Publications by authors named "Kakita A"

Objective: Loss-of-function mutations in the GIRDIN/CCDC88A gene cause developmental epileptic encephalopathy (DEE) in humans. However, its pathogenesis is largely unknown. Global knockout mice of the corresponding orthologous gene (gKOs) have a preweaning lethal phenotype with growth failure, preventing longitudinal analysis.

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  • Multiple system atrophy (MSA) is a rare neurodegenerative disease marked by the buildup of phosphorylated α-synuclein in oligodendrocytes, which are cells critical for supporting neurons.
  • In MSA, both mature oligodendrocytes and their precursor cells are compromised, leading to potential blood-brain barrier (BBB) impairment affecting brain health.
  • Research on postmortem brains from MSA patients revealed significant decreases in the tight junction protein claudin-5 and increased leakage of proteins like fibrinogen and IgG, indicating BBB dysfunction likely initiated by pathological changes in oligodendrocyte precursor cells.
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Background: The identification of surgical candidates is a critical issue in patients with magnetic resonance imaging (MRI)-negative drug-resistant focal epilepsy and latent accompanying resectable lesions, such as focal cortical dysplasia (FCD). Recently, periodic seizure cycles have been associated with FCD in both patients with MRI-positive and MRI-negative epilepsy. We investigated the presurgical evaluation and postsurgical outcome of patients with MRI-negative epilepsy with FCD and a history of periodic seizure cycles.

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Microglia, a type of immune cells of the central nervous system, play a critical role in the pathophysiology of neurodegenerative disorders including Alzheimer's disease (AD). Recently, efforts for drug discovery have focused on modifying the function of microglia to halt AD progression. One such effort targets a multifaceted kinase called receptor-interacting protein kinase 1 (RIPK1) that controls inflammation and cell death.

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  • This study investigates tau accumulation in the nucleus basalis of Meynert (nbM) in early-onset Alzheimer's disease (EOAD) compared to late-onset Alzheimer's disease (LOAD), using F-florzolotau PET imaging.
  • EOAD patients exhibited a higher overall tau burden in the nbM, but cognitive decline was more closely associated with nbM tau levels in LOAD patients.
  • The research highlights the differing pathological trajectories and relationships between tau in the nbM and neocortex, emphasizing the significance of age of onset in assessing Alzheimer's disease pathology and cognition.
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Background: The copy number status (CNS) of the survival motor neuron (SMN) gene may influence the risk and prognosis of amyotrophic lateral sclerosis (ALS) and lower motor neuron diseases (LMND) other than spinal muscular atrophy (SMA). However, previous studies of this association, mainly from Europe, have yielded controversial results, suggesting possible regional differences. Here, we investigated the effect of the SMN gene in Japanese patients with ALS and LMND.

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Progressive multifocal leukoencephalopathy (PML) is a rare central nervous system disease caused by JC virus (JCV) infection. Human immunodeficiency virus (HIV) infection is the greatest risk factor for PML. Other immunological diseases, including systemic sarcoidosis, have also been reported as risk factors for PML.

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Amyotrophic lateral sclerosis (ALS) is a fetal neurodegenerative disease. The mechanism of sporadic ALS onset remains unclarified in detail. Disruption of zinc homeostasis could be related to sporadic ALS.

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Primary spinal cord gliomas are rare and are associated with high mortality. Unlike brain tumors, the clinicopathological features of spinal cord gliomas are not well defined. We analyzed clinical, histopathology, and immunohistochemical features and overall survival (OS) of 25 patients with primary spinal cord gliomas treated between 1994 and 2023 at 4 institutions.

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  • * A study of 26 patients at Niigata University Hospital found that brain biopsies provided a definitive diagnosis for over half of them, while also aiding in ruling out malignancy and guiding treatment.
  • * MRI characteristics like diffusely contrasted cortical lesions and mass effects were linked to better diagnostic outcomes, and liquid biopsies were performed with moderate success, especially in detecting primary central nervous system lymphoma.
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  • A new small-molecule ligand called C05-05 has been developed to visualize α-synuclein deposits in the brains of living subjects, which is important for understanding Parkinson's disease (PD) and dementia with Lewy bodies (DLB).
  • In studies involving mouse and marmoset models, C05-05 enabled detection of dynamic changes in α-synuclein fibril formation and structural disruptions within neural pathways.
  • PET imaging revealed that C05-05 signals were significantly stronger in the midbrains of PD and DLB patients compared to healthy individuals, suggesting its potential for diagnostic and therapeutic advancements in these conditions.
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  • Age-related microangiopathy (SVD) damages small blood vessels leading to problems in the brain, retina, liver, and kidneys, and is linked to DNA damage as part of the aging process.
  • Variants of the TREX1 protein, which play a crucial role in DNA repair, are associated with retinal vasculopathy with cerebral leukoencephalopathy (RVCL), causing improper localization within cells and potential DNA damage.
  • Research shows that these TREX1 variants increase vulnerability to DNA damage and are connected to early-onset breast cancer, highlighting a link between abnormal TREX1 activity, aging-related DNA damage, and microvascular disease.
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Objective: Although astrocytic pathology is a pathological hallmark of progressive supranuclear palsy (PSP), its pathophysiological role remains unclear. This study aimed to assess astrocyte reactivity in vivo in patients with PSP. Furthermore, we investigated alterations in brain lactate levels and their relationship with astrocyte reactivity.

