Publications by authors named "Misawa K"

Lateral flow immunoassays (LFIAs) are widely used for the simple and rapid detection of various targets at the point of need. However, LFIAs enabling the simultaneous detection of multiple analytes and the possibility for naked-eye semi-quantitative analysis are facing various challenges, including the requirement of large sample volumes, low efficiency, and accuracy. This is particularly the case for the competitive immunoassay format targeting the detection of low molecular weight compounds, such as, for example, drugs.

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Background/aim: The five members of the mammalian muscarinic acetylcholine receptor family are encoded by the cholinergic receptor, muscarinic, 1-5 (CHRM1-5) genes. CHRM genes are incriminated in formation of various cancer types, but their roles in head and neck squamous cell carcinoma (HNSCC) are improperly understood. Aberrant epigenetic modifications of specific tumor-suppressor genes and oncogenes are known to promote cancer development.

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SARS-CoV-2 is the cause of the current worldwide pandemic of severe acute respiratory syndrome. The change of nucleotide composition of the SARS-CoV-2 genome is crucial for understanding the spread and transmission dynamics of the virus because viral nucleotide sequences are essential in identifying viral strains. Recent studies have shown that cytosine (C) to uracil (U) substitutions are overrepresented in SARS-CoV-2 genome sequences.

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Chimeric antigen receptor (CAR) T-cell therapy has achieved potent antitumor efficacy in hematological malignancies; however, because of limitations in CAR T-cell recruitment, infiltration, activation, and functional persistence in the tumor, its efficacy in solid tumors has been suboptimal. To overcome these challenges, combinational strategies that include chemotherapy, radiation therapy, or immune checkpoint inhibitor agent therapy with CAR T-cell therapy are being investigated. The established functional characteristics of the abovementioned therapies provide a rationale for the use of a combinational approach with CAR T cells.

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Background: Little information is available from prospective clinical trials on the influences of surgical approaches on postoperative quality of life (QOL). We aimed to prospectively compare chronological changes in postoperative body weight and QOL between laparoscopic and open total gastrectomy for stage I gastric cancer (GC).

Methods: We conducted a multi-institutional prospective study (CCOG1504) of patients who undergo laparoscopic or open total gastrectomy.

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CEP55 encodes centrosomal protein 55 kDa, which plays a crucial role in mitosis, particularly cytokinesis. Biallelic CEP55 variants cause MARCH syndrome (multinucleated neurons, anhydramnios, renal dysplasia, cerebellar hypoplasia and hydranencephaly). Here, we describe a Japanese family with two affected siblings harboring novel compound heterozygous CEP55 variants, NM_001127182: c.

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We propose a novel, to our knowledge, method for modulating and real-time monitoring of the carrier-envelope phase (CEP) of terahertz (THz) pulses. CEP is an essential parameter in the interaction of THz waves with matter due to the difference in temporal symmetry when the carrier is extended for several cycles. CEP can be continuously modulated at full range with high speed by oscillating the optical path length of the Michelson interferometer under 1 µm, as confirmed by electro-optic (EO) sampling.

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Purpose: Accurate segmentation of tubular structures is crucial for clinical diagnosis and treatment but is challenging due to their complex branching structures and volume imbalance. The purpose of this study is to propose a 3D deep learning network that incorporates skeleton information to enhance segmentation accuracy in these tubular structures.

Methods: Our approach employs a 3D convolutional network to extract 3D tubular structures from medical images such as CT volumetric images.

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Background: Immune checkpoint inhibitor plus platinum-etoposide (PE) improved overall survival (OS) in patients with extensive-stage small cell lung cancer (ES-SCLC). While the CASPIAN trial demonstrated the efficacy of durvalumab plus PE, the clinical trial results may not be representative of the general, real-world population because clinical trials often have strict inclusion and exclusion criteria. We herein report the efficacy and safety of durvalumab plus PE in patients with ES-SCLC in real-world, clinical practice.

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Article Synopsis
  • A 35-year-old man has a condition called recurrent respiratory papillomatosis, which means he has warts growing in his lungs.
  • Tests showed that the cause is a virus called human papillomavirus type 11, which was found in all the areas with tumors.
  • After surgery, the amount of virus DNA in his blood got so low that it couldn't be detected, which suggests that checking this DNA could help doctors know if treatment is working.
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Technologies for detecting structural variation (SV) have advanced with the advent of long-read sequencing, which enables the validation of SV at a nucleotide level. Optical genome mapping (OGM), a technology based on physical mapping, can also provide comprehensive SVs analysis. We applied long-read whole genome sequencing (LRWGS) to accurately reconstruct breakpoint (BP) segments in a patient with complex chromosome 6q rearrangements that remained elusive by conventional karyotyping.

