Publications by authors named "Keitaro Kai"

Article Synopsis
  • - Glioblastoma (GBM) is a highly aggressive brain tumor with no effective treatments, and its tumor microenvironment is characterized as immunosuppressive, containing many glioma-associated macrophages/microglia (GAMs) that aid tumor growth and treatment resistance.
  • - The review discusses the classification and origin of GAMs, their activation mechanisms, interactions with tumor cells, and the historical and modern techniques for detecting GAMs, particularly immunohistochemistry.
  • - Recent advancements like single-cell RNA analysis provide new insights into GAMs, suggesting that therapies targeting these cells may be key to improving treatment options for GBM in the future.
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Background: Brain perivascular macrophages (PVMs) are potential treatment targets for subarachnoid hemorrhage (SAH), and previous studies revealed that their depletion by clodronate (CLD) improved outcomes after experimental SAH. However, the underlying mechanisms are not well understood. Therefore, we investigated whether reducing PVMs by CLD pretreatment improves SAH prognosis by inhibiting posthemorrhagic impairment of cerebral blood flow (CBF).

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Transsylvian selective amygdalohippocampectomy (TSA) is one of the predominant surgical options for drug-resistant mesial temporal lobe epilepsy. The purpose of this article is to highlight the unique features of TSA and determine the setting to perform safe and secure TSA with special reference to the optimal head position. TSA should be performed via a small surgical corridor in the temporal stem that contains functionally important fiber tracts, including the uncinate fasciculus, the inferior fronto-occipital fasciculus, and the optic radiation.

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Although pituitary neuroendocrine tumors (PitNETs) are usually benign, some are highly invasive and recurrent. Recurrent PitNETs are often treatment-resistant and there is currently no effective evidence-based treatment. Tumor-associated macrophages (TAMs) promote tumor growth in many cancers, but the effect of TAMs on PitNETs remains unclear.

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Gliosarcoma is a rare malignant neoplasm. It accounts for approximately 2% of all glioblastomas. To date, there is no established treatment method for gliosarcoma, and a variety of therapies, such as surgical resection, radiotherapy, and chemotherapy, are typically employed.

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Cholesterol is an essential plasma membrane lipid for the maintenance of cellular homeostasis and cancer cell proliferation. Free cholesterol is harmful to cells; therefore, excessive free cholesterol must be quickly esterified by acetyl-coenzyme A:cholesterol acetyltransferase (ACAT) and exported by scavenger receptor class B member I (SR-BI) or ATP-binding cassette protein A1 from specific cells such as macrophage foam cells, which contain cholesteryl ester-derived vacuoles. Many vacuoles are present in the cytoplasm of Burkitt lymphoma cells.

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Article Synopsis
  • Glioblastoma is a highly malignant type of brain tumor, with tumor-associated macrophages/microglia (TAMs) playing a crucial role in its progression.
  • Research shows that interleukin (IL)-1β released by TAMs promotes glioblastoma growth by activating specific signaling pathways, namely signal transducer and activator of transcription-3 (STAT3) and nuclear factor-kappa B (NF-κB).
  • The expression of IL-1β in TAMs, especially in areas with dying cells, suggests that targeting IL-1β could be a promising strategy for anti-glioblastoma treatments.
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Erdheim-Chester disease (ECD) is a non-Langerhans form of histiocytosis that occurs in systemic organs, such as bone, the central nervous system, cardiovascular system, lungs, and kidneys. We report the case of a 68-year-old woman with a cranial pharyngeal tumor and a bone lesion in the tibia. The case was diagnosed as ECD.

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Background: In many cases in which bifrontal craniotomy is performed, the frontal sinus is opened, and postoperative complications occur. Various methods to close the frontal sinus have been reported. However, all these methods require skill to perform and take time.

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