Publications by authors named "Sakuraba H"

The beneficial effects of water-soluble dietary fiber on liver fat and fibrosis involve the gut microbiota; however, few epidemiological studies have investigated this association. This large-scale epidemiological study aimed to determine the effect of water-soluble dietary fiber intake on liver fat and fibrosis via gut microbiota for the general population. We divided low- and high-intake groups by median daily water-soluble dietary fiber intake and matched background factors by propensity score matching for sex and age.

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Background And Aim: Identifying the factors contributing to the progression of metabolic dysfunction-associated steatotic liver disease (MASLD), a lifestyle-related disease, is crucial for preventing future liver-related deaths. This study aimed to epidemiologically investigate factors, including single-nucleotide polymorphisms (SNPs) associated with alanine aminotransferase (ALT) levels >30 U/L and potential risk factors for liver fibrosis, in a general population cohort of patients with MASLD.

Methods: Among 1059 participants in the health checkup project, 228 who were diagnosed with MASLD were analyzed.

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The detection of antidrug antibodies (ADAs) is important for monitoring patients with Fabry disease who are undergoing enzyme replacement therapy (ERT) with recombinant α-galactosidase A (GLA) drugs, as ADAs can cause allergic reactions and reduce therapeutic efficacy. Various immunological methods, particularly enzyme-linked immunosorbent assay (ELISA), are widely used to measure serum ADA titers in patients with Fabry disease. However, estimating and comparing results of ELISA is challenging because of the absence of a reference antibody.

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PQQ-dependent aldose sugar dehydrogenase (PQQ-ASD) from the hyperthermophilic archaeon Pyrobaculum aerophilum (PaeASD) has great potential as an element for durable bioelectrodevices owing to its exceptional stability against high temperatures and across a broad pH spectrum. However, its application is constrained by low electric current output of the enzyme-immobilized electrodes, which is attributable to its low catalytic activity. A directed evolutionary approach was performed on PaeASD to improve enzyme activity, resulting in the identification of a PaeASD s24 mutant containing six amino acid substitutions, which exhibited a 16-fold higher specific activity than that of wild type.

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Background: The involvement of Mediterranean fever (MEFV) gene mutations in patients with inflammatory bowel disease unclassified (IBDU) remains unclear. This study aimed to determine the clinical characteristics and responsiveness to colchicine in Japanese patients with IBDU carrying MEFV mutations.

Methods: In this retrospective cohort study, we examined MEFV mutations using gene analysis, clinical information, and colchicine responsiveness.

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A solitary Peutz-Jeghers (PJ) polyp is a rare hamartomatous lesion without an associated PJ syndrome. However, little is known regarding malignancy arising in solitary PJ polyps. Here, we report a case of a solitary colonic PJ polyp with focal dysplasia.

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Many factors are associated with the development and progression of metabolic dysfunction-associated steatotic liver disease (MASLD); however, genetics and gut microbiota are representative factors. Recent studies have highlighted the link between host genes and the gut microbiota. Although there have been many studies on the separate effects of single nucleotide polymorphisms (SNPs) and gut bacteria on MASLD, few epidemiological studies have examined how SNPs and gut bacteria interact in the development and progression of MASLD.

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Article Synopsis
  • This study examined how different Japanese dietary patterns affect metabolic dysfunction-associated steatotic liver disease (MASLD) and liver fibrosis in 727 adults.
  • Participants' diets were categorized into rice, vegetable, seafood, and sweet groups, revealing that those in the vegetable group had lower indicators of liver fibrosis compared to the rice group.
  • The research identified body mass index ≥ 25 kg/m and HOMA-IR ≥ 1.6 as risk factors for liver fibrosis, while a vegetable-based diet, high in α-tocopherol (an antioxidant), was associated with a lower risk of developing liver fibrosis.
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Enzyme replacement therapy (ERT) with recombinant human α-galactosidase A (α-Gal A) drugs (agalsidases) has been successfully used for treatment of Fabry disease, and three kinds of agalsidases are now available in Japan. To compare the biochemical characteristics of these drugs, especially focusing on their incorporation into cultured fibroblasts and organs/tissues of Fabry mice, we performed in vitro, cell, and animal experiments. The results revealed that there were no differences in the kinetic parameters and enzyme activity between these agalsidases.

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Functional dyspepsia is distinguishable from -associated dyspepsia. However, distinguishing -associated dyspepsia from functional dyspepsia before eradication is difficult. Therefore, in the present study, we aimed to investigate whether serum pepsinogen levels before eradication are associated with the amelioration of dyspepsia after successful eradication.

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Introduction: Esophageal achalasia is a typical esophageal motility disorder (EMD). Although viral infections have been hypothesized to play a role in the pathogenesis of esophageal achalasia, its etiology remains unclear. This study used esophageal muscle layer specimens collected during per-oral endoscopic myotomy (POEM) procedures to investigate the association between esophageal achalasia and esophagogastric junction outflow obstruction (EGJOO) and pattern recognition receptors.

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Objectives: Delayed bleeding is the most frequent adverse event associated with endoscopic mucosal resection (EMR) and hot snare polypectomy (HSP) of colorectal polyps. However, whether the incidence of delayed bleeding differs between outpatient and inpatient treatment is unknown. Therefore, in this study, we aimed to evaluate delayed bleeding rates between outpatient and inpatient endoscopic treatments and clarify the safety of outpatient treatment.