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  • The figure presents tissue samples from three past cases.
  • It highlights the cause of hemosiderin buildup in the central nervous system.
  • This buildup is linked to a condition known as superficial siderosis.
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Molecular analysis of the growing teratoma syndrome has not been extensively studied. Here, we report a 14-year-old boy with a growing mass during treatment for a mixed germ cell tumor of the pineal region. Tumor markers were negative; thus, growing teratoma syndrome was suspected.

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Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune disease of the CNS characterized by the production of disease-specific autoantibodies against aquaporin-4 (AQP4) water channels. Animal model studies suggest that anti-AQP4 antibodies cause a loss of AQP4-expressing astrocytes, primarily via complement-dependent cytotoxicity. Nonetheless, several aspects of the disease remain unclear, including: how anti-AQP4 antibodies cross the blood-brain barrier from the periphery to the CNS; how NMOSD expands into longitudinally extensive transverse myelitis or optic neuritis; how multiphasic courses occur; and how to prevent attacks without depleting circulating anti-AQP4 antibodies, especially when employing B-cell-depleting therapies.

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Focal cortical dysplasia (FCD) is an important etiology of focal epilepsy in children and adults. However, only a few preclinical models sufficiently reproduce the characteristic histopathologic features of FCD. To improve the success rate of clinical trials for antiseizure medications (ASMs) in patients with FCD, more human-relevant preclinical models are needed, and epileptic foci resected from patients are a powerful tool for this purpose.

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Surgical biopsy is the gold standard for diagnosing central nervous system (CNS) lymphomas. However, reliable liquid biopsy methods for diagnosing CNS lymphomas have quickly developed and have been implicated in clinical decision-making. In the current report, we introduce two patients for whom liquid biopsy was essential for diagnosing CNS lymphomas and discuss the rapidly growing applications of this technology.

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  • - An 84-year-old man experienced symptoms like extreme sleepiness, difficulty swallowing, and paralysis on one side of his body, occurring over a month after a prior cognitive decline, with MRI scans revealing multiple brain lesions.
  • - Despite partial recovery from treatment with steroid therapy, he ultimately died from respiratory failure, and an autopsy showed brainstem lesions that matched MRI findings, as well as additional lesions not seen in imaging.
  • - The lesions displayed characteristics akin to autoimmune demyelinating diseases like multiple sclerosis but presented uniquely due to the patient's age and rapid progression of the condition, with no detectable antibodies typically associated with such diseases.
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Aim: Postmortem brain research is necessary for elucidating the pathology of schizophrenia; an increasing number of studies require a combination of suitable tissue samples preserved at multiple brain banks. In this study, we examined whether a comparative study of protein expression levels can be conducted using postmortem brain samples preserved in different facilities.

Methods: We compared the demographic factors of postmortem brain samples preserved in two institutions and measured and compared the expression levels of glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and glial fibrillary acidic protein (GFAP) in the prefrontal cortex and superior temporal gyrus.

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Background: Heat shock proteins (HSPs) are present throughout the brain. They function as molecular chaperones, meaning they help with the folding and unfolding of large protein complexes. These chaperones are vital in the development of neuropathological conditions such as Alzheimer's disease and Lewy body disease, with HSP90, a specific subtype of HSP, playing a key role.

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Background: Polygenic effects have been proposed to account for some disease phenotypes; these effects are calculated as a polygenic risk score (PRS). This score is correlated with Alzheimer's disease (AD)-related phenotypes, such as biomarker abnormalities and brain atrophy, and is associated with conversion from mild cognitive impairment (MCI) to AD. However, the AD PRS has been examined mainly in Europeans, and owing to differences in genetic structure and lifestyle, it is unclear whether the same relationships between the PRS and AD-related phenotypes exist in non-European populations.

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