Publications by authors named "Naoko Iida"

Genomic variants causing abnormal splicing play important roles in genetic disorders and cancer development. Among them, variants that cause the formation of novel splice-sites (splice-site creating variants, SSCVs) are particularly difficult to identify and often overlooked in genomic studies. Additionally, these SSCVs are frequently considered promising candidates for treatment with splice-switching antisense oligonucleotides (ASOs).

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Background: While advanced gastrointestinal stromal tumors (GISTs) are primarily treated with tyrosine kinase inhibitors (TKIs), acquired resistance from specific mutations in KIT or PDGFRA frequently occurs. We aimed to assess the utility of circulating tumor DNA (ctDNA) as a modality of therapeutic decision-making in advanced GIST.

Methods: We conducted a pooled analysis of SCRUM-Japan studies for advanced GIST patients.

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Article Synopsis
  • - Comprehensive genomic profiling using circulating tumor DNA (ctDNA) has potential in capturing tumor diversity and improving therapy choices, but it's not fully utilized in clinical settings, especially for advanced solid tumors.
  • - The GOZILA study found that ctDNA profiling led to a 24% match rate for targeted therapies, significantly improving patient outcomes, with those receiving matched treatments experiencing better overall survival rates compared to those who were unmatched.
  • - Key ctDNA characteristics, like biomarker clonality and plasma copy number, serve as indicators of treatment effectiveness, suggesting that ctDNA can enhance precision in oncology and should be more widely used to optimize patient survival in advanced solid tumors.
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Purpose: HER2-targeted therapies in ERBB2-amplified metastatic colorectal cancer (mCRC) are effective; however, a notable portion of patients do not respond to treatment, and secondary resistance occurs in most patients receiving these treatments. The purpose of this study was to investigate determinants of treatment efficacy and resistance in patients with ERBB2-amplified mCRC who received HER2-targeted therapy by analyzing multiomics data.

Experimental Design: We investigated genomic data from a nationwide large cancer genomic screening project, the SCRUM-Japan project.

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  • The SCRUM-Japan MONSTAR-SCREEN consortium is conducting a nationwide project that uses AI and multi-omics analyses for molecular profiling in patients with advanced cancers, aiming to create new treatments and diagnostics.
  • The project includes the CIRCULATE-Japan study, focusing on precision medicine for resectable solid tumors and requires substantial data storage in a high-tech supercomputing system called VAPOR CONE.
  • As of December 2023, over 24,000 patients have been registered, with 5.0% of those in advanced solid tumors participating in matched clinical trials, showing a 29.2% response rate and significantly improved survival rates compared to those not receiving matched therapies.
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Aim: Patients with anorexia nervosa (AN) sometimes undergo a chronic course, and they hardly maintain social participation. Work and social adjustment impairments are generally significantly associated with the clinical symptoms of eating disorders. Psychopathologies associated with the subjective social difficulties of patients with AN have been unclear.

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Advanced gastric and gastroesophageal junction cancers (GC/GEJCs) harbor diverse molecular signatures, highlighting the need for intricate evaluations to identify potential therapeutic targets. Although whole-transcriptome sequencing (WTS) has emerged as a useful tool for understanding these molecular intricacies, its clinical implications have yet to be fully elucidated. This study evaluated the correlation between immunohistochemistry (IHC) and WTS, compared their clinical significance, and identified potential therapeutic targets undetectable through IHC alone.

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Article Synopsis
  • Innovations in sequencing technology have improved the detection of genetic mutations related to inherited diseases, yet many patients remain undiagnosed due to limitations in current methods.
  • The study introduces a new computational workflow for target adaptive sampling long-read sequencing (TAS-LRS) that enhances diagnostic accuracy by effectively identifying both single nucleotide variants and complex structural variations.
  • The TAS-LRS method not only discovered new mutations related to familial adenomatous polyposis and Lynch syndrome but also demonstrated the potential to analyze off-target reads for comprehensive genetic risk assessments.
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To identify genes important for colorectal cancer (CRC) development and metastasis, we established a new metastatic mouse organoid model using Sleeping Beauty (SB) transposon mutagenesis. Intestinal organoids derived from mice carrying actively mobilizing SB transposons, an activating KrasG12D, and an inactivating ApcΔ716 allele, were transplanted to immunodeficient mice. While 66.

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  • Chronic inflammation is linked to the growth and worsening of colorectal cancer (CRC), prompting research on the underlying molecular mechanisms.
  • In vivo screening revealed 142 frequently mutated genes in inflammation-associated colon tumors, highlighting the role of senescence and TGFβ-activin signaling pathways.
  • The study identifies potential therapeutic targets, such as the Cdk4/6 inhibitor and tumor suppressor genes Arhgap5 and Mecom, emphasizing the significance of senescence pathway inactivation in CRC within inflammatory environments.
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  • This study investigates the economic costs of outpatient care for eating disorders in Japan, focusing on the reimbursement rates for treatment in Psychosomatic Medicine versus Psychiatry departments.
  • It was conducted as a multicenter observational study involving 188 patients from Psychosomatic Medicine and 68 from Psychiatry, analyzing costs, treatment outcomes, and interview time.
  • Findings revealed that Psychosomatic Medicine departments had lower reimbursement for outpatient visits compared to Psychiatry, while treatment outcomes (measured by EDE-Q scores and BMI) showed no significant differences between the two departments, highlighting a need for improved healthcare funding for eating disorder treatments.
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Gastric cancer is among the most common malignancies worldwide, characterized by geographical, epidemiological and histological heterogeneity. Here, we report an extensive, multiancestral landscape of driver events in gastric cancer, involving 1,335 cases. Seventy-seven significantly mutated genes (SMGs) were identified, including ARHGAP5 and TRIM49C.

