Publications by authors named "Shihoko Komine-Aizawa"

Article Synopsis
  • A study analyzed 1,625 stool samples from children with diarrhea in Japan over four years (2018-2022) to detect human astroviruses (HAstVs) and other diarrheal viruses, finding HAstV in 8.6% of samples.
  • The prevalence of HAstVs varied by year, with a notable increase to 20.1% in 2021-2022, and a significant infection rate was observed in children aged 1-3 years.
  • The study identified multiple HAstV genotypes, including outbreaks of HAstV1 and MLB2 during the COVID-19 pandemic, and noted for the first time a mixed infection of HAstV1 and MLB1.
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  • Sapovirus (SaV) infections are on the rise globally, with a notable increase in Japan from 2010 to 2022, mainly due to the GI.1 genotype.
  • The study analyzed 15 SaV GI.1 outbreak strains using next-generation sequencing and found distinct clustering in lineages and specific amino acid substitutions in their genomes.
  • Key mutations associated with the pathogenicity and spread of SaV were identified in strains responsible for the largest outbreak in Japan (2021-2022), enriching the understanding of SaV's genetic makeup.
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Background: Vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are crucial for ending the pandemic of coronavirus disease 2019 (COVID-19). Currently, the cumulative effect of booster shots of mRNA vaccines on adverse events is not sufficiently characterized.

Methods: A survey-based study on vaccine adverse events was conducted in a Japanese medical institute after the third dose of Pfizer BNT162b2.

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The FilmArray® Gastrointestinal (GI) Panel is a modern, sensitive, and comprehensive stool testing technique for identifying common gastrointestinal pathogens, including viruses, bacteria, and parasites. Its increasing demand is due to ease of operation and automation. Pathogens, particularly viruses, undergo constant genetic evolution.

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This was the first longitudinal study to analyze dental clinic wastewater to estimate asymptomatic SARS-CoV-2 infection trends in children. We monitored wastewater over a 14-month period, spanning three major COVID-19 waves driven by the Alpha, Delta, and Omicron variants. Each Saturday, wastewater was sampled at the Pediatric Dental Clinic of the only dental hospital in Japan's Saitama Prefecture.

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Article Synopsis
  • - Noroviruses (NoVs) cause significant outbreaks of acute gastroenteritis globally, and recent research indicates the emergence of new recombinant strains in various countries, including Japan.
  • - A study analyzed 1,175 stool samples from Japanese infants and children over three years, finding 355 cases positive for NoV, with a predominance of GII genotypes, especially GII.4.
  • - The research identified multiple genotypes and recombinant strains, highlighting a decrease in NoV infections among children during and after the COVID-19 pandemic, emphasizing the need for ongoing surveillance.
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Background: Human astrovirus (HAstV) infection is one of the leading causes of acute gastroenteritis in young children. The present study reports the outbreak of HAstV in children with acute gastroenteritis in Kyoto, Japan, during the COVID-19 pandemic, 2021.

Methods: A total of 61 stool samples were collected from children with acute gastroenteritis who visited a pediatric outpatient clinic in Maizuru city, Kyoto, Japan from July to October, 2021.

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Pregnant women presumably gather information about the coronavirus disease 2019 (COVID-19) from various sources. However, it is difficult for pregnant women who are not medical professionals to source the appropriate information because of the infodemic related to the COVID-19 pandemic. Therefore, the objective of our study was to investigate how pregnant women gathered information about COVID-19 and COVID-19 vaccination.

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Transforming growth factor-beta 1 (TGF-β1) is a pleiotropic growth factor playing various roles in the human body including cell growth and development. More functions of TGF-β1 have been discovered, especially its roles in viral infection. TGF-β1 is abundant at the maternal-fetal interface during pregnancy and plays an important function in immune tolerance, an essential key factor for pregnancy success.

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The female reproductive tract (FRT) and remote/versatile organs in the body share bidirectional communication. In this review, we discuss the framework of the "FRT-organ axes." Each axis, namely, the vagina-gut axis, uterus-gut axis, ovary-gut axis, vagina-bladder axis, vagina-oral axis, uterus-oral axis, vagina-brain axis, uterus-brain axis, and vagina-joint axis, is comprehensively discussed separately.

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(Mtb) infection remains a major health problem worldwide. Although the Bacillus Calmette-Guérin (BCG) vaccine is the most widely used vaccination for preventing tuberculosis (TB), its efficacy is limited. We previously developed a new recombinant BCG (rBCG)-based vaccine encoding the Ag85B protein of (Mkan85B), termed rBCG-Mkan85B, and its administration is followed by boosting with plasmid DNA expressing the Ag85B gene (DNA-Mkan85B).

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Bacterial vaginosis due to Gardnerella vaginalis (GV) is one of the main causes of preterm birth. Antimicrobial function of the cervical glands prevents ascending pathogen infection. This study investigated the effect of GV on the cervical gland cells.

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Background: The COVID-19 vaccine is effective in preventing severe cases of COVID-19. For women, gynecological adverse events, such as menstrual irregularities and irregular bleeding, could be a concern after COVID-19 vaccination. In this study, we investigated gynecological adverse events in the vaccinated Japanese female population.

