Publications by authors named "Kawazu M"

Cancer cells in the tumour microenvironment use various mechanisms to evade the immune system, particularly T cell attack. For example, metabolic reprogramming in the tumour microenvironment and mitochondrial dysfunction in tumour-infiltrating lymphocytes (TILs) impair antitumour immune responses. However, detailed mechanisms of such processes remain unclear.

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  • Core needle biopsy (CNB) using a new 20-gauge needle was evaluated for its effectiveness in preoperative diagnosis of salivary gland carcinomas, revealing both benefits and challenges.
  • In a study of 41 patients, CNB successfully provided high-quality specimens for analysis in 39 cases, achieving a 75% accuracy rate for correct diagnoses, though challenges arose with certain tumor types.
  • While CNB allowed for accurate histologic subtyping, issues were noted in more heterogeneous tumors like carcinoma ex-pleomorphic adenoma, indicating that such cases may require further diagnostic methods.
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Angiosarcoma (AS) is a malignant vascular neoplasm comprising neoplastic endothelial cells accounting for 1%-4% of soft tissue sarcomas. While lymphedema-associated and post-irradiation ASs are almost always driven by a high-level amplification of MYC (8q24), sporadic ASs, including those of breast parenchymal origin, typically lack MYC amplification. Here, we report a case of sporadic breast MYC-amplified AS in a 19-year-old female with no history of lymphedema or irradiation, who was referred to our hospital for an enlarging right breast mass.

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Immune checkpoint inhibitors (ICIs) exert clinical efficacy against various types of cancers by reinvigorating exhausted CD8 T cells that can expand and directly attack cancer cells (cancer-specific T cells) among tumor-infiltrating lymphocytes (TILs). Although some reports have identified somatic mutations in TILs, their effect on antitumor immunity remains unclear. In this study, we successfully established 18 cancer-specific T cell clones, which have an exhaustion phenotype, from the TILs of four patients with melanoma.

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  • Myxoid liposarcoma (MLPS) is a rare type of cancer that usually develops in soft tissues in middle-aged individuals, characterized by specific cell types and a unique genetic signature involving the FUS/EWSR1::DDIT3 fusion gene.
  • This case study presents an atypical intra-articular MLPS in a young woman, where traditional DDIT3 break-apart FISH testing was negative, but EWSR1::DDIT3 was positive, indicating complex genetic rearrangements.
  • It emphasizes the effectiveness of using nanopore sequencing for diagnosing sarcomas, demonstrating its potential as a rapid and cost-efficient diagnostic tool in medical settings.
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An aneurysmal bone cyst (ABC) is a benign bone neoplasm that typically occurs during the first and second decades of life. ABC usually presents as a rapidly growing intramedullary expansile mass with multiple blood-filled cysts in the metaphysis of the long tubular bones. Here, we report a case of a periosteal solid ABC that was initially diagnosed as a high-grade surface osteosarcoma.

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By taking advantage of forward genetic analysis in mice, we have demonstrated that Pak1 plays a crucial role during DMBA/TPA skin carcinogenesis. Although Pak1 has been considered to promote cancer development, its overall function remains poorly understood. To clarify the functional significance of Pak1 in detail, we sought to evaluate the possible effect of an allosteric inhibitor against PAK1 (NVS-PAK1-1) on a syngeneic mouse model.

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Loss of heterozygosity (LOH) has been reported to occur in HLA regions in cervical intraepithelial neoplasia (CIN) and cervical cancer. However, the details of how this is related to the progression of CIN have been unclear. In this study, we examined the human papillomavirus (HPV) antigen-presenting capacity of people with CIN and the significance of LOH of HLA class I in the progression of CIN.

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  • Dermatofibroma (DF) is a benign tumor typically found on the limbs and trunk of young adults, characterized by a specific arrangement of fibroblast-like cells and various secondary elements, which can lead to misdiagnosis as other tumors like sarcomas.
  • A notable case was documented involving a 26-year-old woman whose DF was initially misdiagnosed as angiosarcoma after a biopsy showed atypical spindle cells; imaging indicated tumor and lymph node involvement.
  • The report underscores the need for careful evaluation of DF’s clinical and histological features to prevent misdiagnosis, and suggests that nanopore DNA sequencing may provide valuable diagnostic insights.
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  • * The study found that CD106 is mainly expressed in exhausted CD8+ T cells within the TME and its high levels are linked to better responses to cancer treatments.
  • * CD106 hampers antitumor immunity by interfering with T-cell receptor signaling, making it a potential biomarker and therapeutic target for improving cancer immunotherapy outcomes.
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Introduction: Laparoscopic surgery is used for canine congenital extrahepatic portosystemic shunts (CEHPSS). However, outcomes of laparoscopic surgery involving simultaneous portal vein angiography and portal pressure measurement to attenuate or completely occlude the shunt vessel in canines remain unclear. This study aimed to evaluate outcomes and complications of laparoscopic portosystemic shunt occlusion (LAPSSO) for CEHPSS.