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  • - This study focuses on identifying genomic variants that disrupt gene function through abnormal splicing, particularly intron retention, using only transcriptome sequencing data due to the lack of combined genomic and transcriptomic datasets.
  • - The researchers developed a new methodology that evaluated 230,988 transcriptome sequencing data and identified 27,049 intron retention associated variants (IRAVs), 3,000 of which are potentially linked to diseases like cancer and other genetic disorders.
  • - Their in-silico framework shows the potential for automated discovery of medical insights from large publicly available sequencing data, with the collected IRAV information accessible through the database IRAVDB (https://iravdb.io/).
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  • Somatic mutations naturally build up in human tissues as we age and with exposure to carcinogens, and counting these mutations accurately is crucial for detecting changes in normal tissues.* -
  • A new method called EcoSeq was developed to significantly reduce the genome size for more efficient mutation analysis, allowing for the sensitive detection of mutations in a single DNA molecule with low-cost and high accuracy.* -
  • Analysis using EcoSeq showed that pediatric sarcoma patients who underwent chemotherapy had a significantly higher mutation frequency in their blood cells compared to those who did not receive treatment, suggesting a higher risk of secondary leukemia due to mutation accumulation.*
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Ribonucleotides incorporated in the genome are a source of endogenous DNA damage and also serve as signals for repair. Although recent advances of ribonucleotide detection by sequencing, the balance between incorporation and repair of ribonucleotides has not been elucidated. Here, we describe a competitive sequencing method, Ribonucleotide Scanning Quantification sequencing (RiSQ-seq), which enables absolute quantification of misincorporated ribonucleotides throughout the genome by background normalization and standard adjustment within a single sample.

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Cancer-associated fibroblasts (CAFs) tend to have tumor-promoting capacity, and can provide therapeutic targets. Even without cancer cells, CAF phenotypes are stably maintained, and DNA methylation and H3K27me3 changes have been shown to be involved. Here, we searched for a potential therapeutic target in primary CAFs from gastric cancer and a mechanism for its dysregulation.

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Chronic inflammation is deeply involved in various human disorders, such as cancer, neurodegenerative disorders, and metabolic disorders. Induction of epigenetic alterations, especially aberrant DNA methylation, is one of the major mechanisms, but how it is induced is still unclear. Here, we found that expression of TET genes, methylation erasers, was downregulated in inflamed mouse and human tissues, and that this was caused by upregulation of TET-targeting miRNAs such as MIR20A, MIR26B, and MIR29C, likely due to activation of NF-κB signaling downstream of IL-1β and TNF-α.

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Background: Aberrant DNA methylation is induced by aging and chronic inflammation in normal tissues. The induction by inflammation is widely recognized as acceleration of age-related methylation. However, few studies addressed target genomic regions and the responsible factors in a genome-wide manner.

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Background: DNA demethylation therapy is now used in practice for hematological tumors and is being developed for solid tumors. Nevertheless, it is difficult to achieve stable pharmacokinetics with the current DNA-demethylating agents, azacitidine (AZA) and decitabine (DAC), because of their rapid deamination by cytidine deaminase in vivo and spontaneous hydrolytic cleavage. Here, we aimed to develop metabolically stable prodrugs of AZA and DAC as novel DNA-demethylating agents.

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Objective: Cancer-associated fibroblasts (CAFs), a major component of cancer stroma, can confer aggressive properties to cancer cells by secreting multiple factors. Their phenotypes are stably maintained, but the mechanisms are not fully understood. We aimed to show the critical role of epigenetic changes in CAFs in maintaining their tumour-promoting capacity and to show the validity of the epigenomic approach in identifying therapeutic targets from CAFs to starve cancer cells.

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Purpose: Raising a child with autism spectrum disorder (ASD) can be a stressor, and mothers of ASD children often present with high levels of stress and depression. Interventional steps to enhance parental coping skills and resiliency are more important for parental mental health and the family-centered care of children with ASD than merely reducing parental stress. Although the importance of stress-coping skills is well established, only a few studies have investigated interventional steps to improve parental coping or resiliency.

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Background: The risk stratification of healthy individuals after Helicobacter pylori eradication is an urgent issue. The assessment of aberrant DNA methylation accumulated in gastric tissues with normal appearance, which can reflect overall epigenomic damage, is a promising strategy. We aimed to establish novel epigenetic cancer risk markers for H.

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Genetic and epigenetic alterations are both involved in carcinogenesis, and their low-level accumulation in normal tissues constitutes cancer risk. However, their relative importance has never been examined, as measurement of low-level mutations has been difficult. Here, we measured low-level accumulations of genetic and epigenetic alterations in normal tissues with low, intermediate, and high cancer risk and analyzed their relative effects on cancer risk in the esophagus and stomach.

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Aim: Bioinformatics analysis for Illumina Infinium Human DNA methylation BeadArray is essential, but still remains difficult task for many experimental researchers. We here aimed to develop a browser-accessible bioinformatics tool for analyzing the BeadArray data.

Materials & Methods: The tool was established as an analytical pipeline using R, Perl and Python programming languages.

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Somatic base substitution mutations of frequencies at the 10/bp level are expected to be present in many biomedical samples, such as tissues exposed to carcinogenic factors and exhausted stem cells. However, measurement of such rare mutations has been very difficult in human DNA samples. Here, we invented the use of 100 copies of genomic DNA as a template for amplicon deep sequencing so that a real mutation in a single DNA molecule would be detected at a variant allele frequency of 1% while sequencing errors have less frequency.

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