Publications by authors named "Uchimura K"

Spinal cord injury (SCI) results in damage to neural circuits that cause long-term locomotor and sensory disability. The objective of the present study is to evaluate whether a clinical drug, protamine, can be employed as a therapeutic agent for SCI. First, we examined the rescue effect of protamine on dystrophic endballs (DEs) cultured on a chondroitin sulfate (CS) gradient coating.

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  • The study investigates the effectiveness of cryobiopsy compared to conventional biopsy methods for diagnosing peripheral pulmonary lesions (PPLs) with ground-glass opacity (GGO), finding that cryobiopsy leads to significantly higher diagnostic yields.
  • A total of 553 patients were analyzed, with a comparison between 250 cases who had cryobiopsy and 303 who had conventional biopsies, leading to a matched analysis of 232 pairs with enhanced results for the cryo group.
  • While cryobiopsy showed a diagnostic yield of 88.8% versus 63.8% for conventional methods, it was associated with a higher incidence of bleeding complications, though no grade 4 bleeding was reported.
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Background & Objectives: Worry and loss-related secondary stressors appear to be important correlates of problematic grief responses. However, the relative importance of these variables in the context of established correlates of grief responding, ranging from indicators of identity disruption and demographic characteristics of the bereaved to characteristics of the loss of quality of the relationship with the deceased, is unknown. Modeling the relative associations of these factors can be problematic, given the high degree of collinearity between these variables.

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The tumor suppressor TP53 gene, the most frequently mutated gene in human cancers, produces the product tumor protein p53, which plays an essential role in DNA damage. p53 protein mutations may contribute to tumorigenesis by loss of tumor suppressive functions and malignancy of cancer cells via gain-of-oncogenic functions. We previously reported that mutant p53 proteins form aggregates and that cytoplasmic p53 aggregates were associated with poor prognosis in human ovarian cancer.

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Background: Mid-treatment cross-border migration of patients with TB increases the risk of treatment interruption.

Objective: To establish a cross-border referral process for patients with TB in Japan, and enhance their access to health facilities and treatment outcomes.

Design: This prospective cohort study describes and assesses the process of foreign-born patients with TB who returned to their home countries during treatment, focusing on their access to healthcare facilities and treatment outcomes.

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Schwannomas are classified as neurogenic tumors and are the most frequent nerve sheath tumors in the paravertebral mediastinum. Recently, the addition of endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB) using standard-sized biopsy forceps (SBFs) to endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for metastatic lymph nodes in lung cancer patients reportedly improved the quality and quantity of the obtained specimens without significant complications. However, reports on the usefulness of this technique for benign diseases remain scarce.

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  • A 49-year-old man diagnosed with fulminant myocarditis experienced severe heart issues and ultimately did not recover, despite advanced medical support.
  • His condition deteriorated, leading to complications like sepsis and gastrointestinal bleeding, resulting in his death 27 days later.
  • Autopsy revealed widespread myocardial calcification, with calcification affecting every heart cell in the left ventricle, linking the condition to poor outcomes.
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We recently showed that 6-sulfo sialyl -acetyllactosamine (LacNAc) in -linked glycans recognized by the CL40 antibody is abundant in the pleural mesothelium under physiological conditions and that these glycans undergo complementary synthesis by GlcNAc6ST2 (encoded by ) and GlcNAc6ST3 (encoded by ) in mice. GlcNAc6ST3 is essential for the synthesis of R-10G-positive keratan sulfate (KS) in the brain. The predicted minimum epitope of the R-10G antibody is a dimeric asialo 6-sulfo LacNAc.

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  • Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is effective for diagnosing advanced-stage lung cancer, but sometimes produces samples with blood contamination, making them inadequate for treatment decisions.
  • Researchers introduced a larger 1.9-mm standard-sized forceps biopsy (SFB) to see if it could enhance specimen quality compared to the smaller 0.96-mm miniforceps biopsy (MFB).
  • In a study with 60 patients, SFB demonstrated higher diagnostic yield and significantly larger sample size compared to MFB, showing its potential for better quality specimens necessary for effective treatment planning.
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Objective: This study aims to compare the epidemiology of notifications of latent tuberculosis infection (LTBI) among Japan-born and foreign-born children in Japan between 2010 and 2020, and to assess the language used during LTBI case interviews with parents or caregivers of foreign-born children with LTBI during 2019.

