Publications by authors named "Kazuyoshi Gotoh"

The oral microbiota, second in abundance to the gut, is implicated in chronic systemic diseases, but its specific role in GVHD pathogenesis has been unclear. Our study finds that mucositis-induced oral dysbiosis in patients post-hematopoietic cell transplantation associated with increased chronic GVHD (cGVHD) even in patients receiving post-transplant cyclophosphamide. In murine HCT models, oral dysbiosis caused by bilateral molar ligatures exacerbated cGVHD and increased bacterial load in the oral cavity and gut with Enterococcaceae significantly increasing in both organs.

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Introduction: Corynebacterium species potentially develop high-level daptomycin resistance (HLDR) shortly after daptomycin (DAP) administration. We aimed to investigate the clinical and microbiological characteristics of HLDR Corynebacterium infections.

Methods: We first presented a clinical case accompanied by the results of a comprehensive genetic analysis of the isolate, and then performed a systematic scoping review.

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  • The study investigates carbapenemase-producing Enterobacterales (CPE) at Okayama University Hospital over 5 years (2013-2018), revealing a variety of CPE isolates with different phenotypic and genetic characteristics.
  • Eight CPE isolates were identified, mainly carrying blaIMP-1 and blaIMP-6 genes, with significant diversity in bacterial species and carbapenem susceptibility patterns.
  • The findings highlight the importance of continuous genetic surveillance and customized infection control measures to combat the spread of CPE.
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  • - The study investigates how the expression of Mac-2 binding protein (M2BP) in the liver relates to fat accumulation and changes in the liver environment in patients with metabolic dysfunction associated steatotic liver disease (MASLD).
  • - Liver samples from 46 MASLD patients were analyzed for M2BP expression using immunohistochemical staining, revealing a higher M2BP staining grade in sinusoidal cells compared to hepatocytes, and a correlation between hepatocyte staining and liver inflammation.
  • - Results indicate that fat accumulation triggers M2BP expression linked to liver inflammation in hepatocytes and fibrosis in sinusoidal cells, suggesting a complex role of M2BP in MASLD pathology.
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: Among various carbapenemases, New Delhi metallo-beta-lactamases (NDMs) are recognized as the most powerful type capable of hydrolyzing all beta-lactam antibiotics, often conferring multi-drug resistance to the microorganism. The objective of this review is to synthesize current scientific data on NDM inhibitors to facilitate the development of future therapeutics for challenging-to-treat pathogens. : Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews, we conducted a MEDLINE search for articles with relevant keywords from the beginning of 2009 to December 2022.

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  • A 67-year-old Japanese woman with liver cirrhosis from primary biliary cholangitis was admitted to the hospital after losing consciousness.
  • She was diagnosed with hepatic encephalopathy (HE) through imaging and symptoms assessment.
  • Molecular tests showed a link between urease-positive S. salivarius found in her saliva and stool, suggesting it may contribute to increased ammonia production and subsequent HE in cirrhosis patients.
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We investigated the prevalence and characteristics of Cefazolin inoculum effect (CInE) among clinical MSSA isolates in Japan. Although 35.5 % (39 isolates) were positive for the blaZ gene, none met the phenotypic criteria for CInE.

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Introduction: Limited data are available on the correlation between microbial communities and metabolic dysfunction-associated fatty liver disease (MAFLD). This study aimed to evaluate the influence of MAFLD on diverse microbial communities.

Methods: We recruited 43 patients with a nonviral liver disease.

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  • * Data from the Japan Nosocomial Infections Surveillance (2018-2021) showed that Okayama had notably higher isolation rates of various resistant pathogens, including meropenem-resistant Pseudomonas aeruginosa and methicillin-resistant Staphylococcus aureus.
  • * The findings emphasize the urgent need for improved infection prevention, control measures, and education on antimicrobial stewardship among healthcare professionals and students in Okayama.
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Aim: We performed genomic analysis to study the relative abundance of a urease-positive Streptococcus salivarius group isolated from the saliva of patients with chronic liver disease.

Methods: Male and female patients with chronic liver disease aged over 20 years were included. First, we assessed the frequency and type of the S.

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Inducible resistance to the macrolide, lincosamide, and streptogramin B (iMLSB) antibiotic family is a latent mechanism for antimicrobial resistance in Staphylococcus aureus. We here investigated the frequency and genotypic profiles of iMLSB resistance in clindamycin (CLDM)-susceptible S. aureus isolated in Okayama University Hospital from June 2020 to June 2021.

