Publications by authors named "T Hagihara"

Gastric cancer (GC) is a major cause of global cancer mortality with high levels of heterogeneity. To explore geospatial interactions in tumor ecosystems, we integrated 2,138 spatial transcriptomic regions-of-interest (ROIs) with 152,423 single-cell expression profiles across 226 GC samples from 121 patients. We observed pervasive expression-based intratumor heterogeneity, recapitulating tumor progression through spatially localized and functionally ordered subgroups associated with specific immune microenvironments, checkpoint profiles, and genetic drivers such as SOX9.

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Introduction: Pressurized intraperitoneal aerosol chemotherapy-oxaliplatin (PIPAC-OX) induces direct DNA damage and immunogenic cell death in patients with gastric cancer peritoneal metastases (GCPM). Combining PIPAC-OX with immune checkpoint inhibition remains untested. We conducted a phase I first-in-human trial evaluating the safety and efficacy of PIPAC-OX combined with systemic nivolumab (NCT03172416).

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Article Synopsis
  • The study investigates the genetic and environmental factors that lead to peritoneal metastasis (PM) in gastric cancer (GC), which typically has a poor prognosis.
  • Researchers conducted a detailed analysis of samples from 326 patients, looking at various genetic and expression changes in tumors and their surroundings.
  • Findings revealed specific genetic mutations and tumor microenvironment characteristics that enhance the risk of PM, along with potential therapeutic targets to improve treatment strategies for patients with GC.
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Article Synopsis
  • * This study created a specific 18-nucleotide ASO (SY-ODN18) that effectively activates TLR9, demonstrating that an unmethylated CpG motif at the beginning is crucial for this activation.
  • * The research also found that using sugar-modified nucleotides in ASO designs decreases TLR9 stimulation, which is a key consideration for developing effective ASO-based drugs.
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Background: Conversion surgery (CS) after chemotherapy is weakly recommended as a promising tool for improving prognoses in patients with unresectable gastric cancer. Moreover, several investigators have demonstrated the clinical efficacy of subtotal gastrectomy (sTG) with a small remnant stomach for the nutritional status and surgical outcome compared with total gastrectomy. Here, we report a patient with liver metastasis from human epidermal growth factor receptor 2 (HER2)-positive gastric cancer who underwent sTG and hepatectomy after trastuzumab-based chemotherapy.

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