76 results match your criteria: "Faculty and Graduate School of Medicine[Affiliation]"

Radiological and Pathological Analysis of Pembrolizumab-Associated Lung Lesions: Diagnostic Challenges and Management.

Am J Case Rep

January 2025

Department of Pulmonary and Critical Care Medicine, Faculty and Graduate School of Medicine, Mie University, Tsu, Mie, Japan.

BACKGROUND Pembrolizumab, a programmed cell-death protein-1 (PD-1)-targeting antibody, extends survival in cancer patients but may cause lung injury as a side effect. This immunotherapy enhances the immune system's ability to recognize and eliminate cancer cells. However, its immunomodulatory action can sometimes lead to immune-related adverse events, including lung injury.

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Background: Non-small cell lung cancer (NSCLC) is a significant health concern. The prognostic value of oxidative stress (OS)-related genes in NSCLC remains unclear. The study aimed to explore the prognostic significance of OS-genes in NSCLC using extensive datasets from The Cancer Genome Atlas (TCGA) and the Gene Expression Omnibus (GEO).

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  • A 54-year-old woman with Stage IIIb squamous cell carcinoma initially underwent chemoradiotherapy but faced cancer relapse two years later, leading to treatment with nivolumab, which was stopped due to drug-induced pneumonitis.
  • After several unsuccessful treatments, including prednisolone and multiple cytotoxic agents, the patient received a combination therapy of cisplatin, gemcitabine, and necitumumab, followed by palliative radiation for lymph node enlargement.
  • Remarkably, a treatment with atezolizumab resulted in significant tumor regression, suggesting earlier treatments may have influenced PD-L1 expression, highlighting the need for more research into treatment history's impact on therapy effectiveness in squamous cell carcinoma.
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  • - The integration of magnetic resonance imaging (MRI) with radiotherapy has improved X-ray treatments by enhancing soft-tissue contrast, allowing for more precise targeting and adaptive treatment planning.
  • - Current research is focusing on combining MRI with proton beam therapy (PBS), which holds potential advantages due to proton therapy's sensitivity to changes in anatomy and organ movement.
  • - A simulation study proposes a design where proton beams pass through a specific central opening in an MRI system, aiming to maintain treatment quality while addressing challenges that need to be overcome for future clinical application.
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Bleomycin-Induced Pulmonary Fibrosis in Transgenic Mice Carrying the Human rs35705950 Variant.

Cells

September 2024

Department of Immunology, Faculty and Graduate School of Medicine, Mie University, Edobashi 2-174, Tsu 514-8507, Mie, Japan.

Idiopathic pulmonary fibrosis (IPF) is a progressive, often fatal lung disease characterized by tissue scarring and declining lung function. The promoter polymorphism rs35705950, a significant genetic predisposition for IPF, paradoxically associates with better survival and slower disease progression than other IPF genotypes. This study investigates the potential paradoxical protective effects of this variant in lung fibrosis.

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Background: Immune checkpoint inhibitors have recently become the standard of care in the first-line treatment of extensive-stage small cell lung cancer. Although immune-related adverse events have been reported to influence prognosis in non-small cell lung cancer patients, few studies have investigated the prognostic value of immune-related adverse events in small cell lung cancer patients. In this study, we evaluated the prognosis of patients who developed immune-related adverse events after first-line treatment with immune checkpoint inhibitor-based chemotherapy for extensive-stage small cell lung cancer.

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Cell Death in Acute Organ Injury and Fibrosis.

Int J Mol Sci

April 2024

Department of Immunology, Mie University Faculty and Graduate School of Medicine, Edobashi 2-174, Tsu 514-8507, