Publications by authors named "Kuwahara A"

Purpose: This descriptive analysis evaluated the 2022 assisted reproductive technology (ART) data collected by the Japan Society of Obstetrics and Gynecology registry.

Methods And Results: In 2022 (cutoff date 30 November 2023), 634 of 635 registered ART facilities participated; 602 implemented ART treatment, with 543 630 registered cycles and 77 206 neonates (9.1% and 10.

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Introduction: This study investigated the effects of intragastric administration of apelin-13 on the secretion of critical pancreatic hormones in a cohort of three-week-old Wistar rats. The research aimed to uncover apelin's modulatory roles in endocrine interactions dictating metabolic homeostasis during early life.

Material And Methods: Rats were randomly assigned to control or experimental groups, receiving apelin-13 or saline for 14 days.

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  • The aging population is leading to a rise in older wheelchair users involved in motor vehicle accidents, with a notable increase in fatalities among this group from 2017 to 2022 in Shiga Prefecture, Japan.
  • The existing three-point seatbelts are not suitable for most wheelchair passengers, causing serious injuries when collisions occur due to improper fitting and body movement during impact.
  • There is a call for nationwide statistics and investigation into injuries among wheelchair users in vehicles to develop better safety measures and restraint systems, aimed at reducing fatal and severe injuries in future collisions.
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Global longitudinal strain (GLS) is an echocardiographic measure to detect chemotherapy-related cardiovascular dysfunction. However, its limited availability and the needed expertise may restrict its generalization. Artificial intelligence (AI)-based GLS might overcome these challenges.

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Aims: Some pregnant women avoid vehicle driving owing to the risk of contact between their protruding abdomen and steering wheel. This study was performed to determine whether abdominal protrusion in late-term pregnant car users affects the occurrence and severity of abdominal injuries in motor vehicle collisions using a national crash database.

Methods: The National Automotive Sampling System/Crashworthiness Data System was used to analyse maternal background, collision characteristics, outcome and Abbreviated Injury Scale (AIS) scores for the body regions of all persons involved in the collision.

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The case is a 73-year-old woman. She visited primary care doctor for abdominal pain, vomiting, diarrhea, and melena that persisted for 2 weeks. She was referred to our department because she had an elevated inflammatory response and CT showed a mass in her left upper quadrant.

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  • Fluid dynamics research suggests coronary flow reserve (CFR) can be derived from coronary artery pressure measurements, leading to the exploration of pressure-bounded coronary flow reserve (pb-CFR) against traditional CFR assessments in patients.
  • A study involving 62 patients used a pressure guidewire to gather data on both pb-CFR and conventional CFR, revealing a moderate correlation between the two (r = 0.54) but significant discrepancies in agreement.
  • The findings indicate that while pb-CFR shows potential for identifying patients without significant epicardial coronary artery disease, it may not reliably substitute for traditional CFR methods in certain cases, especially with patients having diffuse disease or high fractional flow reserve (FFR).
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  • Lysophosphatidic acid (LPA) plays a crucial role in oocyte maturation and ovulation in mammals, prompting a study on its levels and the enzymes involved in its production and degradation in rat ovaries after gonadotropin stimulation.
  • The research found that levels of certain lysophospholipids increased or decreased in response to gonadotropin treatments, with n-6 polyunsaturated LPAs showing a notable increase while n-3 polyunsaturated LPAs were lower.
  • Changes in mRNA expression of key enzymes and receptors related to LPA production and degradation were observed, indicating that the ovarian environment undergoes specific physiological changes during hyperstimulation.
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Serine metabolism is involved in various biological processes. Here we investigate primary functions of the phosphorylated pathway of serine biosynthesis in a non-vascular plant Marchantia polymorpha by analyzing knockout mutants of MpPGDH encoding 3-phosphoglycerate dehydrogenase in this pathway. Growth phenotypes indicate that serine from the phosphorylated pathway in the dark is crucial for thallus growth.

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Purpose: The Japan Society of Obstetrics and Gynecology (JSOG) registry gathers comprehensive data from registered assisted reproductive technology (ART) facilities in Japan. Herein, we report 2021 ART cycle characteristics and outcomes.

Methods: Descriptive statistics were used to summarize and analyze 2021 data.

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  • The study explores the transplantation of retinal organoid sheets derived from induced pluripotent stem cells (iPSCs) into patients with advanced retinitis pigmentosa, assessing both safety and survival of the transplant.
  • Results showed that the retinal organoid sheets remained stable for 2 years post-transplant and led to increased retinal thickness without serious side effects in both patients.
  • Visual function improvement was noted to be less progressive in the treated eyes compared to untreated ones, indicating that iPSC-derived retinal organoid sheet transplantation may be a promising treatment for retinal diseases that requires further investigation.
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Objective: The effects of oocyte activation with a Ca ionophore and roscovitine (Ca+R), a selective inhibitor of M-phase promoting factor, on unfertilized oocytes after intracytoplasmic sperm injection (ICSI) or testicular sperm extraction (TESE)-ICSI were evaluated.

Method: Oocytes without pronuclei at 18 hours after ICSI were judged to be unfertilized and were exposed to the Ca ionophore A23187 (5 ?M) with or without roscovitine (50 ?M). The activation rate was measured 3, 7, and 18 hours later.

