Publications by authors named "Yamanishi Y"

Motivation: Identifying effective therapeutic targets poses a challenge in drug discovery, especially for uncharacterized diseases without known therapeutic targets (e.g. rare diseases, intractable diseases).

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Background: In 2018, the International Federation of Gynecology and Obstetrics (FIGO) revised its cervical cancer staging system to enhance clinical relevance, notably by categorizing lymph node metastases (LNM) as an independent stage IIIC. This multicenter study evaluates the prognostic implications of the FIGO 2018 classification within a Japanese cohort.

Methods: This study included 1468 patients with cervical cancer.

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Drugs that interact with multiple therapeutic targets are potential high-value products in polypharmacology-based drug discovery, but the rational design remains a formidable challenge. Here, we present artificial intelligence (AI)-based methods to design the chemical structures of compounds that interact with multiple therapeutic target proteins. The molecular structure generation is performed by a fragment-based approach using a genetic algorithm with chemical substructures and a deep learning approach using reinforcement learning with stochastic policy gradients in the framework of generative adversarial networks.

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Cybernetic avatars integrate physical and virtual avatars to enhance human capabilities in diverse scales and contexts.

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Article Synopsis
  • Heart failure (HF) is a significant health issue that requires effective diagnostic and prognostic tools to manage patient outcomes.
  • The study introduces TRAITER, a deep learning model that uses image segmentation and Vision Transformer technology to predict HF likelihood and the potential for left ventricular reverse remodeling (LVRR) based on cardiac tissue images.
  • TRAITER demonstrated high accuracy (83.1% for HF diagnosis and 84.2-92.9% for LVRR prediction) and outperformed existing neural network models, aiming to enhance personalized decision-making in HF treatment.
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Multiherbal medicines are traditionally used as personalized medicines with custom combinations of crude drugs; however, the mechanisms of multiherbal medicines are unclear. In this study, we developed a novel pathway-based method to predict therapeutic effects and the mode of action of custom-made multiherbal medicines using machine learning. This method considers disease-related pathways as therapeutic targets and evaluates the comprehensive influence of constituent compounds on their potential target proteins in the disease-related pathways.

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  • A study conducted in Japan examined the use of comprehensive genomic profiling (CGP) in patients with gynecological cancers, involving nine cancer hospitals and a total of 450 patients.
  • The CGP group had fewer cases of cervical cancer and included younger patients compared to the control group, with significant differences in median ages (54 vs. 65 years).
  • Although only 12.7% of CGP patients received recommended treatments (mostly not covered by insurance), those who did experienced improved survival rates (median 21 months) compared to others in the CGP group (median 11 months).
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: Cerebrospinal fluid (CSF) neopterin reflects inflammation of the central nervous system (CNS) and is a potentially useful biomarker for neuroinflammatory assessment and differential diagnosis. However, its optimal cut-off level in adult patients with neurological disease has not been established and it has not been adequately studied in controls. We aimed to determine its usefulness as a biomarker of neuroinflammation and the effect of age on its level.

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Microvortices are emerging components that impart functionality to microchannels by exploiting inertia effects such as high shear stress, effective fluid diffusion, and large pressure loss. Exploring the dynamic generation of vortices further expands the scope of microfluidic applications, including cell stimulation, fluid mixing, and transport. Despite the crucial role of vortices' development within sub-millisecond timescales, previous studies in microfluidics did not explore the modulation of the Reynolds number (Re) in the range of several hundred.

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Article Synopsis
  • - The study introduces SyndrumNET, a new computational method designed to predict synergistic drug combinations by analyzing the interactions between drugs and diseases through network propagation and trans-omics analyses.
  • - After applying SyndrumNET to six diseases, it showed higher accuracy than previous methods, with 14 out of 17 predicted drug pairs demonstrating effective synergy in cancer treatment during validation, particularly in chronic myeloid leukemia (CML).
  • - The findings suggest that SyndrumNET could significantly aid in identifying effective drug combinations for managing complex diseases, highlighting the importance of pathway regulation in drug synergy.
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Computational molecular generation methods that generate chemical structures from gene expression profiles have been actively developed for de novo drug design. However, most omics-based methods involve complex models consisting of multiple neural networks, which require pretraining. In this study, we propose a straightforward molecular generation method called GxRNN (gene expression profile-based recurrent neural network), employing a single recurrent neural network (RNN) that necessitates no pretraining for omics-based drug design.

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Foods possess a range of unexplored functionalities; however, fully identifying these functions through empirical means presents significant challenges. In this study, we have proposed an approach to comprehensively predict the functionalities of foods, encompassing even processed foods. This prediction is accomplished through the utilization of machine learning on biomedical big data.

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Evaluation of the binding affinities of drugs to proteins is a crucial process for identifying drug pharmacological actions, but it requires three dimensional structures of proteins. Herein, we propose novel computational methods to predict the therapeutic indications and side effects of drug candidate compounds from the binding affinities to human protein structures on a proteome-wide scale. Large-scale docking simulations were performed for 7,582 drugs with 19,135 protein structures revealed by AlphaFold (including experimentally unresolved proteins), and machine learning models on the proteome-wide binding affinity score (PBAS) profiles were constructed.