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Article Synopsis
  • - Fabry disease (FD) is linked to α-galactosidase A deficiency, and a potential biomarker, lyso-Gb3, along with modified severity scores (MSSI and DS3), were evaluated for early-diagnosed patients, especially children and asymptomatic individuals.
  • - In a study involving 13 early-diagnosed FD patients, modified DS3 scores showed a positive correlation with lifetime lyso-Gb3 exposure, while conventional scores remained stable over time.
  • - The findings indicate that using lifetime lyso-Gb3 levels and modified severity scores can effectively assess disease severity in patients diagnosed with Fabry disease early on.
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  • TLR7 is crucial for the immune response to viral infections in cells like astrocytes and microglia, but its function in neurons is not fully understood yet.
  • This research examined how resiquimod, a TLR7/8 activator, affects inflammatory chemokine production in SH-SY5Y human neuroblastoma cells, finding that TLR7 is always present in these cells.
  • The study showed that resiquimod boosts CCL2 expression and activates NF-κB, suggesting it could have therapeutic potential for treating viral infections in the central nervous system by stimulating immune responses in neurons.
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As a standard therapy for Fabry disease, enzyme replacement therapy (ERT) with recombinant human α-galactosidase A (α-Gal) has been successfully used, and the instructions for this drug state that "it should not be co-administrated with cationic amphiphilic drugs such as hydroxychloroquine (HCQ) and amiodarone (AMI), since these drugs have the potential to inhibit intracellular α-Gal activity". However, there would be cases in which HCQ or AMI is required for patients with Fabry disease, considering their medical efficacy and application. Thus, we examined the impact of HCQ/AMI on recombinant human α-Gal by , cellular, and animal experiments.

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Article Synopsis
  • - The Japanese diet is considered healthy and its benefits may stem from the influence it has on oral and gut microbiota, which play a crucial role in health.
  • - A study used a modified Japanese Diet Index (mJDI12) to analyze its association with microbiota in a rural Japanese population, selecting 396 participants based on their dietary habits.
  • - Findings indicated that those with a high mJDI12 had increased levels of beneficial butyric acid-producing bacteria and higher fiber intake, suggesting a positive impact of the Japanese diet on gut microbiota, although some oral microbiota was negatively affected.
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Fabry disease is an X-linked hereditary disorder caused by deficient α-galactosidase A (GLA) activity. Patients with Fabry disease are often treated with enzyme replacement therapy (ERT). However, ERT often induces the formation of neutralizing antidrug antibodies (ADAs), which may impair the therapeutic efficacy.

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Surgery avoidance is an important goal in Crohn's disease (CD) treatment and predicting the risk of subsequent surgery is important to determine adequate therapeutic strength for patients with newly diagnosed CD. Herein, we aimed to construct a prediction model for the risk of subsequent surgery based on disease characteristics at the patients' initial visit. We retrospectively collected disease characteristic data from 93 patients with newly diagnosed CD.

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  • The study investigates the relationship between liver fibrosis and reactive oxygen species (ROS) levels produced by neutrophils, focusing on how this varies with age and sex in the general population.
  • It involved 1,000 participants categorized into four groups based on sex and age, using various indices to assess liver fibrosis.
  • Findings indicated positive correlations between liver fibrosis scores and basal ROS levels in younger participants, while in females, higher liver fibrosis scores were associated with lower stimulated ROS levels, suggesting that enhancing neutrophil function could help prevent liver-related diseases.
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Objectives Fabry disease is characterized by the systemic accumulation of globotriaosylceramide (Gb3) and globotriaosylsphingosine (Lyso-Gb3), which are widely used as biomarkers of the disease. However, few reports have described the relationship of Lyso-Gb3 analogs and Gb3 isoforms with the disease. The present study determined the profiles of Lyso-Gb3 analogs and Gb3 isoforms accumulated in body fluids from various phenotypic Fabry patients to elucidate the basis of the disease.

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A novel treatment method for achalasia of the esophagus and related disorders is known as peroral endoscopic myotomy (POEM). This study aimed to calculate the resting energy expenditure (REE) and evaluated the degree of physical invasiveness based on metabolic changes during the perioperative period of POEM. Fifty-eight patients who underwent POEM were prospectively enrolled; REE, body weight (BW), and basal energy expenditure were measured on the day of POEM, postoperative day 1 (POD 1), and three days after POEM (POD 3).

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Objectives: This study aimed to clarify the disinfectant efficacy of the 222-nm far ultraviolet-C (UV-C) during esophagogastroduodenoscopy using bacterial cultures.

Methods: The endoscopists performed esophagogastroduodenoscopy wearing a gown with a tryptic soy agar medium plate on their epigastric region and were divided into two groups: 222-nm far UV-C irradiation (UV group) and non-UV irradiation (non-UV group). As a control group, tryptic soy agar medium plates were placed about 110 cm above the floor.

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Article Synopsis
  • * After matching participants based on various health factors, researchers found significant differences in gut microbiota diversity between those with and without liver fibrosis, but no notable differences in oral microbiota.
  • * The results suggest that gut microbiota may play a more significant role in liver fibrosis than oral microbiota, although certain strains didn't independently influence liver fibrosis when adjusting for other health variables.
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A 37-year-old man with systemic lupus erythematosus underwent esophagogastroduodenoscopy as a screening examination for anemia and bloody stool. A semi-pedunculated edematous lobular polyp of 25 mm in size was detected in the greater curvature of the upper gastric body. At that time, a definitive diagnosis of cancer could not be made based on a biopsy specimen from the lesion.

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Purpose: This study aims to clarify the impact of CYP3A5 and ABCB1 polymorphisms on the pharmacokinetics of vincristine (VCR) in adult patients receiving CHOP therapy.

Methods: Plasma samples were collected immediately after the end of VCR administration and at 1.5, 2.

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