Publications by authors named "Tokita Y"

Background: The Japanese Hypertrophic Cardiomyopathy Registry Study was designed to provide comprehensive, real-world insights into the clinical characteristics and management of hypertrophic cardiomyopathy (HCM) in Japan.

Methods: This multicentre, prospective study enrolled consecutive patients with HCM from 24 referral hospitals across Japan starting in 2016. The baseline characteristics of 1485 patients enrolled by December 2019 are presented in this analysis.

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We appreciate the comments from Arshad et al. regarding our study on long-term outcomes of alcohol septal ablation (ASA) for hypertrophic obstructive cardiomyopathy (HOCM) in Japan. Addressing concerns about sex-related differences, our analyses revealed no significant differences between men and women in overall mortality (log-rank P = 0.

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Background: Alcohol septal ablation (ASA) is used to treat drug-refractory hypertrophic obstructive cardiomyopathy (HOCM). Intraprocedural echocardiography is essential for identifying the septal area perfused by each septal branch; however, its role in determining the procedural endpoint of ASA remains unclear. This retrospective study aimed to evaluate the impact of intraprocedural echocardiographic findings on clinical outcomes and left ventricular pressure gradient (LVPG) after ASA.

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  • Aquaporin 2 (AQP2) is essential for water reabsorption and urine concentration, and its localization in kidney cells is influenced by anti-diuretic hormones, making it a target for specific medications.
  • This study looked at how Goreisan (GRS), a traditional Japanese herbal medicine, affects urine production and AQP2 levels in mice, particularly under conditions induced by desmopressin.
  • Findings revealed that GRS enhances diuretic effects by temporarily raising calcium levels in cells and decreasing the accumulation of phosphorylated AQP2 at the kidney's luminal surface, thus helping to regulate urine volume.
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Hypertrophic cardiomyopathy is characterized by significant left ventricular wall thickening, often leading to obstructive symptoms. Alcohol septal ablation (ASA) has emerged as an effective treatment for patients with hypertrophic obstructive cardiomyopathy (HOCM) who remain symptomatic despite maximal medical therapy. However, the detailed long-term effects of ASA in Japanese patients with HOCM remain unclear.

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Background: This study aimed to develop a therapeutic agent promoting teeth regeneration from autologous tissues for congenital tooth agenesis, specifically for hypodontia (≤5 missing congenital teeth, 10% prevalence) and oligodontia (≥6 missing congenital teeth, 0.1% prevalence).

Highlight: We studied mice genetically deficient in the USAG-1 protein, an antagonist of BMP/Wnt which forms excessive teeth.

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In this study, we investigate the scope of molybdenum disulfide (MoS) as an electric field sensor. We show that MoS sensors can be used to identify the polarity as well as to detect the magnitude of the electric field. The response of the sensor is recorded as the change in the drain current when the electric field is applied.

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Red blood cell (RBC) transfusion therapy is often performed in patients with acute heart failure (AHF) and anemia; however, its impact on subsequent cardiovascular events is unclear. We examined whether RBC transfusion influences major adverse cardiovascular events (MACE) after discharge in patients with AHF and anemia.We classified patients with AHF and anemia (nadir hemoglobin level < 10 g/dL) according to whether they received RBC transfusion during hospitalization.

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  • This study investigates the role of fractional excretion of urea nitrogen (FEUN) in identifying worsening renal function (WRF) and its relationship with outcomes in patients with acute heart failure (AHF).
  • Among 1,103 AHF patients, those with WRF had significantly higher rates of heart failure readmission, particularly when FEUN values were low or high.
  • The findings suggest that monitoring FEUN can help predict which AHF patients may have poor outcomes related to renal function, emphasizing its clinical importance in managing these patients.
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  • Congenital tooth agenesis results from issues in important genes linked to tooth development, particularly those in the Wnt signaling pathway.
  • Researchers used exome sequencing and Sanger sequencing to study the genetic reasons for sporadic congenital tooth agenesis.
  • They discovered a new single-nucleotide deletion in the WNT10A gene that wasn't present in the patient's healthy parents, confirming it as the genetic cause of the tooth agenesis.
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Successive Kumada-Tamao catalyst-transfer condensation polymerization of 2-bromo-5-chloromagnesio-3-hexylthiophene and Suzuki-Miyaura end-functionalization with pinacol arylboronate in one pot afforded poly(3-hexylthiophene) (P3HT) with a base-sensitive functional group at both ends. The use of poly(methyl methacrylate) (PMMA) bearing a boronic acid ester moiety at one end enabled one-pot synthesis of PMMA--P3HT--PMMA triblock copolymer.

