Publications by authors named "Nawa H"

COVID-19 exhibits not only respiratory symptoms but also neurological/psychiatric symptoms rarely including delirium/psychosis. Pathological studies on COVID-19 provide evidence that the cytokine storm, in particular (epidermal growth factor) EGF receptor (EGFR, ErbB1, Her1) activation, plays a central role in the progression of viral replication and lung fibrosis. Of note, SARS-CoV-2 virus (specifically, S1 spike domain) mimics EGF and directly transactivates EGFR, preceding the inflammatory process.

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  • Interprofessional education (IPE) can improve pharmacy students' understanding of teamwork in healthcare by teaching them the roles of other medical professions during clinical practice.
  • In a study with 68 pharmacy students, those who participated in IPE showed greater improvements in specific behavioral objectives and social skills compared to those who did not.
  • The findings indicate that implementing IPE in clinical training can enhance students' preparedness for effective collaboration in multidisciplinary healthcare teams.
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  • Dopamine D2 receptors (D2Rs) exist in two isoforms, D2L (long form) primarily in postsynaptic locations, and D2S (short form) mainly acting as presynaptic autoreceptors.
  • L-DOPA enhances the function of D2L by interacting with GPR143, which was initially linked to ocular albinism, showing that GPR143 affects D2L and D2S oppositely.
  • Experiments on mice lacking Gpr143 showed reduced catalepsy from haloperidol and increased dopamine release in the striatum, indicating that GPR143 modulates D2 receptor signaling differently based on the specific isoform involved.
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Interstitial lung disease (ILD) is a serious adverse event caused by the administration of immune checkpoint inhibitors (ICIs). However, only few large-scale studies have explored the association among ICI use, underlying cancer type, and ILD complications. This study aimed to analyze the association between the primary cancer type and ICI-induced ILD in a cross-sectional manner using the Japanese Adverse Drug Event Report (JADER) database.

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Purpose: The microenvironment is required for tissues to maintain their properties . This microenvironment encompasses the types and three-dimensional arrangement of cells forming the tissues, and their interactions with neighboring cells and extracellular matrices, as represented by the stem cell niche. Tissue regeneration depends not on the original tissue source of the transplanted cells, but on the microenvironment in which they are transplanted.

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Background: The HACOR score for predicting treatment failure includes vital signs and acid-base balance factors, whereas the ROX index only considers the respiratory rate, oxygen saturation, and fraction of inspired oxygen (FiO). We aimed to externally validate the HACOR score and ROX index for predicting treatment failure in patients with coronavirus disease 2019 (COVID-19) on high-flow nasal cannula (HFNC) therapy in Japan.

Methods: This retrospective, observational, multicenter study included patients, aged ≥ 18 years, diagnosed with COVID-19 and treated with HFNC therapy between January 16, 2020, and March 31, 2022.

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Previously, we reported that epidermal growth factor (EGF) suppresses GABAergic neuronal development in the rodent cortex. Parvalbumin-positive GABAergic neurons (PV neurons) have a unique extracellular structure, perineuronal nets (PNNs). PNNs are formed during the development of PV neurons and are mainly formed from chondroitin sulfate (CS) proteoglycans (CSPGs).

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Dopamine neurons play crucial roles in pleasure, reward, memory, learning, and fine motor skills and their dysfunction is associated with various neuropsychiatric diseases. Dopamine receptors are the main target of treatment for neurologic and psychiatric disorders. Antipsychotics that antagonize the dopamine D2 receptor (DRD2) are used to alleviate the symptoms of these disorders but may also sometimes cause disabling side effects such as parkinsonism (catalepsy in rodents).

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The coronavirus disease 2019 (COVID-19) pandemic has considerably affected several social services. The Ministry of Health, Labour, and Welfare has partially revised the Pharmaceuticals and Medical Devices Law and established legislations on permanent online medication instructions. Based on these social needs, the development of human resources to provide online medication instructions is vital.

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  • An 88-year-old man received high-dose steroid treatment for COVID-19 and lung disease prior to hospitalization due to left arm swelling and redness.
  • Blood tests during his hospital stay revealed an infection, which ultimately led to his death despite receiving antifungal medication.
  • The case highlights the importance of monitoring patients for prolonged immunosuppression effects from high-dose steroids used in COVID-19 treatment.
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Background: It is unclear whether the s (-) form of esomeprazole (EPZ) has an improved safety profile when compared with its racemic form omeprazole (OPZ). We assessed the potential complications of these optical isomers when combined with cilostazol, clopidogrel, and prasugrel, which are frequently used concomitant medications.

Methods: Using two adverse event spontaneous reporting databases, Japanese Adverse Drug Event Report (JADER) and FDA Adverse Event Reporting System (FAERS), adverse event names for hemorrhage, venous/arterial embolization, and thrombus were obtained from the Medical Dictionary for Regulatory Activities.

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Background: Mfa1 fimbriae of the periodontal pathogen Porphyromonas gingivalis are responsible for biofilm formation and comprise five proteins: Mfa1-5. Two major genotypes, mfa1 and mfa1, encode major fimbrillin. The mfa1 genotype is further divided into the mfa1 and mfa1 subtypes.

