Publications by authors named "Ryo Kanazawa"

Article Synopsis
  • * In a study involving mouse skin transplants, GILs present at day 5 or day 7 post-transplant led to complete rejection of grafts, while GILs from day 3 did not induce rejection.
  • * The findings suggest that GILs' ability to promote or prevent rejection is time-dependent, indicating that day 3 GILs had no effect on promoting graft rejection in skin transplant scenarios.
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The non-Fc-binding anti-CD3 Ab [anti-CD3F(ab')2] can induce graft acceptance depending on the therapeutic window in a rodent heart transplant model. The delayed protocol allows for early graft infiltration of lymphocytes, which may behave in an inhibitory manner. We investigated the most effective protocol for anti-CD3F(ab')2 in sensitized conditions to confirm the evidence for clinical application.

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  • Endoscopic management techniques for common bile duct stones (CBDS) vary, and it remains unclear which method is the most effective and safe.
  • A literature review of 26 studies involving nearly 4,000 patients compared five endoscopic procedures: EST, EPBD, ESBD, EPLBD, and ESLBD, each showing different effectiveness and adverse event rates.
  • While ESBD is recommended for small CBDS due to its superior effectiveness, the evidence is not robust; for large stones, EPLBD and ESLBD are equally effective and safe.
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Breast cancer gene 1 (BRCA1) contributes to the regulation of centrosome number. We previously identified receptor for activated C kinase 1 (RACK1) as a BRCA1-interacting partner. RACK1, a scaffold protein that interacts with multiple proteins through its seven WD40 domains, directly binds to BRCA1 and localizes to centrosomes.

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Background/aim: A sufficiently open papilla is needed to remove common bile duct stones (CBDS) but endoscopic sphincterotomy (EST) requires a high level of skill and is difficult with endoscopic papillary balloon dilation (EPBD). The main adverse event of EST is bleeding and perforation and that of EPBD is post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. To reduce these adverse events we employed minimal EST followed by papillary dilation (ESBD), and retrospectively evaluated its efficacy and safety compared with EST.

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To investigate the relationship between the exposure and efficacy of tolvaptan, we measured pharmacokinetics of total drug at 7 days after repeated doses of 3.75 mg/day tolvaptan in 16 patients with hepatic edema. Nine patients (56.

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Breast cancer gene 1 (BRCA1) is a tumor suppressor that is associated with hereditary breast and ovarian cancer. BRCA1 functions in DNA repair and centrosome regulation together with BRCA1-associated RING domain protein (BARD1), a heterodimer partner of BRCA1. Obg-like ATPase 1 (OLA1) was identified as a protein that interacts with BARD1.

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Introduction: Radiofrequency ablation (RFA) has been accepted as safe and effective for treating early-stage hepatocellular carcinoma (HCC). However, it often causes severe pain. Therefore, in this study, we performed RFA under deep sedation and investigated its efficacy and safety.

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It is often difficult to correctly diagnose patients who present with dilation of the bile duct. Cholangiocarcinoma, primary sclerosing cholangitis (PSC) and immunoglobulin (Ig)G4-related sclerosing cholangitis must be considered as potential diagnoses for these cases. The current study presents a 73-year-old female patient who presented with a high fever and abdominal pain.

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L-Carnitine (LC) plays an important role in the metabolism of fatty acids, and LC deficiency is associated with a feeling of weakness or general fatigue. Cancer patients receiving chemotherapy often develop LC deficiency, which is considered to be a factor contributing to general fatigue. The aim of the present study was to evaluate the efficacy of LC supplementation as a treatment for general fatigue in cancer patients during chemotherapy.

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Article Synopsis
  • The study aimed to see if MUC1 expression is linked to the progression of pancreatic neoplasms with concerning features.
  • During follow-up, MUC1-positive patients showed significant increases in pancreatic duct sizes and more instances of solid mass development compared to a control group.
  • The findings suggest that positive MUC1 expression may indicate a higher risk of disease progression in patients with specific pancreatic neoplasms.
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d-Aspartate oxidase (DDO) is a degradative enzyme that is stereospecific for the acidic amino acid d-aspartate, an endogenous agonist of the N-methyl-d-aspartate (NMDA) receptor. Dysregulation of NMDA receptor-mediated neurotransmission has been implicated in the onset of various neuropsychiatric disorders including schizophrenia and in chronic pain. Thus, appropriate regulation of the amount of d-aspartate is believed to be important for maintaining proper neural activity in the nervous system.

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In gastric cancer, primary systemic chemotherapy is the standard approach for the management of patients with initially unresectable metastasis, and it occasionally leads to a reduction in the size of the lesion, which facilitates surgical resection. The aim of this study was to examine the prognosis of patients who were able to undergo complete resection following chemotherapy. A total of 10 patients who underwent radical surgery for stage IV primary gastric cancer after chemotherapy between 2009 and 2015 at the Department of Surgery of Hokkaido Social Work Association Obihiro Hospital (Obihiro, Japan) were retrospectively investigated.

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Aim: To investigate the efficacy of prior minimal endoscopic sphincterotomy (EST) to prevent pancreatitis related to endoscopic balloon sphincteroplasty (EBS).

Methods: After bile duct access was gained and cholangiogram confirmed the presence of stones < 8 mm in the common bile duct at endoscopic retrograde cholangiography, patients were subjected to minimal EST (up to one-third of the size the papilla) plus 8 mm EBS (EST-EBS group). The incidence of pancreatitis and the difference in serum amylase level after the procedure were examined and compared with those associated with 8-mm EBS alone in 32 patients of historical control (control group).

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Article Synopsis
  • The study aimed to assess the safety of immediate endoscopic sphincterotomy (EST) for acute suppurative cholangitis (ASC) caused by gallstones compared to elective EST.
  • Patients were divided into two groups: immediate EST and delayed EST due to certain health conditions, with all procedures supervised by an experienced specialist.
  • Both immediate and elective ESTs were successful with no complications, suggesting that immediate EST can be safe under specific conditions and can be performed by trainees with proper supervision.
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  • Recent approval of recombinant human soluble thrombomodulin (rTM) allows for its use in treating disseminated intravascular coagulation (DIC), particularly in patients with sepsis-induced DIC.
  • A study analyzed data from 53 patients, comparing those treated with rTM (25 patients) to a control group (28 patients) not receiving rTM, over key clinical markers at various time points.
  • The rTM group showed significant improvements in DIC scores and other measured parameters, suggesting rTM is effective and beneficial for treating DIC in gastroenterology.
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N-Alkylated unsaturated ketonitrones were efficiently synthesized from propargyloxyamines using Cu catalysts. Mechanistic studies suggest that the rearrangement reaction proceeds via Cu-catalyzed intramolecular hydroamination, followed by thermally induced electrocyclic ring opening.

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Propynal hydrazones are successfully converted to the corresponding 3-aminoacrylonitriles in the presence of copper catalysts in good to high yields. As an example, (Z)-N-(hex-2-ynylidene)morpholin-4-amine reacted in the presence of 10 mol % Cu(OAc)(2) in acetonitrile at 25 °C to afford (E)-3-morpholinohex-2-enenitrile ((E)-2 h) in 77% yield via C-N bond formation and subsequent β-elimination involving cleavage of N-N and C-H bonds.

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