Methods: Our study consisted of two parts: (1) an analysis of national data from the Japan Tuberculosis Surveillance (JTBS) system on the epidemiology of LTBI among Japan-born and foreign-born children in Japan, and (2) a survey of staff at public health centres that had registered at least one foreign-born child aged ≤ 14 years with LTBI. Data were extracted from the JTBS system for all children aged ≤ 14 years who were newly notified as having LTBI between 2010 and 2020, and analysed to determine trends, characteristics and treatment outcomes.

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Background: Age-period-cohort (APC) analysis has been employed to differentiate long-term trends in the incidences of communicable diseases, including tuberculosis (TB), into the effects of age, birth year, and calendar period. However, no such study was hitherto conducted for Japan, which has 70 years of surveillance data. Therefore, we conducted APC analysis for TB in Japan.

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  • EBUS-TBNA is a key method for staging nodal involvement in patients with non-small cell lung cancer (NSCLC), but it can sometimes fail, and the study aimed to identify reasons for this failure.
  • Out of 264 patients analyzed, 21 experienced nodal staging failures, with notable causes including difficult-to-reach nodes, false positives in rapid on-site evaluations, and non-significant ultrasound findings.
  • The study found a higher failure rate in adenocarcinoma patients with specific driver oncogenes, indicating that these cases require careful interpretation during staging to avoid misdiagnosis.
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  • * Research demonstrated that while A2-17 undergoes a coil-to-helix transition upon binding to lipid membranes, its constrained analogs do not penetrate cells effectively; StchA2-17 remains on the cell surface.
  • * The study concludes that the structural flexibility of A2-17 enhances its ability to perturb lipid membranes and induce charge influx, contributing to its superior cell penetration ability.
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Comprehensive genomic profiling (CGP) is implemented to detect actionable gene aberrations and design matched therapies. Although malignant thoracic tumors are commonly detected through respiratory endoscopy, it is questionable whether the small specimens obtained thereof are sufficient for CGP. Therefore, this study aimed to investigate the suitability of respiratory endoscopy for sampling primary and metastatic thoracic tumors for CGP.

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  • Cryobiopsy is a new technique for biopsying lung tumors that appears to provide higher quality and larger tissue samples compared to traditional forceps methods, although its impact on immunohistochemistry (IHC) results is not fully understood.
  • A retrospective study analyzed the IHC assessment of specific cancer markers in cryobiopsy samples versus forceps biopsy samples from patients with non-small cell lung carcinoma (NSCLC), revealing high concordance rates.
  • The study concluded that the freezing and thawing from cryobiopsy do not significantly affect IHC results, suggesting that this method is beneficial for precision medicine and cancer research.
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Background: The use of endobronchial Watanabe spigots for intractable secondary pneumothorax in patients with cancer has not been adequate. This study aimed to investigate the use of endobronchial Watanabe spigots for intractable pneumothorax in patients with malignant tumors.

Methods: Consecutive patients with malignant tumors who underwent occlusion with an endobronchial Watanabe spigot for intractable pneumothorax associated with perioperative treatment or drug therapy at our institution between January 2014 and February 2022 were reviewed.

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Introduction: Several studies have reported kidney injury caused by immune checkpoint inhibitors, and proteinuria caused by vascular endothelial growth factor inhibitors for unresectable hepatocellular carcinoma (u-HCC). We investigated the relationship between renal function and prognosis in patients with u-HCC receiving atezolizumab and bevacizumab (AB) and lenvatinib (LEN) therapy.

Methods: Fifty-one patients who received AB and 50 patients who received LEN therapy were included.

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Prostasin (PRSS8) is a serine protease that metabolizes and moderates the effect of specific substrates. Epidermal growth factor receptor (EGFR), which modulates insulin secretion and pancreatic β-cell proliferation, is regulated via proteolytic shedding by PRSS8. We first detected PRSS8 expression in β-cells of pancreatic islets of mice.

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Since 2015, Japanese researchers have made great progress in developing a method to differentiate human pluripotent stem cells (hPSCs) into kidney organoids. Protocols have been established to produce increasingly complex three-dimensional (3D) structures, which are used as a human kidney disease model and adapted for high-throughput screening. During this period, single-cell RNA sequencing (scRNA-seq) technology was developed to perform a comprehensive analysis at the single-cell level.

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