Publications by authors named "Tomonobu Hasegawa"

Article Synopsis
  • The study investigates the prevalence and clinical characteristics of monogenic disorders in Japanese patients with 46,XY differences of sex development (DSD).
  • Out of 185 patients, 26% were found to have pathogenic variants in specific genes associated with DSD, with notable differences in proportions based on genital formation.
  • The findings suggest that monogenic disorders are more common in patients exhibiting female-typical genitalia and those with Müllerian derivatives.
View Article and Find Full Text PDF
Article Synopsis
  • - The study focuses on genetic variants of the STAR protein that lead to lipoid congenital adrenal hyperplasia, a condition marked by disrupted steroid production in adrenal glands and gonads.
  • - Researchers created genetically modified Y1 mouse tumor cells, which showed a slight ability to produce pregnenolone, and displayed changes similar to those found in patients with the condition when stimulated for two weeks.
  • - The modified cells can assess the functionality of both mouse and human STAR proteins, providing a new way to study genetic variants linked to steroidogenesis issues.
View Article and Find Full Text PDF
Article Synopsis
  • Wnt/β-catenin signaling is crucial for developing adrenal glands, and the protein ZNRF3 regulates this pathway by interacting with R-spondin.
  • A deletion in exon 2 of ZNRF3, linked to congenital adrenal hypoplasia in humans, impairs this interaction and affects β-catenin expression.
  • Mice with a similar ZNRF3 deletion exhibit adrenocortical development changes but do not develop congenital adrenal hypoplasia, showing a variation in how this genetic alteration impacts different species.
View Article and Find Full Text PDF

There have been no reports comparing neonatal external genitalia of 5α-reductase deficiency (5αRD) with those of other 46,XY differences of sex differentiation (DSD). This study enrolled 31 Japanese cases of 46,XY DSD whose external genitalia was examined during the neonatal period; four were diagnosed as 5αRD and 15 were defined as non-5αRD by genetic analysis of SRD5A2 or urinary steroid metabolites. We compared the following characteristics between 5αRD and non-5αRD groups, adjusting the severity of undermasculinization of the external genitalia: stretched penile length (SPL), glans width, location of the external urethral opening, and proportion of undescended testis.

View Article and Find Full Text PDF
Article Synopsis
  • HP-LCH is linked to arginine vasopressin deficiency (AVD), but patients typically don’t show changes in their osmotic threshold for thirst (OTT).
  • This case study presents a nine-year-old girl whose hypodipsia (reduced thirst) improved during chemotherapy for HP-LCH, allowing her to feel thirst at previously high serum sodium levels.
  • The findings suggest that chemotherapy may help restore the body's thirst mechanisms in patients with AVD linked to HP-LCH, possibly by alleviating pressure on the hypothalamus.
View Article and Find Full Text PDF

Insufficient thyroid hormone production in newborns is referred to as congenital hypothyroidism. Multinodular goiter (MNG), characterized by an enlarged thyroid gland with multiple nodules, is usually seen in adults and is recognized as a separate disorder from congenital hypothyroidism. Here we performed a linkage analysis of a family with both nongoitrous congenital hypothyroidism and MNG and identified a signal at 15q26.

View Article and Find Full Text PDF

Background: The high prevalence of underweight in young women has become a serious health problem in Japan. When and how young women reach a low body mass index (BMI) has not been clarified.

Aim: To clarify the characteristics of BMI standard deviation scores (BMI SDS) trajectory of young Japanese women with underweight.

View Article and Find Full Text PDF

Context: Thyroglobulin (Tg), encoded by TG, is essential for thyroid hormone synthesis. TG defects result in congenital hypothyroidism (CH). Most reported patients were born before the introduction of newborn screening (NBS).

View Article and Find Full Text PDF

Introduction: The testicular regression syndrome (TRS) is a form of differences of sex development (DSD) in which the testes differentiate and function during early embryonic development, but subsequently regress. The clinical phenotype of TRS often overlaps with that of partial gonadal dysgenesis (PGD). Previous studies have demonstrated a causal association between TRS/PGD and heterozygous missense variants of DHX37.

View Article and Find Full Text PDF

Biallelic pathogenic variants in RMRP, the gene encoding the RNA component of RNase mitochondrial RNA processing enzyme complex, have been reported in individuals with cartilage hair hypoplasia (CHH). CHH is prevalent in Finnish and Amish populations due to a founder pathogenic variant, n.71A > G.

View Article and Find Full Text PDF
Article Synopsis
  • The zona fasciculata (zF) in the adrenal cortex produces glucocorticoids, which have various physiological effects, with characteristics showing a bias towards females.
  • A study found that female mice exhibited higher levels of mRNA and gene expression related to glucocorticoid synthesis, particularly the gene Nr5a1, which influences steroidogenic cell differentiation.
  • The research suggests that androgen may suppress global gene expression via NR5A1, indicating a biological mechanism for sex differentiation driven by glucocorticoid synthesis.
View Article and Find Full Text PDF

We report 2 Japanese infants with hypothyroidism requiring levothyroxine (LT4) replacement therapy following exposure to iodinated contrast media (ICM). Patient 1 was born at 32 weeks gestation. He had congenital heart disease and underwent contrast-enhanced computed tomography (CT) on day 22 (estimated amount of iodine: 600 mg/kg/dose).

View Article and Find Full Text PDF