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Cystic fibrosis (CF) is a monogenetic disease caused by the mutation of CFTR, a cAMP-regulated Cl channel expressing at the apical plasma membrane (PM) of epithelia. ∆F508-CFTR, the most common mutant in CF, fails to reach the PM due to its misfolding and premature degradation at the endoplasmic reticulum (ER). Recently, CFTR modulators have been developed to correct CFTR abnormalities, with some being used as therapeutic agents for CF treatment.

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Background: Novel biomarkers (BMs) are urgently needed for bronchial asthma (BA) with various phenotypes and endotypes.

Objective: We sought to identify novel BMs reflecting tissue pathology from serum extracellular vesicles (EVs).

Methods: We performed data-independent acquisition of serum EVs from 4 healthy controls, 4 noneosinophilic asthma (NEA) patients, and 4 eosinophilic asthma (EA) patients to identify novel BMs for BA.

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Background: Levodopa-carbidopa intestinal gel (LCIG) treatment markedly reduces motor fluctuations in patients with Parkinson's disease; however, some patients undergoing LCIG treatment may demonstrate clinical deterioration in the afternoon. Entacapone, a catechol-O-methyltransferase inhibitor, may be a promising adjunctive option for LCIG-treated patients; however, the optimal timing of oral entacapone administration to ameliorate clinical symptoms in the afternoon remains unexplored. This study aimed to investigate the optimal timing of oral entacapone administration in patients with Parkinson's disease undergoing LCIG treatment.

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Article Synopsis
  • Direct reprogramming (DR) allows the conversion of regular cells into specialized cells without using potentially harmful transcription factors, but finding effective small molecules for this process is difficult.* -
  • The researchers developed a new computational method called DIRECTEUR to predict small molecules that can replace transcription factors for inducing DR by analyzing gene expression patterns.* -
  • The method successfully identified small molecule combinations that can transform fibroblasts into neurons or heart cells, showcasing its potential for practical use in regenerative medicine.*
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The integration of multiple omics data promises to reveal new insights into the pathogenic mechanisms of complex human diseases, with the potential to identify avenues for the development of targeted therapies for disease subtypes. However, the extraction of diagnostic/disease-specific biomarkers from multiple omics data with biological pathway knowledge is a challenging issue in precision medicine. In this paper, we present a novel computational method to identify diagnosis-specific trans-omic biomarkers from multiple omics data.

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Peptides are potentially useful modalities of drugs; however, cell membrane permeability is an obstacle in peptide drug discovery. The identification of bioactive peptides for a therapeutic target is also challenging because of the huge amino acid sequence patterns of peptides. In this study, we propose a novel computational method, PEptide generation system using Neural network Trained on Amino acid sequence data and Gaussian process-based optimizatiON (PENTAGON), to automatically generate new peptides with desired bioactivity and cell membrane permeability.

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  • * Researchers created 12 different types of natural lipid-based nanoparticles (N-LNPs) with varying sizes, membrane fluidities, and stiffness to study how these factors affect their uptake in cells.
  • * The study included both in vitro and animal experiments, highlighting how the engineered properties of N-LNPs influence their behavior in biological systems, aiding in the design of more effective pharmaceuticals.
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  • Researchers investigated how DNA damage in heart tissue relates to treatment response and prognosis in heart failure patients.
  • The study analyzed biopsy samples from 175 patients, measuring specific DNA damage markers to see how they correlated with the ability to improve heart function one year after treatment.
  • Results showed that higher levels of DNA damage markers were linked to poorer treatment outcomes and a greater risk of serious heart-related events, suggesting that assessing DNA damage can help predict patient prognosis.
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  • The study investigates the genetic causes of late-onset cerebellar ataxia in Japan, focusing on GAA repeat expansions in the FGF14 gene.
  • Analysis of 940 patients revealed pathogenic FGF14 GAA repeat expansions in 12 patients, with a median size of 309 repeats and an average age of onset of nearly 67 years.
  • The findings suggest that FGF14 GAA repeat analysis is crucial for diagnosing cerebellar ataxia, especially in cases with episodic symptoms or normal MRI results, enhancing the understanding of this genetic disorder.
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The COVID-19 pandemic continues to pose a substantial threat to human lives and is likely to do so for years to come. Despite the availability of vaccines, searching for efficient small-molecule drugs that are widely available, including in low- and middle-income countries, is an ongoing challenge. In this work, we report the results of an open science community effort, the "Billion molecules against COVID-19 challenge", to identify small-molecule inhibitors against SARS-CoV-2 or relevant human receptors.

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Methotrexate (MTX), the anchor drug in the current treatment strategy for rheumatoid arthritis (RA), was first approved for the treatment of RA in Japan in 1999 at a recommended dose of 6-8 mg/week. The approved maximum dose of MTX has been 16 mg/week since February 2011 when MTX was approved as a first-line drug in the treatment of RA. Recent evidence of MTX-polyglutamate concentration in the red blood cells of Japanese patients with RA justifies the current daily use of MTX in Japan.

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Deep generative models for molecular generation have been gaining much attention as structure generators to accelerate drug discovery. However, most previously developed methods are chemistry-centric approaches, and comprehensive biological responses in the cell have not been taken into account. In this study, we propose a novel computational method, TRIOMPHE-BOA (transcriptome-based inference and generation of molecules with desired phenotypes using the Bayesian optimization algorithm), to generate new chemical structures of inhibitor or activator candidates for therapeutic target proteins by integrating chemically and genetically perturbed transcriptome profiles.

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