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  • Researchers created two rat antibodies against soluble very low-density lipoprotein receptor (sVLDL-R) to develop a sensitive ELISA for measuring sVLDL-R levels in human serum or plasma.
  • The assay was reliable, with a linear detection range from 0.20 ng/mL to 13.02 ng/mL and a low coefficient of variation under 10% for measurements.
  • Findings indicated that lower sVLDL-R levels were linked to higher body fat, triglycerides, and HbA1c levels, potentially highlighting issues related to obesity and diabetes in middle-aged Japanese women.
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Patients with hypertrophic cardiomyopathy (HCM) may progress to the dilated phase (DHCM). This study aimed to identify the predictive factors for DHCM progression, including left ventricular (LV) ejection fraction (LVEF < 50%) or decreased LV contraction (LVEF < 60%). The study included 291 patients enrolled in our hospital's HCM registry who were grouped based on their poststudy LVEF (LVEF of ≥60%, 50-59%, and <50%).

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Although the primary percutaneous coronary intervention (PCI) is an established treatment for acute ST-elevation myocardial infarction (STEMI), relevant guidelines do not recommend it for recent-STEMI cases with a totally occluded infarcted related artery (IRA). However, PCI is allowed in Japan for recent-STEMI cases, but little is known regarding its outcomes. We aimed to examine the details and outcomes of PCI procedures in recent-STEMI cases with a totally occluded IRA and compared the findings with those in acute-STEMI cases.

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  • The study explores the use of fractional excretion of urea nitrogen (FEUN) as a marker for assessing volume status in heart failure patients with chronic kidney disease.
  • It analyzes 516 patients and finds that those with medium FEUN values have lower rates of heart failure readmission compared to those with low, high, or extremely high FEUN values.
  • The results suggest that FEUN could help in risk stratification for post-discharge readmissions in these patients, indicating the need for careful volume management.
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The lack of treatment options for congenital (0.1%) and partial (10%) tooth anomalies highlights the need to develop innovative strategies. Over two decades of dedicated research have led to breakthroughs in the treatment of congenital and acquired tooth loss.

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Congenital tooth agenesis is one of the most common anomalies in humans. Many genetic factors are involved in tooth development, including MSX1, PAX9, WNT10A, and LRP6. Thus, mutations in these genes can cause congenital tooth agenesis in humans.

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Aims: Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic inflammatory condition of the bladder. However, there are only a few medicines that are of pharmaceutical grade and reliably effective for IC/BPS symptoms. Choreito (CRT) is a pharmaceutical-grade Kampo medicine and has been widely prescribed for patients of lower urinary tract symptoms (LUTS) and BPS in Japan.

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Background: Chronic total occlusion (CTO) is a high-risk factor for stent thrombosis, but little is known about the difference in neointimal healing between CTO and non-CTO lesions regarding implanted stents. We investigated factors affecting neointimal healing after stent implantation for CTO and non-CTO lesions using angioscopy.

Methods: We retrospectively evaluated 106 stents in 85 consecutive patients between March 2016 and July 2020.

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Dystrophinopathy is caused by alterations in DMD. Approximately 1% of patients remain genetically undiagnosed, because intronic variations are not detected by standard methods. Here, we combined laboratory and in silico analyses to identify disease-causing genomic variants in genetically undiagnosed patients and determine the regulatory mechanisms underlying abnormal DMD transcript generation.

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  • Percutaneous coronary artery intervention (PCI) can block the sinus node branch (SNB), potentially causing sinus arrest (SA), but SA usually resolves on its own.
  • In a reported case, SA after PCI led to complications like left atrial appendage thrombus and cardiogenic cerebral embolism, ultimately resulting in the patient's death.
  • The case highlights the need to consider the risks of adverse events from PCI-induced SA and discusses strategies for preventing complications like cerebral embolism.
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  • The study assesses the safety and effectiveness of a subxiphoid anterior approach for pericardiocentesis, comparing it with an ultrasound-guided apical approach in patients with chronic pericardial effusions.
  • Retrospective analysis of 85 procedures in 72 stable patients showed a higher success rate for the subxiphoid approach (98.1%) compared to the apical approach (93.8%), with no cardiac perforations in the subxiphoid group.
  • The use of sagittal axis chest CT imaging helped guide the puncture direction accurately for the subxiphoid approach, demonstrating its feasibility and safety for managing chronic effusions.*
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