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infection is an important risk factor for developing gastric cancer. However, only a few -infected people develop gastric cancer. Thus, other risk factors aside from infection may be involved in gastric cancer development.

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Background And Aims: Ulcerative colitis [UC] can lead to colitis-associated colorectal neoplasm [CAN]. Adenosine-to-inosine RNA editing, which is regulated by adenosine deaminase acting on RNA [ADAR], induces the post-transcriptional modification of critical oncogenes, including antizyme inhibitor 1 [AZIN1], leading to colorectal carcinogenesis. Therefore, we hypothesized that ADAR1 might be involved in the development of CAN in UC.

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Amidst the global spread of antimicrobial resistance, New Delhi metallo-β-lactamase (NDM)-type carbapenemase-producing Enterobacterales (CPE) remain uncommon in Japan, and the detection of such highly drug-resistant organisms is limited to inbound cases. There is little evidence regarding the prevalence of NDM β-lactamase gene (bla)-harboring CPE in the domestic community, especially in the provincial cities of Japan. Herein, we report the isolation of a bla-harboring plasmid in Enterobacter cloacae complex strain isolated from an elderly woman without a history of traveling abroad who had resided in a long-term care facility in Okayama, Japan.

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Bacteriophages (phages) are the most diverse and abundant life-form on Earth. Jumbophages are phages with double-stranded DNA genomes longer than 200 kbp. Among these, some jumbophages with uracil in place of thymine as a nucleic acid base, which we have tentatively termed "dU jumbophages" in this study, have been reported.

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Recurrent Clostridioides difficile infection (rCDI) is a frustrating condition that may affect a person's quality of life for months. Microbiome-based therapy such as fecal microbiota transplantation (FMT) has been effective for the treatment of rCDI by correcting the imbalance of the gut microbiota. Appropriate antibiotic treatment is recommended for at least two recurrences before offering FMT.

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The emergence of high-level daptomycin (DAP)-resistant (HLDR) Corynebacterium striatum has been reported as a result of loss-of-function point mutations or premature stop codon mutations in a responsible gene, pgsA2. We herein describe the novel detection of an HLDR C. striatum clinical isolate, in which IS30-insertion was corroborated to cause destruction of pgsA2 gene.

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The options available for treating infections with carbapenemase-producing (CPE) are limited; with the increasing threat of these infections, new treatments are urgently needed. Biapenem (BIPM) is a carbapenem, and limited data confirming its killing effect against CPE are available. In this study, we examined the minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) of BIPM for 14 IMP-1-producing strains isolated from the Okayama region in Japan.

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The infection caused by is associated with several diseases, including gastric cancer. Several methods for the diagnosis of infection exist, including endoscopy, the urea breath test, and the fecal antigen test, which is the serum antibody titer test that is often used since it is a simple and highly sensitive test. In this context, this study aims to find the association between different antibody reactivities and the organization of bacterial genomes.

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Background: infection poses a risk of the occurrence of gastrointestinal diseases, such as gastric cancer. Its incidence rate is significantly reduced by eradication, and thereby, eradication therapy is generally performed. Disulfiram is an oral prescription drug mainly used for the treatment of alcohol dependence.

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Article Synopsis
  • Elizabethkingia anophelis is a dangerous pathogen that can seriously infect people with weakened immune systems, first identified in 2013, with a significant rise in cases since then.
  • In a 2015 outbreak in the US, over 30% of infected patients died, highlighting its severe impact.
  • The study found that E. anophelis does not directly kill macrophage-like cells but can inhibit their activation to combat infection, showing that this inhibition depends on direct contact with the bacteria.
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Objective: Weissella confusa F213 (WCF213) and Lactobacillus rhamnosus FBB81 (LrFBB81) are two probiotic candidates isolated from humans in our previous study. Their functional activity on the mucosal barrier has not yet been adequately investigated. Therefore, the objective of this study was to investigate the effect of these strains on maintaining mucosal integrity in vitro.

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Clostridium argentinense produces botulinum neurotoxin type G (BoNT/G). We sequenced and analyzed the plasmid harboring the bont/G gene, designated pCAG, in C. argentinense strain 2740.

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The genus Tsukamurella is a fastidious, environmental organism that potentially causes various infections in humans. Due to the morphological and biochemical similarities to others pathogens, such as Gordona, Rhodococcus, Corynebacterium, Nocardia, and Mycobacterium, a molecular-based approach is indispensable to correctly identify them. Herein, we describe a case of Tsukamurella inchonensis bacteremia complicated with septic pulmonary emboli (SPE), which is the first in the literature.

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