Publications by authors named "Tamotsu Ebihara"

Atopic dermatitis (AD) shows frequent recurrence. Staphylococcus aureus is the primary microbial component in AD and is associated with disease activity. However, traditional typing methods have failed to characterize virulent AD isolates at the clone level.

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Purpose: Topical calcineurin inhibitors (TCIs) are an important anti-inflammatory drug for treating atopic dermatitis (AD). However, those treatment responses are variable. In this study, we stratified AD patients by patterns of response to remission maintenance therapy (proactive therapy) with topical tacrolimus, a typical TCI.

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Loss-of-function mutations of filaggrin (FLG) gene (FLG) are the strongest known genetic risk factor for atopic dermatitis (AD). It is still debatable how FLG gene mutations and the resulting abnormal amount of FLG protein contribute to skin barrier function and symptoms of AD. In this study, we examined the effects of loss-of-function mutations of FLG gene on the severity of skin lesions and skin barrier function in 55 patients with AD by evaluating eight patients with AD with FLG gene mutations and 47 patients with AD without mutations.

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SARS-CoV-2 whole-genome sequencing of samples from COVID-19 patients is useful for informing infection control. Datasets of these genomes assembled from multiple hospitals can give critical clues to regional or national trends in infection. Herein, we report a lineage summary based on data collected from hospitals located in the Tokyo metropolitan area.

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Article Synopsis
  • * Transepidermal water loss (TEWL) is a standard method for assessing skin barrier function, but it is often too slow for daily use in clinics.
  • * The study introduced a new method using topological data analysis (TDA) on skin images, finding a strong link between TDA features and TEWL, and developed machine-learning models that accurately predict TEWL with these features.
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Background: Atopic dermatitis (AD) is heterogenous in terms of phenotype as well as genetic and environmental factors, while its associated genetic factors and pathophysiology are not fully understood.

Objective: We identify novel genetic factors enriched in a subgroup of AD patients with characteristic clinical features.

Methods: We clinically subgrouped 18 AD patients who exhibited distinctive characteristic of persistent skin eruption areas on the face and neck from 92 Japanese adult AD patients and identified disease-associated genetic factors enriched within the subgroup.

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Atopic dermatitis (AD) is a disease characterized by relapsing eczema with pruritus as a primary lesion, which is frequently encountered in clinical practice. Skin barrier dysfunction leads to enhanced skin irritability to non-specific stimuli and epicutaneous sensitization. In the lesion site, a further inflammation-related reduction in skin barrier function, enhanced irritability and scratching-related stimuli deteriorate eczema, leading to vicious cycle of inflammation.

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Aim: An investigator-initiated clinical study was carried out to evaluate the therapeutic potency of SR-0379 for the treatment of leg ulcers in patients with Werner syndrome.

Methods: A multicenter, open-label study was carried out from September 2017 to February 2018. The inclusion criteria for leg ulcers were: (i) leg ulcers in patients with Werner syndrome, diabetes or critical limb ischemia/venous stasis; and (ii) a wound size of >1 cm and <6 cm in diameter.

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Article Synopsis
  • - Atopic dermatitis (AD) is a recurring skin condition marked by itchy eczema, which requires a combination of treatments for effective management.
  • - In Japan, primary treatment strategies include using topical corticosteroids and tacrolimus ointment, applying emollients to improve skin hydration, and avoiding triggers while providing psychological support.
  • - Clinical guidelines emphasize the need for evidence-based practices, encouraging healthcare providers to assess research, weigh the pros and cons of treatments, and improve patient outcomes through informed decision-making.
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Rationale: Little is known about the role of Aspergillus precipitating antibody (APAb) in patients with Mycobacterium avium complex lung disease (MAC-LD).

Objectives: We investigated the clinical characteristics of patients with MAC-LD positive for APAb.

Methods: We conducted a cross-sectional study targeting patients with MAC-LD.

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SR-0379 is a functional peptide that has wound healing effect with anti-microbial action, making it an ideal drug to prevent infection. To evaluate the safety, efficacy, and pharmacokinetics of SR-0379 for the treatment of leg ulcers, a physician-initiated, phase I/IIa, first-in-patient clinical study was designed. A multi-center, double-blind, randomized clinical study was conducted from October 2015 to September 2016.

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Background And Aim: Minocycline therapy for acne vulgaris is associated with the occasional induction of various types of unsightly and often persistent hyperpigmentation, which is frequently resistant to hydroquinone treatment. Pigment-specific lasers have achieved some success with multiple treatment sessions. Recently, the picosecond domain 755 nm alexandrite laser (ps-Alex) has attracted attention in tattoo removal.

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Thin-film electronic devices can be integrated with skin for health monitoring and/or for interfacing with machines. Minimal invasiveness is highly desirable when applying wearable electronics directly onto human skin. However, manufacturing such on-skin electronics on planar substrates results in limited gas permeability.

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Article Synopsis
  • * In Japan, effective treatments for AD focus on three main approaches: using topical corticosteroids and tacrolimus for inflammation, applying emollients for skin barrier support, and avoiding triggers while offering psychological support.
  • * Guidelines suggest a thorough review of clinical research to weigh the pros and cons of treatments and enhance patient outcomes based on informed decision-making in medical practice.
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Skin care with moisturizers to compensate for dry skin and decreased barrier function, and to prevent recurrence of inflammation is thought to be very important for management of atopic dermatitis. However, many patients cannot continue the use of moisturizing medications because of unpleasantness. Cosmetics may be able to compensate for such deficiencies.

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Background: The stratum corneum and tight junctions (TJs) form physical barriers in the epidermis. Dendrites of activated Langerhans cells (LCs) extend beyond the TJs to capture external antigens in mice. LCs and inflammatory dendritic epidermal cells (IDECs) are observed in the skin of patients with atopic dermatitis (AD).

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Background: Filaggrin (FLG) is a major protein component of the stratum corneum (SC) layer, and FLG loss-of-function mutations are a predisposing factor for atopic dermatitis (AD). Previous cohort studies of children from northern and western Europe have reported FLG loss-of-function mutation frequencies of 15.1-20.

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Purpose: To assess the drug concentrations and elimination rate of ketoprofen in the stratum corneum following topical administration of two different formulations in human subjects for reference in the risk management of photocontact dermatitis caused by topical ketoprofen.

Methods: Ketoprofen tape and gel were used as test formulations. The stratum corneum at the application sites was removed by tape-stripping at scheduled times after removal of the formulations.

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Synopsis of recent research by authors named "Tamotsu Ebihara"

  • - Tamotsu Ebihara's research primarily focuses on atopic dermatitis (AD), exploring its genetic factors, skin barrier function, and treatment responses, particularly in the context of Japan.
  • - His recent studies include comprehensive genomic characterizations of Staphylococcus aureus in AD patients, assessing the impact of filaggrin gene mutations on disease severity, and assessing treatment stratification based on patient responses to therapies.
  • - Ebihara also emphasizes the need for evidence-based guidelines in AD management, demonstrating the importance of personalized treatment approaches based on genetic and phenotypic analysis.