Publications by authors named "Shigeyuki Miyamura"

Background: Thiamylal exerts excellent sedative effects. However, it is not routinely used because of its serious adverse effects. This study aimed to clarify the target blood concentration range and infusion rate of thiamylal in children by measuring its blood concentration and evaluating its relationship with efficacy and adverse effects.

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  • The study investigates the accuracy of estimated glomerular filtration rate (eGFR) calculations from serum creatinine (Cr) and cystatin C (Cys-C) in evaluating preoperative renal function in cardiovascular surgery patients.
  • Researchers analyzed data from 88 patients, focusing on the correlation between different eGFR calculations and factors affecting the overestimation of true renal function.
  • Findings showed a significant negative correlation between the ratio of eGFRcre to eGFRcys and the Short Physical Performance Battery (SPPB) score, suggesting the SPPB (and specifically, the chair stand test) can help identify patients at risk of renal function overestimation.
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  • - The study investigated the causes of thrombocytopenia (low platelet count) in patients with metastatic castration-resistant prostate cancer receiving pegfilgrastim to prevent febrile neutropenia during cabazitaxel treatment.
  • - Researchers found that thrombocytopenia typically occurred within a week after pegfilgrastim administration, with various grades recorded among patients.
  • - A regression analysis indicated that higher monocyte levels correlated with greater platelet reduction, while the presence of liver metastases and neutrophil levels had the opposite effect.
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  • A new, highly sensitive method using ultrahigh-performance liquid chromatography coupled with tandem mass spectrometry (UHPLC-MS/MS) was developed to measure everolimus (EVR) concentrations in whole blood for better immunosuppression monitoring in transplant patients.
  • * The study demonstrated accurate and precise measurements of EVR across a wide concentration range, meeting FDA validation criteria, and exhibited low matrix effects.
  • * Comparison with traditional measurement methods showed that the new UHPLC-MS/MS method provided superior results for blood EVR concentration assessment, making it a promising tool for therapeutic drug monitoring in clinical settings.
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  • * The research involved 328 patients and used a method called propensity score matching to analyze outcomes, finding higher pain ratings and more rescue medication use in the acetaminophen group compared to the loxoprofen group.
  • * Overall, acetaminophen was linked to better renal safety, showing a lower increase in serum creatinine and no cases of acute kidney injury, while loxoprofen showed a 4.9% incidence of acute kidney injury.
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What Is Known And Objective: Cisplatin-based chemotherapy is a first-line treatment for advanced or metastatic urinary tract urothelial carcinoma (UC). Accurate assessment of renal function is indispensable for determining cisplatin dosing to enhance the safety and effectiveness of cisplatin. The objective of this study was to assess serum cystatin C (sCys C) levels in patients with urothelial carcinoma and to explore its clinical value as a serum marker of glomerular filtration rate (GFR).

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Chronic kidney disease (CKD) patients with secondary hyperparathyroidism (SHPT) have an increased risk of cardiovascular disease (CVD). Cinacalcet is a calcimimetic that permits impaired endothelial functions to be recovered via inhibiting parathyroid hormone (PTH) production in SHPT patients. However, the underlying mechanism for its action remains unknown.

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  • * Benzbromarone, a medication that helps lower uric acid, was tested in rats and showed antioxidant properties by reducing markers of oxidative stress without changing uric acid or blood pressure levels.
  • * The findings indicate that benzbromarone could play a significant role in preventing CVD and CKD due to its ability to combat oxidative stress directly.
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  • * This study tested the effects of IS on muscle cells and assessed various treatments (AST-120, L-carnitine, teneligliptin) in CKD mice, finding that these treatments helped restore mitochondrial function and muscle atrophy.
  • * Results showed that IS increased muscle atrophy markers and decreased exercise capacity in CKD mice, but treatment with AST-120 reversed several of these negative effects, including restoring muscle weight and function.
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  • Sodium 4-phenylbutyrate (PB) is a drug primarily used for treating urea cycle disorders but shows potential for other therapeutic uses.
  • Research analyzed how PB binds to albumin from different species—human, bovine, rabbit, and rat—to better understand its efficacy and safety in preclinical testing.
  • The study found that PB mainly binds to one high-affinity site on albumin, with varying affinities across species, influenced by structural differences in the PB-binding sites.
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Silibinin is the main constituent of silymarin, an extract from the seeds of milk thistle (Silybum marianum). Because silibinin has many pharmacological activities, extending its clinical use in the treatment of a wider variety of diseases would be desirable. In this study, we report on the binding of silibinin to plasma proteins, an issue that has not previously been extensively studied.

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  • This study found that surface-deacetylated chitin nano-fibers (SDACNFs) are more effective at reducing kidney damage and oxidative stress in rats than traditional deacetylated chitin powder (DAC).
  • Administering low doses of SDACNFs orally for four weeks resulted in significant improvements in kidney function markers like serum indoxyl sulfate, creatinine, and urea nitrogen levels.
  • Additionally, SDACNFs enhanced antioxidant potential and reduced oxidative stress indicators, suggesting they help lower harmful substances in the gut that contribute to overall oxidative stress in the body.
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Hyperuricemia occurs with increasing frequency among patients with hyperparathyroidism. However, the molecular mechanism by which the serum parathyroid hormone (PTH) affects serum urate levels remains unknown. This was studied in uremic rats with secondary hyperparathyroidism where serum urate levels were found to be increased and urate excretion in the intestine and kidney decreased, presumably due to down-regulation of the expression of the urate exporter ABCG2 in intestinal and renal epithelial membranes.

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A ferric citrate formulation for treating hyperphosphatemia is a new therapeutic that not only suppresses the accumulation of phosphorus in patients with chronic kidney disease-mineral bone disorders (CKD-MBD), but also ameliorates anemia caused by iron deficiency. In contrast, it has been demonstrated that intravenous iron injection markedly increases oxidative stress. This study was designed to investigate the effect of a ferric citrate formulation on oxidative stress in CKD-MBD patients receiving hemodialysis therapy.

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  • Human serum albumin (HSA) has a long half-life and is modified after translation, affecting its functions.
  • Researchers compared five different albumin preparations to understand how these modifications relate to HSA's functionality, using advanced mass spectrometry.
  • They found that the amount of a specific oxidative modification (Cys-Cys34-HSA) was linked to functional impairments, suggesting it could serve as a marker for albumin quality in clinical settings.
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Purpose: To evaluate long-term continuous administration of docetaxel (DOC), over survival rate, PSA level and adverse effects were analyzed, retrospectively. We also compared the results of long-term treatment group and short-term treatment group.

Material And Methods: This study reported that 14 cases of long-term continuous administration of DOC consisting of 11 or more cycles among 51 patients of castration-resistant prostate cancer (CRPC) treated with DOC from October 2008 to September 2013 at our institution, retrospectively.

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Recently, p-cresyl sulfate (PCS) has been identified as a protein-bound uremic toxin. Moreover, the serum-free concentration of PCS, which is associated with its efficacy of hemodialysis, appears to be a good predictor of survival in chronic kidney disease (CKD). We previously found that PCS interacts with indoxyl sulfate (IS), another sulfate-conjugated uremic toxin, during renal excretion via a common transporter.

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