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Glioblastoma has a poor prognosis even after multimodal treatment, such as surgery, chemotherapy and radiation therapy. Patients with glioblastoma frequently develop epileptic seizures during the clinical course of the disease and often require antiepileptic drugs. Therefore, agents with both antiepileptic and antitumoral effects may be very useful for glioblastoma treatment.

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The Zika virus (ZIKV) is well known for causing congenital Zika syndrome if the infection occurs during pregnancy; however, the mechanism by which the virus infects and crosses the placenta barrier has not been completely understood. In pregnancy, TGF-β1 is abundant at the maternal-fetal interface. TGF-β1 has been reported to enhance rubella virus binding and infection in human lung epithelial cells.

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Article Synopsis
  • The study found that while SARS-CoV-2 can infect human placental tissue, vertical transmission to the fetus is rare, suggesting the placenta acts as a barrier against the virus.
  • Researchers confirmed the presence of the virus's genome in placental tissue using in situ hybridization techniques, showing less presence when using probes that target the virus's spike protein.
  • This research provides the first direct evidence that the virus does not replicate efficiently in the infected placenta, highlighting the need for further studies to understand the underlying mechanisms.
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Clostridium perfringens bacteremia is rare but often fatal. In particular, once bacteremia with massive intravascular hemolysis (MIH) occurs, the mortality rate is extremely high. However, because of its rarity, the detailed pathophysiology of this fulminant form of bacteremia is unclear.

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Human amniotic epithelial cells (hAECs), which are a type of placental stem cell, express stem cell marker genes and are capable of differentiating into all three germ layers under appropriate culture conditions. hAECs are known to undergo TGF-β-dependent epithelial-mesenchymal transition (EMT); however, the impact of EMT on the stemness or differentiation of hAECs has not yet been determined. Here, we first confirmed that hAECs undergo EMT immediately after starting primary culture.

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Article Synopsis
  • Rubella virus (RuV) infections during early pregnancy, particularly in the first trimester, can result in congenital rubella syndrome (CRS), although not all infections lead to this outcome, highlighting a gap in understanding the infection mechanisms.* -
  • The study explores how hypoglycemia-related endoplasmic reticulum (ER) stress might influence vertical RuV infection, using human trophoblast cells subjected to low or high glucose conditions before infection.* -
  • Results show that low-glucose-induced stress increased RuV infection and viral production in trophoblasts without significant cell death, indicating that early pregnancy low glucose levels may enhance susceptibility to RuV and contribute to CRS.*
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We recently published an article about myelin oligodendrocyte glycoprotein-independent rubella infection of keratinocytes in vitro, in which first-trimester trophoblast cells were shown as rubella virus (RuV)-resistant. Given an incident rate as high as 90% of congenital rubella syndrome in the first eight weeks of pregnancy, the RuV infection of first-trimester trophoblasts is considered key to opening the gate to transplacental transmission mechanisms. Therefore, with this study, we aimed to verify the susceptibility/resistance of first-trimester trophoblast cell lines, HTR-8/SVneo and Swan.

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Article Synopsis
  • Norovirus (NoV) is a leading cause of gastroenteritis, particularly in children under 5, but cases dropped significantly in Japan during the COVID-19 pandemic due to school closures.
  • In September 2021, an outbreak occurred in kindergartens and nurseries in Maizuru, Kyoto, where 26 stool samples tested positive for NoV GII, with most cases showing mild symptoms like vomiting.
  • The genomic analysis of the samples revealed mutations in the NoV GII.4 Sydney[P31] strain, highlighting the need for ongoing monitoring of NoV variants in Japan.
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Although various perinatal outcomes in coronavirus disease 2019 (COVID-19) pregnancies have been reported, the fetal and neonatal consequences of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection remain unclear. Several reports of miscarriages and stillbirths have been recorded, but vertical transmission by SARS-CoV-2 is considered very rare, and the cause remains unknown. We report a case of a 22-year-old uncomplicated Japanese woman infected with SARS-CoV-2 during the second trimester, resulting in intrauterine fetal death due to placental insufficiency associated with COVID-19 placentitis.

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To control the coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the promotion of vaccination is important. However, adverse reactions following vaccination remain a concern. To investigate adverse events in the vaccinated Japanese population, we conducted a survey-based study among health care workers, including medical doctors and nurses; other medical staff; and medical university faculty, staff, and students in a single medical school and affiliated hospital in Japan.

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To investigate the vaccination status and adverse reactions to the COVID-19 vaccine among pregnant women in Japan, we conducted an online questionnaire survey from October 5 to November 22, 2021. The number of participants in the online survey was 6576. Of the participants, 4840 (73.

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The incidence of infections with nontuberculous mycobacteria (NTM) has been increasing worldwide. The emergence of multidrug-resistant NTM is a serious clinical concern, and a vaccine for NTM has not yet been developed. We previously developed a new recombinant Bacillus Calmette-Guérin (rBCG) vaccine encoding the antigen 85B (Ag85B) protein of -termed rBCG-Mkan85B-which was used together with a booster immunization with plasmid DNA expressing the same Ag85B gene (DNA-Mkan85B).

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