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Immune checkpoint inhibitors exert clinical efficacy against various types of cancer through reinvigoration of exhausted CD8 T cells that attack cancer cells directly in the tumor microenvironment (TME). Using single-cell sequencing and mouse models, we show that CXCL13, highly expressed in tumor-infiltrating exhausted CD8 T cells, induces CD4 follicular helper T (T) cell infiltration, contributing to anti-tumor immunity. Furthermore, a part of the T cells in the TME exhibits cytotoxicity and directly attacks major histocompatibility complex-II-expressing tumors.

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Cutaneous adnexal tumors are neoplasms that arise from skin appendages. Their morphologic diversity and phenotypic variability with rare progression to malignancy make them difficult to diagnose and classify, and there is currently no established treatment strategy. To overcome these difficulties, this study investigated the transcription factor SOX9 expression, morphology, and genetics of skin adnexal tumors for understanding their biology, especially their histogenesis.

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Introduction: Unresectable or recurrent thymic epithelial tumors (TETs) have a poor prognosis, and treatment options are limited. This study aimed to investigate the immunologic significance of CD80/CD86 or major histocompatibility complex class II (MHC-II) expression in TETs, as potential predictive biomarkers for immune checkpoint inhibitors (ICIs).

Methods: We analyzed CD80, CD86, MHC class I (MHC-I), and MHC-II expression in TETs using immunohistochemistry and investigated their association with T-cell infiltration or ICI efficacy.

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  • The study investigates intratumor heterogeneity (ITH) in microsatellite instability-high (MSI-H) colorectal cancer (CRC) to understand its evolution and the impact of immune pressure on ITH.
  • Researchers reanalyzed whole-exome sequencing data and conducted multi-region analyses on MSI-H CRC samples, developing a new computational model to explore immune escape mechanisms.
  • Findings reveal that MSI-H CRC shows diverse genetic changes related to immune evasion, highlighting the importance of initiating immune checkpoint inhibitor treatments early for improved patient outcomes.
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Hyalinizing clear cell carcinoma (HCCC) is a rare indolent malignant tumor of minor salivary gland origin with EWSR1::ATF1 rearrangement. Pathologically, the tumor cells possess a clear cytoplasm in a background of hyalinized stroma. Generally, the tumor cells are positive for p63 and p40 and negative for s100 and α-smooth muscle actin, suggesting that they differentiate into squamous epithelium and not into myoepithelium.

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IFNγ signaling pathway defects are well-known mechanisms of resistance to immune checkpoint inhibitors. However, conflicting data have been reported, and the detailed mechanisms remain unclear. In this study, we have demonstrated that resistance to immune checkpoint inhibitors owing to IFNγ signaling pathway defects may be primarily caused by reduced MHC-I expression rather than by the loss of inhibitory effects on cellular proliferation or decreased chemokine production.

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Unlabelled: Some patients experience mixed response to immunotherapy, whose biological mechanisms and clinical impact have been obscure. We obtained two tumor samples from lymph node (LN) metastatic lesions in a same patient. Whole exome sequencing for the both tumors and single-cell sequencing for the both tumor-infiltrating lymphocytes (TIL) demonstrated a significant difference in tumor clonality and TILs' characteristics, especially exhausted T-cell clonotypes, although a close relationship between the tumor cell and T-cell clones were observed as a response of an overlapped exhausted T-cell clone to an overlapped neoantigen.

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Deficiency in DNA MMR activity results in tumors with a hypermutator phenotype, termed microsatellite instability (MSI). Beyond its utility in Lynch syndrome screening algorithms, today MSI has gained importance as predictive biomarker for various anti-PD-1 therapies across many different tumor types. Over the past years, many computational methods have emerged to infer MSI using either DNA- or RNA-based approaches.

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Unlabelled: Pancreatic ductal adenocarcinoma (PDAC) is one of the most life-threatening malignancies. Although the deoxycytidine analog gemcitabine has been used as the first-line treatment for PDAC, the primary clinical challenge arises because of an eventual acquisition of resistance. Therefore, it is crucial to elucidate the mechanisms underlying gemcitabine resistance to improve treatment efficacy.

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Background: Identifying biomarkers to predict immune checkpoint inhibitor (ICI) efficacy is warranted. Considering that somatic mutation-derived neoantigens induce strong immune responses, patients with a high tumour mutational burden reportedly tend to respond to ICIs. However, there are several conflicting data.

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Background: Small cell carcinoma of the uterine cervix (SCCC) is a rare and highly malignant human papillomavirus (HPV)-associated cancer in which human genes related to the integration site can serve as a target for precision medicine. The aim of our study was to establish a workflow for precision medicine of HPV-associated cancer using patient-derived organoid.

Methods: Organoid was established from the biopsy of a patient diagnosed with HPV18-positive SCCC.

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The cellular origins of cervical cancer and the histological differentiation of human papillomavirus (HPV)-infected cells remain unexplained. To gain new insights into the carcinogenesis and histological differentiation of HPV-associated cervical cancer, we focused on cervical cancer with mixed histological types. We conducted genomic and transcriptomic analyses of cervical cancers with mixed histological types.

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