Publications by authors named "Hiroyuki Kozai"

Article Synopsis
  • Immune checkpoint inhibitors (ICIs) and chemoimmunotherapy are key treatments for thoracic cancers, but it's unclear which chemotherapy agents are best to combine with ICIs for effectiveness in non-small cell lung cancer (NSCLC).
  • Researchers tested various chemotherapeutics (including 5-fluorouracil, pemetrexed, and platinum) to see which best induced immunogenic cell death (ICD), a desirable immune response, and found that 5-FU was the most effective.
  • The study concluded that 5-FU, especially when combined with platinum, not only triggers ICD but also enhances immune response, making it a potentially optimal partner for ICIs in treating thoracic cancers.
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Objective Understanding the clinical factors associated with the severity of coronavirus disease 2019 (COVID-19) is very important for the effective use of limited medical resources, including the appropriate evaluation of the need for hospitalization and discharge. Methods Patients hospitalized with a diagnosis of COVID-19 from March 2021 to October 2022 were included in the study. Patients admitted to our facility were classified into four waves: 4th (April to June 2021), 5th (July to October 2021), 6th (January to June 2022), and 7th waves (July to October 2022).

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Myeloid-derived suppressor cells (MDSCs) have been known to play a pivotal role in the induction of immune tolerance, which limits the benefits of immune checkpoint inhibitors (ICIs). Recent studies revealed that several chemotherapeutic agents decreased tumor-infiltrating MDSCs. Therefore, combination therapy with cytotoxic chemotherapeutic agents and ICIs was approved for first-line treatment for lung cancer.

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Background: The combination of anti-PD-1/PD-L1 antibody with chemotherapy has been approved for the first-line therapy of lung cancer. However, the effects against malignant mesothelioma (MPM) and the immunological mechanisms by which chemotherapy enhances the effect of targeting PD-1/PD-L1 in MPM are poorly understood.

Materials And Methods: We utilized syngeneic mouse models of MPM and lung cancer and assessed the therapeutic effects of anti-PD-1 antibody and its combination with cisplatin (CDDP) and pemetrexed (PEM).

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The feasibility and required sensitivity of circulating free DNA (cfDNA)-based detection methods in second-line epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) treatment are not well elucidated. We examined T790M and other activating mutations of by cfDNA to assess the clinical usability. In 45 non-small cell lung cancer (NSCLC) patients harboring activating mutations, cfDNAs were prepared from the plasma samples.

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A 65-year-old female had been treated rheumatoid arthritis (RA), interstitial pneumonia (IP) and nephrotic syndrome with prednisolone and cyclosporine. She was emergently admitted to our hospital due to the worsening exertional dyspnea and severe hypoxemia. Chest computed tomography (CT) showed new diffuse ground-glass opacities (GGOs) with slight consolidations along with bronchovascular bundle were observed in addition to pre-existing reticular shadows in both lungs with lower lobe-predominance.

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