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Balanced chromosomal translocation is one of chromosomal variations. Carriers of balanced chromosomal translocations have an increased risk of spontaneous miscarriage. To avoid the risk, preimplantation genetic testing (PGT) using comprehensive genomic copy number analysis has been developed.

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  • T cells and NK cells are important in cancer treatment, but their varying presence in tumors can limit the effectiveness of bispecific antibodies.
  • The study introduces trispecific antibodies, called T cell and NK cell engagers (TaKEs), designed to recruit both T cells and NK cells simultaneously.
  • Among the developed antibodies, TaKE1-Fc showed the best performance in inhibiting cancer growth and works effectively regardless of the specific populations of T and NK cells present.
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To investigate the impact of a state of emergency (i.e., voluntary lockdown) during the COVID-19 epidemic, we conducted a retrospective cohort study using the Japanese nationwide registry.

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Although the development of small therapeutic antibodies is important, the affinity tags used for their purification often result in heterogeneous production and immunogenicity. In this study, we integrated protein A (SpA) binding ability into antibody fragments for convenient and tag-free purification. SpA affinity chromatography is used as a global standard purification method for conventional antibodies owing to its high binding affinity to the Fc region.

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  • Researchers examined if preimplantation genetic testing for aneuploidy (PGT-A) could enhance live birth rates in patients with recurrent implantation failure (RIF) and recurrent pregnancy loss (RPL).
  • A study of 7,668 patients led to a matched comparison of 579 patients who underwent PGT-A against a control group, analyzing outcomes over a year.
  • While PGT-A significantly improved the live birth rate for certain age groups, the overall cumulative live birth rate benefitted only women aged 40-42, indicating PGT-A may not universally improve outcomes for all RIF and RPL patients.
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Pituitary organoids are promising graft sources for transplantation in treatment of hypopituitarism. Building on development of self-organizing culture to generate pituitary-hypothalamic organoids (PHOs) using human pluripotent stem cells (hPSCs), we established techniques to generate PHOs using feeder-free hPSCs and to purify pituitary cells. The PHOs were uniformly and reliably generated through preconditioning of undifferentiated hPSCs and modulation of Wnt and TGF-β signaling after differentiation.

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  • The Japan Society of Obstetrics and Gynecology conducted a study to evaluate the effects of preimplantation genetic testing for aneuploidy (PGT-A) on pregnancy outcomes in patients with fertility issues.
  • The study involved 10,602 cycles from 200 fertility centers, where 42,529 blastocysts were analyzed, revealing that 25.5% were euploid, 11.7% mosaic, and 61.7% aneuploid.
  • Results showed a clinical pregnancy rate of 68.8% and a miscarriage rate of 10.4% per embryo transfer, suggesting that PGT-A may enhance pregnancy chances and lower miscarriage risks, particularly in
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Psoriasis is an immune-mediated chronic inflammatory disease that predominantly affects the skin and joints. Systemic therapies are required for patients with moderate-to-severe psoriasis, and biologics can provide significant symptomatic improvement. Computed tomography (CT) analysis is recommended before and after biologic therapy to exclude the possibility of comorbid infections and malignancies; incidental findings are often detected in asymptomatic patients.

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  • The study investigated the long-term effectiveness (drug survival) of TNF-alpha inhibitors and what biologic treatments patients switched to after stopping these medications.
  • Patients treated with adalimumab, certolizumab pegol, and infliximab at Jichi Medical University Hospital were included, revealing similar drug survival rates for all three TNF inhibitors.
  • Results indicated that women were more likely to discontinue treatments and that those switching to interleukin-17 inhibitors had better drug persistence compared to continuing with TNF inhibitors, though the study had some limitations due to its small sample size and retrospective nature.
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A 70-year-old man was admitted to our hospital with a chief complaint of right lower abdominal pain during defecation. The contrast-enhanced CT scan showed a highly expanded appendix, so we suspected an appendiceal mucinous neoplasm, but the diagnosis did not clearly suggest cancer. So, we decided to perform laparoscopic surgery.

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This real-world study at a single academic center retrospectively examined the drug survival of apremilast for patients with psoriasis. Retrospective information was extracted from the medical records of patients with psoriasis treated with apremilast at the Department of Dermatology, Jichi Medical University Hospital, between March 1, 2017, and June 31, 2021. In total, 281 patients were included in this study.

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Introduction: The pituitary gland, regulating various hormones, is central in the endocrine system. As spontaneous recovery from hypopituitarism is rare, and exogenous-hormone substitution is clumsy, pituitary replacement regenerative medicine, using pluripotent stem cells, is desirable. We have developed a differentiation method that in mice yields pituitary organoids (POs) derived from human embryonic stem cells (hESC).

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  • The study aimed to compare the height, weight, and BMI of children conceived through different methods, including fresh and frozen embryo transfers, natural conception, and less aggressive fertility treatments at the age of 6.
  • A total of 8149 children were surveyed, with a focus on 3299 term singletons divided into four groups: natural conception (NC), non-assisted reproductive technology (non-ART), fresh embryo transfer (FreET), and frozen embryo transfer (FET).
  • The results showed that children from the FreET group were 1.0 cm taller than those from the non-ART group by age 6, but there were no significant differences in measurements among the other groups.
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