulated compared to monolayer cultures.
  • The findings suggest that the spheroid culture model enhances chemokine expression, which may facilitate the migration of immune cells, highlighting the importance of chemokines in the EVT's early development and interaction with the maternal immune system.
View Article and Find Full Text PDF