Publications by authors named "Sho Nakai"

Effective therapeutic strategies for epithelioid sarcoma (EpS), a high-grade soft tissue sarcoma characterized by loss of integrase interactor 1 (INI1), have not yet been developed. The present study therefore investigated the association between INI1 loss and upregulation of the aurora kinase A (AURKA)/polo-like kinase 1 (PLK1)/cell division cycle 25C (CDC25C) axis, as well as the therapeutic relevance of this axis in EpS. Notably, our findings showed that the reintroduction of INI1 in VA-ES-BJ cells significantly reduced proliferation, mitigated tumorigenicity, and negatively regulated the expression of AURKA and its downstream effectors, as well as the activation of PLK1 and CDC25C.

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  • Osteosarcoma exhibits distinct genetic features between younger and elderly patients, influencing their treatment responses.
  • Genetic analysis of 204 patients revealed specific mutations associated with age, indicating that younger patients tend to have alterations like CCNE1 and MYC, while older patients show changes like CDK4 and MDM2.
  • The study concludes that understanding these genetic differences could enhance chemotherapy selection and treatment strategies for osteosarcoma, advocating for the early use of cancer genome profiling.
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  • * The patient group consisted of nearly equal numbers of men and women, with a mean age of 62 years, and the UE procedures were performed by various types of surgeons, including plastic, orthopedic, and general surgeons.
  • * Results showed high rates of inappropriate surgical techniques, with many patients requiring re-excisions and subsequent soft-tissue reconstruction, highlighting the need for improved education on sarcoma management for all surgeons.
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  • Retroperitoneal dedifferentiated liposarcoma has a high recurrence rate, and this study seeks to identify effective surgical treatment strategies for recurrent cases.
  • Analysis of 118 patients showed that the first and second surgeries significantly improved overall survival, while no major benefits were seen after a third surgery.
  • Prognosis is influenced by tumor malignancy level, with low-grade tumors having better outcomes post-surgery compared to high-grade malignancies, suggesting careful consideration is needed before repeated surgeries.
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  • * A case study focusing on a 51-year-old man with advanced UPS showed significant positive response to the drug pazopanib, which targets multiple cancer-related proteins.
  • * Genomic analysis identified coamplification of specific genes linked to patient response; after 3 years on pazopanib, the tumor shrank, indicating this genetic profile may predict better treatment outcomes.
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Dermatofibrosarcoma protuberans (DFSP) is a locally aggressive superficial mesenchymal neoplasm characterized by monomorphic spindle-cell proliferation with a storiform pattern. It can demonstrate pigmentation, myxoid changes, myoid differentiation, plaque-like growth, and fibrosarcomatous features; its varied presentation often complicates diagnosis. We report an extremely rare case of fibrosarcomatous DFSP with features reminiscent of a pleomorphic hyalinizing angiectatic tumor (PHAT) in a 73-year-old male.

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Synovial sarcoma (SS), a rare subtype of soft-tissue sarcoma distinguished by expression of the fusion gene SS18-SSX, predominantly affects the extremities of young patients. Existing anticancer drugs have limited efficacy against this malignancy, necessitating the development of innovative therapeutic approaches. Given the established role of SS18-SSX in epigenetic regulation, we focused on bromodomain and extra-terminal domain protein (BET) inhibitors and epigenetic agents.

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Background: Trabectedin binds covalently to the DNA minor groove and causes DNA to bend toward the main groove, then trabectedin regulates the transcription of the involved genes in cell proliferation or acts on the mononuclear phagocyte system in tumors, which contributes to its antitumor effects. Several clinical trials confirmed the efficacy of trabectedin for patients with advanced soft tissue sarcoma (STS) although clinically useful biomarkers remained unidentified. This study aimed to identify prognostic factors of trabectedin treatment, especially focusing on the systemic inflammatory, immune response, and nutritional status.

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Background: We investigated whether non-enhancement MRI features, including measurement of the heterogeneity of the tumor with MR T2 imaging by calculating coefficient of variation (CV) values, were associated with the prognosis of non-metastatic malignant peripheral nerve sheath tumors (MPNST).

Methods: This retrospective study included 42 patients with MPNST who had undergone surgical resection (mean age, 50 years ± 21; 20 male participants). Non-enhancement MR images were evaluated for signal intensity heterogeneity on T1- and T2-weighted imaging, tumor margin definition on T1- and T2-weighted imaging, peritumoral edema on T2-weight imaging, and CV.

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Sarcoma is a rare type of cancer for which new therapeutic agents are required. Ferroptosis is a nonapoptotic cell death triggered by iron-mediated lipid peroxidation. We found that TFRC, an iron uptake protein, was expressed at higher levels in sarcoma cell lines than in noncancer and carcinoma cell lines.

