Publications by authors named "T Shimosawa"

Intrauterine growth restriction (IUGR) is a risk factor for postnatal cardiovascular, metabolic, and psychiatric disorders. In most IUGR models, placental dysfunction that causes reduced 11β-hydroxysteroid dehydrogenase 2 (11βHSD2) activity, which degrades glucocorticoids (GCs) in the placenta, resulting in fetal GC overexposure. This overexposure to GCs continues to affect not only intrauterine fetal development itself, but also the metabolic status and neural activity in adulthood through epigenetic changes such as microRNA change, histone modification, and DNA methylation.

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In this review, we review the current status of biomarkers for aging and possible perspectives on anti-aging or rejuvenation from the standpoint of biomarkers. Aging is observed in all cells and organs, and we focused on research into senescence in the skin, musculoskeletal system, immune system, and cardiovascular system. Commonly used biomarkers include SA-βgal, cell-cycle markers, senescence-associated secretory phenotype (SASP) factors, damage-associated molecular patterns (DAMPs), and DNA-damage-related markers.

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Article Synopsis
  • ARBs and CCBs are commonly used treatments for hypertension in older Japanese patients, but ARBs may be less effective due to age-related changes in renin activity.
  • The ESCORT-HT study aims to test esaxerenone as a second-line treatment for these patients already on CCBs, comparing its effectiveness in lowering blood pressure to that of ARBs.
  • The study will evaluate both the efficacy and safety of esaxerenone, with the primary goal of seeing if it can lower systolic BP to a degree similar to ARBs in older adults with uncontrolled hypertension.
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Background: Hypoxia plays a crucial role in regulating various cellular functions, including ion-transport mechanisms in the kidney. The sodium-chloride co-transporter (NCC) is essential for sodium reabsorption in the distal convoluted tubule (DCT). However, the effects of hypoxia on NCC expression and its regulatory pathways remain unclear.

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