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  • Complete surgical resection with negative margins is crucial for treating rectal cancer, but local recurrence can be challenging; a new surgical technique was developed to resect the pubic arch and ischial bone for recurrent cases.
  • A case study demonstrated this technique on a patient with a fourth local recurrence where the tumor invaded the pubic arch; an osteotomy successfully removed the affected bones while ensuring no cancer cells were present in the margins.
  • This innovative approach may significantly aid in achieving complete resection in patients with recurrent rectal cancer, improving treatment outcomes.
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  • The study aimed to compare the postoperative quality of life (QOL) and body weight changes between two types of gastrectomies: pylorus-preserving gastrectomy (PPG) and distal gastrectomy (DG) for Stage I gastric cancer.
  • Conducted on 295 patients, the research utilized questionnaires to assess QOL and found that DG had better scores for nausea, vomiting, and meal-related issues in the first month after surgery.
  • Ultimately, the study concluded there was no significant difference in long-term QOL or body weight loss between the two surgical methods.
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  • A study compared the effects of the SGLT2 inhibitor dapagliflozin alone versus its combination with traditional diuretics on fluid retention and vasopressin levels in patients.
  • Patients taking the combined treatment showed a significant decrease in copeptin levels, indicating better fluid balance compared to those on dapagliflozin alone.
  • The combination therapy effectively reduced fluid retention without dramatically impacting plasma volume or activating stress hormones like renin and aldosterone.
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  • This study investigated repeat expansion in patients with adult-onset cerebellar ataxia, focusing on the differences between Japanese and non-Japanese populations.
  • The researchers used nanopore sequencing to analyze samples from 460 Japanese patients and various control groups, finding that different repeat motifs (GCA in Japanese vs. GGA in non-Japanese) affect pathogenicity.
  • Ultimately, the study highlights how unique features of repeat expansion and genetic background contribute to the prevalence of the disease in different ethnic groups.
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  • This paper addresses the challenges of multi-organ segmentation in medical imaging, particularly due to issues like privacy, expensive annotation processes, and inconsistent labeling across datasets.
  • It proposes a framework that integrates partially supervised learning, semi-supervised learning, and federated learning to effectively use distributed datasets that are partially labeled or unlabeled.
  • The proposed method demonstrated strong performance on abdominal CT datasets, achieving an average Dice score of 84.83% and showcasing good generalization capabilities for subsequent segmentation tasks.
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Hormonal changes during the menopause transition may lead to vasomotor symptoms, including hot flashes (HFs) and neuropsychiatric symptoms such as anxiety and irritability. We hypothesized that the effects of cassis polyphenol (CaP) to improve microcirculation and vasorelaxation may alleviate menopausal symptoms. We performed a randomized, double-blind, parallel-group, placebo-controlled trial involving 59 healthy women (mean [standard deviation] age, 51.

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  • A study aimed to identify what motivates individuals to receive COVID-19 booster vaccines through a paper-based questionnaire at Keio University, involving 1725 participants who had received their initial vaccinations in 2021.
  • The main motivators for getting vaccinated included fear of severe illness from COVID-19 (72.6%), concern about infecting others (68.4%), and fear of infection itself (68.3%).
  • Television was found to be the most influential source of vaccination information, while trust in vaccine efficacy and safety was linked to participants' willingness to get booster shots, regardless of reported adverse events experienced.
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Sebaceous carcinoma of the breast is an extremely rare histological subtype of breast cancer, with fewer than 30 cases reported to date. Because of its extremely rare histological presentation, there are few case reports that highlight its cytological findings. In this case report, the cytomorphological features of a sebaceous carcinoma of the breast are described in detail.

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Background: Nasopharyngeal carcinoma (NPC) is an Epstein-Barr virus (EBV)-associated malignant epithelial tumor endemic to Southern China and Southeast Asia. While previous studies have revealed a low frequency of gene mutations in NPC, its epigenomic aberrations are not fully elucidated apart from DNA hypermethylation. Epigenomic rewiring and enhancer dysregulation, such as enhancer hijacking due to genomic structural changes or extrachromosomal DNA, drive cancer progression.

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Background: Proximal gastrectomy (PG) has become an increasingly preferred procedure for treating early cancer in the upper third of the stomach. However, advantages of PG in postoperative quality of life (QOL) over total gastrectomy (TG) has not fully proven.

Methods: We conducted a multi-institutional prospective observational study (CCOG1602) of patients who undergo TG or PG for cStage I gastric cancer.

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Background/aim: Stoma prolapse is a common complication in the late phase after stoma creation. With advances in chemotherapy, a double-orifice colostomy or ileostomy and chemotherapy are used to treat primary unresectable colorectal cancer. Preoperative therapy with a double-orifice colostomy or ileostomy is performed to aid primary colorectal cancer miniaturization.

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The gene for ATP binding cassette subfamily A member 2 (ABCA2) is located at chromosome 9q34.3. Biallelic ABCA2 variants lead to intellectual developmental disorder with poor growth and with or without seizures or ataxia (IDPOGSA).

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Aromatic l-amino acid decarboxylase (AADC) deficiency is an autosomal recessive neurotransmitter disorder caused by pathogenic DOPA decarboxylase (DDC) variants. We previously reported Japanese siblings with AADC deficiency, which was confirmed by the lack of enzyme activity; however, only a heterozygous missense variant was detected. We therefore performed targeted long-read sequencing by adaptive sampling to identify any missing variants.

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Background: Drug-induced interstitial lung disease (DIILD) is a serious adverse event potentially induced by any antineoplastic agent. Whether cancer patients are predisposed to a higher risk of DIILD after receiving immune checkpoint inhibitors (ICIs) is unknown.

Methods: This study retrospectively assessed the cumulative incidence of DIILD in consecutive cancer patients who received post-ICI antineoplastic treatment within 6 months from the final dose of ICIs.

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