Publications by authors named "Kazuto Ueda"

Article Synopsis
  • Hypoxic-ischemic encephalopathy (HIE) is a serious condition leading to high mortality and neurological issues, currently only treatable with therapeutic hypothermia.
  • A clinical trial was conducted using Muse cells (CL2020) in 9 neonates with moderate-to-severe HIE, who also received therapeutic hypothermia; safety and tolerability were the main goals.
  • The trial found that CL2020 was safe, with no severe adverse effects and normal developmental outcomes in about 67% of patients, indicating a need for further research through a larger controlled study to confirm these results.
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Multilineage-differentiating stress-enduring (Muse) cells are endogenous reparative pluripotent stem cells present in the bone marrow, peripheral blood, and organ connective tissues. We assessed the homing and therapeutic effects of systemically administered nafimestrocel, a clinical-grade human Muse cell-based product, without immunosuppressants in a neonatal hypoxic-ischemic (HI) rat model. HI injury was induced on postnatal day 7 (P7) and was confirmed by T2-weighted magnetic resonance imaging on P10.

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Introduction: To investigate the mechanism underlying the increased risk of subsequent neurodevelopmental disorders in children born to mothers with preeclampsia, we evaluated the neurodevelopment of offspring of a preeclampsia rat model induced by the administration of N-nitro-L-arginine methyl ester (L-NAME) and identified unique protein signatures in the offspring cerebrospinal fluid.

Methods: Pregnant rats received an intraperitoneal injection of L-NAME (250 mg/kg/day) during gestational days 15-20 to establish a preeclampsia model. Behavioral experiments (negative geotaxis, open-field, rotarod treadmill, and active avoidance tests), immunohistochemistry [anti-neuronal nuclei (NeuN) staining in the hippocampal dentate gyrus and cerebral cortex on postnatal day 70], and proteome analysis of the cerebrospinal fluid on postnatal day 5 were performed on male offspring.

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Neonatal necrotizing enterocolitis (NEC) is a serious disease of premature infants that necessitates intensive care and frequently results in life-threatening complications and high mortality. Dedifferentiated fat cells (DFATs) are mesenchymal stem cell-like cells derived from mature adipocytes. DFATs were intraperitoneally administrated to a rat NEC model, and the treatment effect and its mechanism were evaluated.

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Fetal growth restriction (FGR), followed by postnatal early catch-up growth, is associated with an increased risk of metabolic dysfunction, including type 2 diabetes in humans. This study aims to determine the effects of FGR and early catch-up growth after birth on the pathogenesis of type 2 diabetes, with particular attention to glucose tolerance, pancreatic islet morphology, and fibrosis, and to elucidate its mechanism using proteomics analysis. The FGR rat model was made by inducing mild intrauterine hypoperfusion using ameroid constrictors (ACs).

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Purpose: The aim of this study is to evaluate the usefulness of T cell receptor excision circle (TREC) and/or kappa-deleting recombination excision circle (KREC) measurements integrated with diagnostic next-generation sequencing (NGS) analysis using a severe combined immunodeficiency (SCID) newborn screening (NBS) program.

Methods: TREC and/or KREC values were measured in 137,484 newborns between April 2017 and December 2021 using EnLite TREC (n = 80,791) or TREC/KREC kits (n = 56,693). For newborns with positive screening results, diagnostic NGS analysis was performed with a 349-gene panel to detect genetic mutations associated with primary immunodeficiencies (PIDs).

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Introduction: Neonatal hypoxic-ischaemic encephalopathy (HIE) is an important illness associated with death or cerebral palsy. This study aims to assess the safety and tolerability of the allogenic human multilineage-differentiating stress-enduring cell (Muse cell)-based product (CL2020) cells in newborns with HIE. This is the first clinical trial of CL2020 cells in neonates.

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Perinatal hypoxic ischemic encephalopathy (HIE) results in serious neurological dysfunction and mortality. Clinical trials of multilineage-differentiating stress enduring cells (Muse cells) have commenced in stroke using intravenous delivery of donor-derived Muse cells. Here, we investigated the therapeutic effects of human Muse cells in an HIE model.

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Fetal growth restriction (FGR) is a major complication of prenatal ischemic/hypoxic exposure and affects 5%-10% of pregnancies. It causes various disorders, including neurodevelopmental disabilities due to chronic hypoxia, circulatory failure, and malnutrition the placenta, and there is no established treatment. Therefore, the development of treatments is an urgent task.

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Article Synopsis
  • * Mesenchymal stem/stromal cells (MSCs) have some therapeutic effects on BPD, but they are limited in their ability to regulate macrophage function, which plays a key role in the disease's progression.
  • * In a study using a BPD rat model, 7ND-MSCs (a modified version of MSCs designed to enhance macrophage activation) were found to significantly improve lung health, reduce harmful macrophages, and outperform regular MSCs in treating BPD-related lung issues.
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Recently, cell therapy has been developed as a novel treatment for perinatal hypoxic-ischemic encephalopathy (HIE), which is an important cause of neurological disorder and death, and stem cells from human exfoliated deciduous teeth (SHED) express early markers for mesenchymal and neuroectodermal stem cells. We investigated the treatment effect of SHED for HIE in neonatal rats. Seven-day-old rats underwent ligation of the left carotid artery and were exposed to 8% hypoxic treatment.

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Article Synopsis
  • A study in Japan aimed to analyze childhood arterial ischemic stroke (AIS) focusing on its clinical features and diagnosis timing, involving 40 children aged 29 days to 15 years from 2010-2014.
  • The most common symptoms were paralysis or paresis, with significant delays in diagnosis; 27% of patients were diagnosed within 6 hours of symptoms appearing, but 54% took over 24 hours for radiological confirmation.
  • The findings suggest a need for improved awareness among healthcare providers and the public about childhood stroke to facilitate quicker diagnosis and treatment.
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  • Hypophosphatasia (HPP) is a rare genetic disorder that leads to low levels of alkaline phosphatase, resulting in poor bone mineralization and often causing seizures that respond to pyridoxine (vitamin B6).
  • A case study of a female patient with severe respiratory issues and very low serum ALP levels confirmed the HPP diagnosis through genetic testing, and subclinical seizures were detected on the first day.
  • Treatment involved enzyme replacement therapy and pyridoxine, successfully controlling seizures, and monitoring serum pyridoxal (PL) levels guided the gradual discontinuation of pyridoxine after one month.
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Perinatal hypoxic-ischemia (HI) causes neonatal death and permanent neurological deficits. Cell therapy using various cell sources has been recently identified as a novel therapy for perinatal HI. Among the available types of cell sources, bone marrow-derived mononuclear cells (BMMNCs) have unique features for clinical application.

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