Publications by authors named "Kazuhide Tokita"

Objectives: Infants with fetal growth restriction (FGR) are at a risk of developing metabolic syndromes in adulthood. We hypothesized that skeletal muscle degeneration by nutrition-restricted FGR results in abnormal insulin signaling and epigenetic changes.

Material And Methods: To develop a protein-restricted FGR model, rats were fed a low-protein diet (7% protein) during the gestational period; rats fed a normal diet (20% protein) were used as controls.

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  • The study explored the effects of stress on colonic motility and serotonin levels in adolescent rats, particularly those subjected to early-life stress through neonatal maternal separation (NMS).
  • Results showed that restraint stress (RS) led to increased fecal pellet discharge and higher serotonin (5-HT) levels in rats who had experienced NMS compared to normal handling (NH) controls.
  • Overall, the findings suggest that combined juvenile and acute stress enhances serotonin production and enterochromaffin (EC) cell density in the proximal colon, which may contribute to the understanding of IBS pathogenesis in adolescents.
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Fetal growth restriction (FGR) leads to adult-onset metabolic syndrome. Intrauterine and early postnatal caloric restriction ameliorates the risk in animal models. To understand the underlying mechanism, we compared autophagic marker levels between offspring with FGR and those with prenatal and early postnatal protein restriction (IPPR).

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Objective: Fetal growth restriction (FGR) indicates increased risks of lifestyle-related diseases in adulthood. Previous studies showed the association between human gut dysbiosis and various diseases. However, reports examining the relationship between FGR and gut microbiota are scarce.

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The abnormal fetal environment exerts long-term effects on skeletal muscle, and fetal growth restriction (FGR) is associated with insulin resistance in adulthood. In this study, we examined insulin resistance in early adulthood and insulin signaling in skeletal muscle using a novel FGR rat model. Ameroid constrictors (AC) were placed on the bilateral uterine and ovarian arteries of rats on day 17 of gestation; placebo surgery was performed on the control group.

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  • Golimumab (GLM) is a less immunogenic anti-TNF-α antibody used for treating pediatric ulcerative colitis (UC), with limited reports on its long-term effects in children.
  • In a study of 17 pediatric patients, half achieved corticosteroid-free remission at 54 weeks, particularly benefiting those who were previously biologic-naïve, though responders to prior treatments showed mixed results.
  • The findings suggest GLM is safe and effective for younger patients with UC, especially those with mild to moderate disease who had adverse reactions to previous biologics.
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Introduction: Long-term disease duration of ulcerative colitis (UC) is known to increase the risk of developing colorectal cancer in adults; however, this association has not been genetically analyzed in children with UC. Herein, we examined the expression of cancer-related genes in the colonic mucosa of pediatric UC patients and their risk of developing colorectal cancer.

Methods: Microarray analysis of cancer-related gene expression was conducted on rectal mucosa biopsy specimens randomly selected from pediatric cases, including 4 active-phase UC cases, 3 remission-phase UC cases, and 3 irritable bowel syndrome control cases.

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  • * It involved 201 patients and 500 nonpedunculated polyps, with a significant focus on ensuring that both lateral and vertical margins were free from neoplastic tissue after resection.
  • * The results showed a high success rate of 92% for complete resection, indicating that a mucosal defect size of 7 mm or greater is a good predictor for successful removal of the polyp's muscularis mucosae.
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Introduction: Anal fistulae have a significant impact on the quality of life of patients with Crohn's disease (CD). In this cross-sectional study, we aimed to determine whether biological agents were effective in treating anal fistulae in patients with CD.

Methods: Fifty-three patients diagnosed with CD were retrospectively enrolled.

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Background: Helicobacter pylori (H. pylori) infection causes chronic gastritis, duodenal and to a lesser extent, gastric ulcers, and gastric cancer. Most H.

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Evidence relating to the efficacy of eradication therapy for chronic immune thrombocytopenic purpura (cITP) in childhood is inadequate. The aim of this retrospective study was to determine the efficacy of eradication therapy for platelet response in pediatric patients with cITP in our hospital, and to perform a systematic review of previous reports about pediatric patients with cITP who were positive for infection and were treated with eradication therapy. Analysis of the data of pediatric patients with cITP in our hospital and a systematic review of digital literature databases of studies in pediatric patients with cITP were performed.

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Background And Aim: Ustekinumab is a human monoclonal antibody targeting the p40 subunit of both interleukin-12 and interleukin-23 with reported efficacy to treat Crohn's disease. However, few studies have reported the use of ustekinumab for pediatric inflammatory bowel disease. This study aimed to assess the clinical efficacy and safety of ustekinumab in children and adolescents with inflammatory bowel disease.

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