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  • Epidermal growth factor (EGF) and its related proteins influence brain development and are linked to schizophrenia through their effects on glial and dopaminergic/GABAergic cell maturation.
  • Studies using transgenic mice and other animal models show that disruptions in EGF signaling can lead to abnormal behaviors associated with schizophrenia, particularly post-puberty.
  • The review also explores how EGF interacts with immune responses to infections, like COVID-19, which may impact schizophrenia, and discusses the potential for new antipsychotic treatments targeting EGF pathways.
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Interstitial lung disease (ILD), as an adverse effect of certain drugs, leads to inflammation and damage in the walls of the alveoli, making it difficult for the alveoli to take up oxygen. Interstitial pneumonia with no identifiable cause is called idiopathic interstitial pneumonia (IIP), and, among the major IIPs, idiopathic pulmonary fibrosis (IPF) is diagnosed in about half of patients. Current treatment options are limited, among which the antifibrotic drugs nintedanib (Ofev) and pirfenidone (Pirespa) are the first-line drugs.

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Posture and gait are maintained by sensory inputs from the vestibular, visual, and somatosensory systems and motor outputs. Upon vestibular damage, the visual and/or somatosensory systems functionally substitute by cortical mechanisms called "sensory reweighting". We investigated the cerebrocortical mechanisms underlying sensory reweighting after unilateral labyrinthectomy (UL) in mice.

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  • Rats produce two types of ultrasonic vocalizations: positive (high pitch) and negative (low pitch), and researchers investigated these sounds in a rat model of schizophrenia.
  • The model was created by administering an inflammatory cytokine to young rats, resulting in behaviors similar to those seen in schizophrenia patients.
  • Findings revealed that these model rats exhibited more frequent low pitch self-triggered vocalizations than controls, but this difference disappeared with risperidone treatment, indicating a potential link between these vocalizations and schizophrenia-like symptoms.
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Aim: Doxorubicin, an anthracycline anti-tumour agent, is an essential chemotherapeutic drug; however, the adverse events associated with doxorubicin usage, including cardiotoxicity, prevent patients from continuing treatment. Here, we used databases to explore existing approved drugs with potential preventative effects against doxorubicin-induced cardiac events and examined their efficacy and mechanisms.

Methods: The Gene Expression Omnibus (GEO), Library of Integrated Network-based Cellular Signatures (LINCS), and Food and Drug Administration Adverse Events Reporting System (FAERS) databases were used to extract candidate prophylactic drugs.

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The family of epidermal growth factor (EGF) including neuregulin-1 are implicated in the neuropathology of schizophrenia. We established a rat model of schizophrenia by exposing perinatal rats to EGF and reported that the auditory pathophysiological traits of this model such as prepulse inhibition, auditory steady-state response, and mismatch negativity are relevant to those of schizophrenia. We assessed the activation status of the auditory cortex in this model, as well as that in patients with schizophrenia, by monitoring the three neural activity-induced proteins: EGR1 (zif268), c-fos, and Arc.

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  • Dopamine in the prefrontal cortex is crucial for regulating social behavior, but its role can be contradictory, as stress-related social withdrawal also increases dopamine release.
  • The study found that the effects of dopamine on social behavior depend on its activation duration: sustained dopamine activity negatively impacts social behavior, while short bursts of dopamine promote it.
  • Results revealed that transient dopamine release during social interactions enhances neural responses in the prefrontal cortex, whereas prolonged dopamine levels impair these responses and can suppress activity in certain dopamine receptor-expressing neurons.
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TAR DNA-binding protein 43 (TDP-43) is a causative factor of amyotrophic lateral sclerosis (ALS). Cytoplasmic TDP-43 aggregates in neurons are a hallmark pathology of ALS. Under various stress conditions, TDP-43 localizes sequentially to two cytoplasmic protein aggregates, namely, stress granules (SGs) first and then aggresomes.

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Neuronal differentiation, maturation, and synapse formation are regulated by various growth factors. Here we show that epidermal growth factor (EGF) negatively regulates presynaptic maturation and synapse formation. In cortical neurons, EGF maintained axon elongation and reduced the sizes of growth cones in culture.

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Patients with schizophrenia exhibit impaired performance in tone-matching or voice discrimination tests. However, there is no animal model recapitulating these pathophysiological traits. Here, we tested the representation of auditory recognition deficits in an animal model of schizophrenia.

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Aim: A reduced mismatch negativity (MMN) response is a promising electrophysiological endophenotype of schizophrenia that reflects neurocognitive impairment. Dopamine dysfunction is associated with symptoms of schizophrenia. However, whether the dopamine system is involved in MMN impairment remains controversial.

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From 2002 to 2018, the number of patients with prostate cancer significantly increased from 679,023 to 1276,106 worldwide. Total prostatectomy (including robot-assisted prostatectomy), radiation therapy, and pharmacological treatment are commonly used to treat prostate cancer. The Chief of the Pharmaceutical Safety Division, that is, the Federation of Pharmaceutical Manufacturers' Associations of Japan (FPMAJ), recently called for the revision of package inserts for ethical drugs.

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  • Genetic and environmental factors influence the risk of psychiatric diseases, but their interactions are not fully understood.
  • In a study, pregnant mice were exposed to a substance (Poly(I:C)) to examine how maternal infection impacts the behavior of their offspring.
  • Results showed that the breeding environment affected the offspring's response to the substance, particularly in terms of their prepulse inhibition levels, indicating that maternal immune activation can significantly influence behavioral outcomes.
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