Publications by authors named "Shimomura A"

Recently, the anti-programmed cell death protein 1 antibody pembrolizumab, a type of immune checkpoint inhibitor (ICI), has been used in preoperative systemic chemotherapy for hormone receptor and human epidermal growth factor 2-negative breast cancer, also known as triple-negative breast cancer (TNBC). Chemotherapy with pembrolizumab has demonstrated clinical activity in terms of pathologic complete response and event-free survival. Despite their efficacy, the current understanding of the full spectrum of side effects associated with relatively new ICIs remains incomplete.

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Standard trastuzumab therapy can reduce the risk of early recurrence of HER2-positive breast cancer. However, trastuzumab-induced cardiac dysfunction may force the discontinuation of adjuvant trastuzumab therapy. Incidentally, there are still unclear whether or not trastuzumab treatment should be continued in the setting of reduced cardiac function.

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Article Synopsis
  • Sacituzumab govitecan (SG) is an antibody-drug conjugate approved for treating metastatic triple-negative breast cancer (mTNBC) in various regions, with its safety and effectiveness evaluated in a Japanese study (ASCENT-J02).
  • The study consisted of a phase 1 trial that determined the recommended dose (10 mg/kg), followed by a phase 2 trial focusing on the drug's efficacy and safety in patients with previously treated mTNBC.
  • Results showed a 25.0% objective response rate at a median follow-up of 6.1 months, with manageable safety outcomes and no significant new safety concerns, confirming SG's efficacy and safety profile similar to earlier studies.
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Providing treatment to patients with cancer, even during the coronavirus disease (COVID-19) pandemic, is essential. In collaboration with infectious disease specialists, we established guidelines for the management of patients with cancer receiving ambulatory treatment during the pandemic on April 8, 2020. This study examined the practice and management of ambulatory chemotherapy under emergency conditions.

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Introduction: Breast cancer is the second most common cause of central nervous system (CNS) metastases. It has been shown that the median time from breast cancer diagnosis to CNS metastasis is 30.9 months and that the overall median survival after metastasis is extremely poor at 6.

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We provide updated results (median follow-up duration: 20.4 months) of a retrospective study on the effectiveness of trastuzumab deruxtecan (T-DXd) in patients with human epidermal growth factor receptor 2-positive (HER2+) breast cancer with brain metastases (BM) and/or leptomeningeal disease (ROSET-BM). Median progression-free survival (PFS) was 14.

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Background/aim: F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) is reportedly associated with the malignant potential of cancer. This study aimed to evaluate the association between FDG accumulation and tumor metabolism in pancreatic ductal adenocarcinoma (PDAC).

Patients And Methods: A prognostic analysis of data from 131 patients with PDAC who underwent FDG-PET/CT before curative-intent pancreatic surgery was performed.

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Background: Pimitespib (TAS-116), a first-in-class, oral, selective heat-shock protein 90 inhibitor, is approved as fourth-line treatment for gastrointestinal stromal tumors in Japan. This phase 1 study evaluated the cardiac safety of pimitespib.

Methods: In this open-label, nonrandomized, multicenter study, Japanese patients (aged ≥20 years) with refractory, advanced solid tumors received placebo on day -1, then pimitespib 160 mg daily on days 1-5 of the cardiac safety evaluation period.

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Article Synopsis
  • Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a complex condition with unknown causes, and some cases have been linked to the COVID-19 mRNA vaccines, though no links to other vaccines have been reported.
  • A case study describes a 48-year-old woman who developed symptoms of CIDP shortly after receiving her second dose of the Moderna vaccine, following initial vaccination with the Pfizer-BioNTech vaccine.
  • Medical evaluations revealed significant neurological damage consistent with demyelination, leading to treatment with steroids and intravenous immunoglobulin therapy, suggesting a possible connection between vaccine variations and the onset of CIDP.
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Metastatic pheochromocytomas and paragangliomas (PPGLs) are rare endocrine malignancies with limited effective treatment options. The association between the tumor microenvironment (TME) with somatostatin receptor 2 (SSTR2) and hypoxia-induced factor-2α (HIF-2α) in PPGLs, critical for optimizing combination therapeutic strategies with immunotherapy, remains largely unexplored. To evaluate the association of SSTR2 and HIF-2α immunoreactivity with the TME in patients with PPGLs, we analyzed the expression of SSTR2A, HIF-2α, and TME components, including tumor-infiltrating lymphocytes (CD4 and CD8), tumor-associated macrophages (CD68 and CD163), and PD-L1, using immunohistochemistry in patients with PPGLs.

