Publications by authors named "Hiroyuki Yajima"

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  • The study aimed to evaluate the impact of pemafibrate (PEM) on patients with metabolic dysfunction-associated steatotic liver disease (MASLD) and hyperlipidemia.
  • A retrospective analysis of 43 patients was conducted, assessing clinical factors and liver stiffness using FibroScan before and after 0.5 years of PEM treatment.
  • Results showed that while liver stiffness (LS) and other key liver function metrics did not decrease overall, improvements were noted in patients with more significant liver stiffness at baseline, suggesting PEM may be a potential treatment option for MASLD.*
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  • The study explored the connection between immunoglobulin A (IgA) levels and chronic liver disease in 478 patients at Nagasaki Harbor Medical Center, highlighting that higher IgA levels were found in patients with more severe conditions, such as Child-Pugh classification B and C and alcoholic liver disease.
  • Analysis revealed that factors like high IgG levels, diabetes, and certain liver disease types contribute to elevated IgA levels, suggesting that elevated IgA might indicate increased liver disease severity.
  • Results also showed a significant association between IgA levels and visceral fat, particularly in women, reinforcing the role of IgA as a potential marker for liver disease severity amidst rising cases of steatotic liver disease.
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The placenta secretes a prolactin (PRL)-like hormone PRL3B1 (placental lactogen II), a luteotropic hormone essential for maintaining pregnancy until labor in mice. A report from 1984 examined the secretion pattern of PRL3B1 in prepartum mice. In the current study, we found contradictory findings in the secretion pattern that invalidate the previous report.

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  • PIVKA-II is a marker used to diagnose hepatoma (liver cancer) but can also appear in patients without liver issues.
  • A study analyzed the relationship between serum PIVKA-II levels and various clinical measurements of bone and muscle health in 441 patients with liver disease.
  • Results indicated that high PIVKA-II levels were linked to serious liver disease, abnormal bone health in women, and muscle weakness in men, suggesting that monitoring PIVKA-II might help manage bone and muscle health in these patients.
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Objectives: This study investigated the outcomes of the early introduction of a standing program for patients with Duchenne muscular dystrophy (DMD).

Methods: This was a retrospective observational study of 41 outpatients with DMD aged 15-20 years. We introduced the standing program using knee-ankle-foot orthoses (KAFO) to slow the progression of scoliosis when ankle dorsiflexion became less than 0° in the ambulatory period.

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Background: A number of clinical trials targeting GNE myopathy patients have been conducted. However, useful clinical parameters for postmarketing surveillance and long-term clinical observation have not yet been established.

Objective: We conducted a 5-year observational follow-up natural history study to identify evaluation parameters, which may be useful for the long-term observation of GNE myopathy patients.

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  • Real-world data indicate that responses to nusinersen treatment for spinal muscular atrophy (SMA) can vary, prompting a study into how baseline muscle impairment seen in MRI scans may predict treatment outcomes.
  • The study involved 16 SMA patients who underwent MRI assessments of their thigh and pelvic muscles before starting nusinersen, and their progress was measured using the Hammersmith Functional Motor Scale-Expanded (HFMSE).
  • Results showed that while baseline MRI scores alone did not differentiate treatment responders from non-responders, factors like less severe scoliosis and lower muscle impairment scores were associated with better motor function improvement after 15 months of treatment.
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  • - Hepatic osteodystrophy (HOD) is a frequent issue in patients with chronic liver diseases like hepatitis C, leading to osteoporosis and bone density loss.
  • - A study involving 78 patients treated with direct-acting antivirals (DAA) showed that while HCV was successfully treated, the impact on bone metabolic markers and bone density was varied between genders; males had a decrease in undercarboxylated osteocalcin (ucOC) while females did not.
  • - Overall, DAA treatment appears to improve ucOC levels in male patients and influences vitamin K status, suggesting potential benefits for bone health in individuals with HOD related to chronic liver disease.
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Introduction/aims: Dysferlinopathy demonstrates heterogeneity in muscle weakness between patients, which can progress at different rates over time. Changing muscle strength due to disease progression or from an investigational product is associated with changing functional ability. The purpose of this study was to compare three methods of strength testing used in the Clinical Outcome Study (COS) for dysferlinopathy to understand which method and which muscle groups were most sensitive to change over time.