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  • Clear cell sarcoma (CCS) is a rare and aggressive cancer with no effective treatment, driven by a fusion gene that researchers targeted in this study.
  • High-throughput drug screening identified vorinostat, a histone deacetylase inhibitor, as effective in reducing the fusion gene’s expression, though it only slightly altered the chromatin structure around the gene.
  • Combining vorinostat with the BRD4 inhibitor JQ1 showed a synergistic effect in suppressing CCS cell proliferation, highlighting a new therapeutic strategy for treating tumors linked to fusion genes.
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Malignant giant-cell tumors are extremely rare bone sarcomas that transform from conventional giant-cell tumors during long periods of treatment. Owing to their rarity, no further analysis of their molecular pathogenesis exists, and thus, no standard treatment has been established. Recently, organoid culture methods have been highlighted for recapturing the tumor microenvironment, and we have applied the culture methods and succeeded in establishing patient-derived organoids (PDO) of rare sarcomas.

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  • * A review of medical records from 2004 to 2018 identified eight patients who underwent ten local surgeries at areas previously treated with CIRT, with reasons including skin toxicity, bone collapse, and tumor regrowth.
  • * While local surgery is deemed feasible for select patients post-CIRT, particularly those with bone-related issues, careful monitoring of infection risks and the prescribed irradiation dose at surgical sites is crucial.
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  • * Researchers treated two patients with epithelioid sarcoma, successfully cultivating organoids through an air-liquid interface method and subsequently xenografting them into mice for further analysis.
  • * The established organoids maintained characteristics similar to the original tumors, allowing histological and genetic comparison, which could aid in better understanding and treatment of sarcoma types.
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Background: Few studies have described the characteristics and prognostic factors of patients with metastatic extrauterine leiomyosarcoma (euLMS). Therefore, we retrospectively investigated the clinicopathological features, clinical outcomes, and prognostic factors of patients with euLMS. Methods: We recruited 61 patients with metastatic euLMS treated from 2006 to 2020 and collected and statistically analyzed information on patient-, tumor-, and treatment-related factors.

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Introduction: Few studies have described the characteristics and prognostic factors of patients with malignant peripheral nerve sheath tumour (MPNST). In this study, we retrospectively investigated the clinicopathological features, clinical outcomes, and prognostic factors of these patients. .

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Retroperitoneal sarcomas are rare neoplasms that occur in the retroperitoneum. Complete surgical resection is the only effective treatment option. The prediction of prognosis by histological diagnosis has not yet been established.

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  • Pelvic osteosarcoma has a worse prognosis than other types, and its poor outcomes are linked to factors like older age, larger tumor size, and higher rates of metastasis at diagnosis.
  • The study compared pelvic osteosarcoma to femoral osteosarcoma using data from the Bone Tumor Registry in Japan and used statistical analysis to assess the impact of surgical treatment.
  • Results suggest that surgical resection can improve survival rates for pelvic osteosarcoma, and decisions about surgery should consider the tumor stage and the patient's age.
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  • Soft tissue sarcomas (STSs) are challenging cancers with limited treatment options, leading to the development of T cells equipped with a CAR targeting VEGFR2, aimed at improving therapy effectiveness.
  • The study highlighted the optimization of CAR-T cell production, demonstrating that while certain additives didn’t enhance stability, using CleanCap improved CAR expression and cytotoxicity against VEGFR2.
  • Despite the presence of VEGFR2 in normal tissues which requires careful monitoring for side effects, the significant expression of VEGFR2 in STS specimens supports initiating human trials for this new therapy approach.
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  • * TAS-115 is a new drug that targets multiple receptor tyrosine kinases and is being tested in clinical trials, showing promise in slowing tumor growth and lung metastasis in mouse models of osteosarcoma.
  • * The research indicates that TAS-115 works by inhibiting specific signaling pathways related to tumor growth, which are also active in human osteosarcoma cell lines, making it a potential new treatment option.
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Background: Chondroblastoma (CB) is a rare locally aggressive bone tumor that commonly occurs in the epiphysis or apophysis of long bones. Although surgical treatment of CB carries potential risk for physeal or articular cartilage damage, risk factors for joint degeneration have not been well described. In addition, we have mainly used synthetic bone substitute (SBS) to fill the bone defect after intralesional curettage as treatment for CB.

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Clear cell sarcoma (CCS) is a rare but chemotherapy-resistant and often fatal high-grade soft-tissue sarcoma (STS) characterized by melanocytic differentiation under control of microphthalmia-associated transcription factor (MITF). Eribulin mesilate (eribulin) is a mechanistically unique microtubule inhibitor commonly used for STS treatment, particularly liposarcoma and leiomyosarcoma. In this study, we examined the antitumor efficacy of eribulin on four human CCS cell lines and two mouse xenograft models.

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Approximately 60-70% of EWSR1-negative small blue round cell sarcomas harbour a rearrangement of CIC, most commonly CIC-DUX. CIC-DUX sarcoma (CDS) is an aggressive and often fatal high-grade sarcoma appearing predominantly in children and young adults. Although cell lines and their xenograft models are essential tools for basic research and development of antitumour drugs, few cell lines currently exist for CDS.

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