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Introduction: Central Neurocytoma (CN) is a rare, WHO grade 2 brain tumor that predominantly affects young adults. Gross total resection (GTR) is often curative for CNs, but the optimal treatment paradigm including incorporation of RT, following subtotal resection (STR) and for scarcer pediatric cases has yet to be established.

Methods: Patients between 2001 and 2021 with a pathologic diagnosis of CN were reviewed.

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Background: Antiretroviral therapy has reduced the incidence and mortality of AIDS-defining malignancies (ADM); however, non-AIDS-defining malignancies (NADM) are a major cause of death among people living with HIV (PLWH) today. Though current guidelines suggest that PLWH should receive the same treatment as the general population, there are limited studies focused on how HIV status affects the prognosis of cancers. The present study aimed to investigate the characteristics and prognosis of malignant diseases among PLWH in Japan.

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Background: Anthracycline- and taxane-based chemotherapy regimens are established treatments for human epidermal growth factor receptor (HER)2-negative early-stage breast cancer with high risk of recurrence. This study examined the prevalence of these chemotherapy regimens as perioperative therapy, the patterns of retreatment, and factors influencing prescription choices in Japan.

Methods: This observational cohort study focused on high-risk early-stage breast cancer patients not undergoing anti-HER2 therapy, utilizing data from a hospital-based claims database in Japan spanning from April 2008 to September 2021.

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Among the analytes circulating in body fluids, microRNAs, a type of non-coding RNA and known to exist 2655 in primates, have attracted attention as a novel biomarker for cancer screening. MicroRNAs are signaling molecules with important gene expression regulatory functions that can simultaneously control many gene functions and multiple different pathways in living organisms. These microRNAs are transported in extracellular vesicles (EVs), which are lipid bilayers with 50-150 nm in diameter, and are used as communication tools between cells.

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Article Synopsis
  • The article discusses the use of liquid biopsy, focusing on non-coding RNAs and extracellular vesicles as non-invasive tools for diagnosing and managing breast cancer.
  • These molecules play crucial roles in early detection, treatment monitoring, and prognosis of the disease.
  • The discussion emphasizes their unique characteristics and potential future contributions to breast cancer diagnostics and therapies.
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The freezing-thawing (F/T) method for fusing giant unilamellar vesicles (GUVs) can provide substrates, enzymes and membrane material simultaneously and repetitively, and is useful for constructing a recursive model of an artificial cell. However, enzymatic efficiency after F/T is reduced due to rupture of the GUVs and leakage of the inner solution during F/T. Previously, liposomes composed of 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine (POPC) and a negatively charged lipid, such as 1-palmitoyl-2-oleoyl-sn-glycero-3-phospho-(1'-rac-glycerol) (POPG), showed lower rupture and leakage rates during F/T.

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Objective: A significant number of patients experience early recurrence after surgical resection for pancreatic ductal adenocarcinoma (PDAC), negating the benefit of surgery. The present study conducted clinicopathologic and metabolomic analyses to explore the factors associated with the early recurrence of PDAC.

Materials And Methods: Patients who underwent pancreatectomy for PDAC at Kagawa University Hospital between 2011 and 2020 were enrolled.

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  • The study aimed to validate the Japanese version of the Chemotherapy-induced Alopecia Distress Scale (CADS-J) for measuring distress related to hair loss from chemotherapy in breast cancer patients.
  • The research involved 132 breast cancer patients who completed the CADS-J twice to assess test-retest reliability and used various scales to confirm its convergent and discriminant validity.
  • Results showed that the CADS-J is both reliable and valid for assessing distress from chemotherapy-induced alopecia and is expected to be useful in clinical practice and research.
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  • There is an increasing number of older breast cancer patients with complex health issues, and understanding how body weight affects their treatment outcomes is important for developing optimal strategies.
  • A study analyzed data from 1,076 patients aged 70 and older who had curative surgery, categorizing them based on body mass index (BMI) to explore the link between body physique and prognosis.
  • Results showed that underweight patients had lower chemotherapy rates and shorter overall survival compared to those with normal or higher BMI, suggesting that weight should be a key consideration in treatment planning for older breast cancer patients.
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