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Elucidating the mechanisms underlying nurturing and neglect behaviors is meaningful but challenging. Recently, we found that CIN85-deficient mice had reduced pituitary hormone prolactin secretion during late pregnancy, and their pups later showed an inhibited nurturing behavior. To examine whether this phenomenon could be reproduced in normal mice and not just CIN85-deficient mice, we investigated the nurturing behavior of offspring born to mothers whose blood prolactin levels had been reduced by bromocriptine administration during late pregnancy.

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  • - Hepatitis B virus (HBV) can lead to osteoporosis and loss of bone mineral density (BMD), but treatment with Tenofovir alafenamide (TAF) results in less BMD loss compared to another medication, Tenofovir disoproxil.
  • - A study involving 87 HBV patients treated with TAF found that after one year, levels of TRACP-5b (a bone metabolism marker) decreased, indicating potential benefits in bone health.
  • - The research suggests that switching to TAF may improve BMD in patients previously treated with Entecavir, with TAF possibly helping to prevent fractures due to its effect on bone metabolism.
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Recent studies showed a possible association between perfluorooctane sulfonate (PFOS) and developmental disabilities. We previously found the specific effects of PFOS exposure on learning and memory, however, its effect on the other developmental disabilities such as motor and social deficits remains unclear. We examined the effect of early lactational PFOS exposure on motor coordination, social activity, and anxiety in male mice.

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Introduction: We previously identified UDP-N-acetylglucosamine 2-epimerase (GNE) myopathy patients with sleep apnea and a past history of thrombocytopenia, but without disease-specific cardiac involvement. This study aimed to clarify the occurrence, severity, and serial changes of these complications.

Methods: Thirty-three genetically confirmed GNE myopathy patients who participated in a 5-y longitudinal observational history study underwent platelet count and platelet-associated immunoglobulin G (PA-IgG) measurements, a sleep study, and electrocardiography (ECG), Holter ECG, and echocardiogram examinations.

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  • A study aimed to evaluate the effectiveness of the SARC-F questionnaire and calculated body muscle mass (CBMM) for identifying sarcopenia in patients with chronic liver disease.
  • The analysis included 482 patients who underwent various assessments, revealing that the cutoff values for sarcopenia were <27.903 for females and <39.731 for males in CBMM and a SARC-F score of ≥4 points.
  • The modified SARC-F questionnaire that combined elements from the original SARC-F, CBMM, gender, and age showed improved screening accuracy over both SARC-F and CBMM alone.
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Thyroid hormone (TH) plays important roles in the developing brain. TH deficiency in early life leads to severe developmental impairment in the hippocampus. However, the mechanisms of TH action in the developing hippocampus are still largely unknown.

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Objective: The novel morpholino antisense oligonucleotide viltolarsen targets exon 53 of the dystrophin gene, and could be an effective treatment for patients with Duchenne muscular dystrophy (DMD). We investigated viltolarsen's ability to induce dystrophin expression and examined its safety in DMD patients.

Methods: In this open-label, multicenter, parallel-group, phase 1/2, exploratory study, 16 ambulant and nonambulant males aged 5-12 years with DMD received viltolarsen 40 or 80 mg/kg/week via intravenous infusion for 24 weeks.

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  • Patient-reported outcomes (PROs) are crucial for assessing the quality of life (QOL) and symptoms in hepatitis C patients, evaluated at the start and three years after direct-acting antiviral (DAA) treatment.
  • The study found that improvements in general health perception (GHN) were associated with better sleep quality and increases in muscle mass over three years.
  • Results indicate that enhanced muscle volume post-treatment correlates with improved QOL, highlighting that sleep disturbances and other symptoms are interconnected with overall health outcomes.
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The present study aims to examine the effect of early lactational perfluorooctane sulfonate (PFOS) exposures on learning and memory in male mice and reveal the underlying mechanisms involved. PFOS solution was orally administered to dams from the postpartum days 1-14, so that pups would be exposed through breast milk. At 8-10 weeks of age, we performed object location test (OLT), object recognition test (ORT), and pairwise visual discrimination (VD) task.

