Publications by authors named "Yasushi Nishina"

Although α-synuclein seed amplification assays (α-syn SAA) are promising, its sensitivity may be affected by heterogeneity among patients with Lewy body disease (LBD). We evaluated whether α-syn SAA sensitivity is affected by patient heterogeneity, using I-meta-iodobenzylguanidine (MIBG) cardiac scintigraphy in early drug-naïve patients. Thirty-four patients with clinically established or probable Parkinson's disease (PD) and seven with dementia with Lewy bodies (DLB) or prodromal DLB were included.

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Article Synopsis
  • In Parkinson's disease patients, levels of cerebrospinal fluid metabolites homovanillic acid (HVA) and 5-hydroxyindole acetic acid (5-HIAA), which are linked to dopamine and serotonin, are found to be decreased.
  • A study involving 57 drug-naïve PD patients indicated significant differences in 5-HIAA levels between those with positive vs negative cardiac MIBG imaging, suggesting a direct association.
  • Additionally, a correlation was found between HVA levels and striatal dopamine transporter binding, confirming that both HVA and 5-HIAA have important roles in PD pathology and imaging outcomes.
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An 81-year-old woman presented with statin-induced anti-HMGCR immune-mediated necrotizing myopathy. Treatment was successful without complications with a reduced oral steroid dosage from the current consensus for all ages and backgrounds. This case suggests the importance of early diagnosis and the possibility of steroid dosage adjustment considering the patient's age, disease severity, and comorbidities.

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Corticobasal syndrome (CBS) is characterized by symptoms related to the asymmetric involvement of the cerebral cortex and basal ganglia. However, early detection of asymmetric imaging abnormalities can be challenging. Previous studies reported asymmetric F-THK5351 PET abnormalities in CBS patients, but the sensitivity for detecting such abnormalities in larger patient samples, including early-stage cases, remains unclear.

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Article Synopsis
  • The study examines the relationship between cerebrospinal fluid (CSF) homovanillic acid (HVA) and striatal dopamine transporter (DAT) binding in patients with various neurological conditions, focusing on Parkinson's disease (PD) and progressive supranuclear palsy (PSP).
  • Results indicate a significant correlation between CSF HVA levels and DAT binding, especially in patients with PD (r = 0.34) and PSP (r = 0.77), suggesting that lower DAT binding may be linked to dopamine levels in the brain.
  • Findings reveal that patients with PSP had the lowest DAT binding compared to those with PD, indicating that striatal DAT reduction is more pronounced in PSP, potentially reflecting
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Background And Objectives: CSF tau phosphorylated at threonine 181 (p-tau181) is a widely used biomarker for Alzheimer disease (AD) and has recently been regarded to reflect β-amyloid and/or p-tau deposition in the AD brain. Neuronal intranuclear inclusion disease (NIID) is a neurodegenerative disease characterized by intranuclear inclusions in neurons, glial cells, and other somatic cells. Symptoms include dementia, neuropathy, and others.

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An 87-year-old woman diagnosed with dementia with Lewy bodies (DLB) 2 years earlier was referred to our institution because of difficulty walking. She was diagnosed with urinary tract infection and admitted to our hospital. During hospitalisation, she became delirious, which prompted the administration of haloperidol.

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Dementia with Lewy bodies (DLB) and Alzheimer's disease (AD) are the two most common causes of dementia. Both pathologies often coexist, and AD patients with concomitant neocortical LB pathology (referred to as the Lewy body variant of AD) generally show faster cognitive decline and accelerated mortality relative to patients with pure AD. Thus, discriminating among patients with DLB, AD, and coincident DLB and AD is important in clinical practice.

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Caveolin, a 20-24 kDa integral membrane protein, is a principal component of caveolar domains. Caveolin-1 is expressed predominantly in endothelial cells, fibroblasts, and adipocytes, while the expression of caveolin-3 is confined to muscle cells. However, their localization in various muscles has not been well documented.

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