Publications by authors named "Maki Kumada"

Article Synopsis
  • The study investigates the reasons for patient visits and diagnoses in a small community hospital in Japan to improve general practice education.
  • Over a year, researchers analyzed data from 1,515 outpatients, identifying 2,252 reasons for encounters and 1,727 diagnoses, highlighting that the top 30 reasons covered 80% of cases.
  • Findings revealed discrepancies between actual symptoms presented by patients and those emphasized in medical education guidelines, suggesting a need to refine the curriculum for future medical professionals.
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Article Synopsis
  • RBP4 is a newly identified adipokine linked to insulin resistance, mainly produced in the liver to transport retinoids, but its functions and regulatory mechanisms in fat cells remain unclear.
  • A study comparing genetic data from Japanese and Mongolian populations found that carriers of a specific SNP (-803G>A) had higher BMI, particularly in Japanese men and women and Mongolian women.
  • The minor allele of the SNP increased RBP4 expression and activity in adipocytes, suggesting it may play a significant role in fat cell development and potentially contribute to obesity.
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An increase in prevalence of lifestyle related diseases becomes one of the main threats to human health in Asia-Pacific regions. Especially Pacific countries face the marked epidemic of obesity and related disorders. Understanding of the genetic basis for these diseases is awaited.

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Objective: The aim of the study was to investigate genetic heterogeneity among local Japanese populations.

Methods: We performed a single nucleotide polymorphism (SNP) study of four demographically distinct local populations (population 1: a large city; population 2: isolated islands; populations 3 and 4: rural areas). Seventy SNPs in a region spanning 5 Mb of chromosome 17 known to be a candidate region for essential hypertension were genotyped and linkage disequilibrium analyses were performed.

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Increased levels of retinol binding protein 4 (RBP4) in serum is associated with insulin resistance. To examine this further, the genomic region of RBP4 was genetically surveyed in Mongolian people, who as a group are suffering from a recent rapid increase in diabetes. The RBP4 gene was screened by DHPLC system, and the PCR fragments which showed heteroduplex peaks in multiple samples were followed by direct sequencing to identify common polymorphisms in 48 Mongolian diabetic samples.

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Article Synopsis
  • The CIAS1 gene, linked to inflammation and apoptosis regulation, shows a significant association with essential hypertension (EH) in a recent genetic study.
  • Patients with the 12 repeat allele of the CIAS1 gene had a higher prevalence of hypertension and exhibited elevated systolic blood pressure compared to those without this allele.
  • The study suggests that the 12 repeat allele could increase the gene's expression in leukocytes, which may contribute to the development of hypertension, highlighting the potential impact of genetic variation on blood pressure regulation.
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The rhesus (Rh) blood group antigens are of considerable importance in transfusion medicine as well as in newborn or autoimmune hemolytic diseases due to their high antigenicity. We identified a major DNaseI hypersensitive site at the 5' flanking regions of both RHD and RHCE exon 1. A 34 bp fragment located at -191 to -158 from a translation start position, and containing the TCCCCTCCC sequence, was involved in enhancing promoter activity, which was assessed by luciferase reporter gene assay.

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We report a clinical mishap based on sample contamination of cytological specimens. Bronchial lavage fluid collected from three male patients was submitted to a pathological institute for cytological diagnosis and to the clinical laboratory in the hospital for tuberculosis screening. Cytological slides of two patients were diagnosed as lung adenocarcinoma and lobectomy was carried out on one patient.

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The mouse genomic sequence of the region containing the gene Rhced, the orthologue to the human gene RH30, was determined to elucidate the structure of Rhced and its flanking regions and to compare these with the corresponding human genomic region. Two genes, Smp1 and AK003528 (an orthologue of FLJ10747), flank Rhced. Neither sequences homologous to the characteristic nucleotide elements flanking the RHD gene in humans (rhesus boxes) nor an additional Rh gene were found within the mouse region sequenced.

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We cloned a rat ABO homologue and established human A- and B-transferase transgenic rats. A DNA fragment corresponding to exon 7 of the human ABO gene was amplified from Wistar rat genomic DNA and sequenced. Using the amplified fragments as a probe for Southern blotting, multiple hybridized bands appeared on both EcoRI- and BamHI-digested genomes of seven rat strains, which showed variations in the band numbers among the strains.

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