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  • Sarcopenia, a condition characterized by loss of muscle mass in patients with chronic liver disease, can be assessed using inexpensive screening methods like the sarcopenia index (SI) and calculated body muscle mass (CBMM).
  • A study evaluated these methods on 303 liver-damaged patients, comparing the results with traditional measures like grip strength and muscle mass determined through CT imaging.
  • The findings revealed strong correlations between CBMM, SI, and muscle-related metrics, suggesting that low levels of these indices effectively indicate the presence of sarcopenia, particularly in both men and women.
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  • - The study found that the serum creatinine-based glomerular filtration rate (CrGFR) often overestimates kidney function in patients with liver disease, and explored differences between CrGFR and cystatin C GFR (dGFR).
  • - Researchers evaluated several factors in 313 liver-damaged patients, including muscle mass and strength, using various scores and biomarkers like the sarcopenia index (SI) and calculated body muscle mass (CBMM).
  • - Results showed that both CBMM and SI are strongly correlated with muscle mass and strength, indicating their significance in assessing sarcopenia in liver disease patients; dGFR was also found to be a reliable marker for liver damage and muscle strength, independent
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Objective: Duchenne muscular dystrophy (DMD) is a progressive muscular disease characterized by chronic cycles of inflammatory and necrotic processes. Prostaglandin D (PGD ) is produced by hematopoietic PGD synthase (HPGDS), which is pathologically implicated in muscle necrosis. This randomized, double-blind, placebo-controlled early phase 2 study (NCT02752048) aimed to assess the efficacy and safety of the novel selective HPGDS inhibitor, TAS-205, with exploratory measures in male DMD patients aged ≥5 years.

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Objectives: Quantitative or semiquantitative outcome measures for patients with Duchenne muscular dystrophy (DMD) are important, as they can be objective indicators of the natural history of DMD; these measures also aid in the evaluation of the efficacy of various treatments. However, the most widely used standard outcome measures in patients with DMD, such as the North Star Ambulatory Assessment and the 6-min walk test, cannot be applied after patients have become nonambulatory. We evaluated the utility and reliability of accelerometric analysis of motor activity in nonambulatory patients with DMD.

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The present study evaluated the changes in lipid profile, and the associations between serum protein convertase subtilisin/kexin 9 (PCSK9), microRNA (miR)122 and low-density lipoprotein variation following treatment of hepatitis C virus (HCV) genotype 1b infection with Daclatasvir/Asunaprevir. A total of 39 patients with HCV genotype 1b infection with chronic hepatitis received a 24-week treatment regimen of Daclatasvir/Asunaprevir. Laboratory data were obtained for each subject every 4 weeks during treatment and every 12 weeks after treatment.

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Objective Direct-acting antivirals (DAAs) for treating hepatitis C virus (HCV) infection exert a significantly high sustained viral response (SVR), and patients experience a rebound increase in low-density lipoprotein cholesterol (LDL) and total cholesterol levels. Carotid intima-media thickness (IMT) is a highly reproducible and non-invasive parameter for assessing the atherosclerotic process, and the small dense (sd) LDL level is useful for clinically evaluating the atherogenic risk. Methods A total of 48 patients with chronic HCV infection were treated with DAAs.

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Objective: To assess the ability of functional measures to detect disease progression in dysferlinopathy over 6 months and 1 year.

Methods: One hundred ninety-three patients with dysferlinopathy were recruited to the Jain Foundation's International Clinical Outcome Study for Dysferlinopathy. Baseline, 6-month, and 1-year assessments included adapted North Star Ambulatory Assessment (a-NSAA), Motor Function Measure (MFM-20), timed function tests, 6-minute walk test (6MWT), Brooke scale, Jebsen test, manual muscle testing, and hand-held dynamometry.

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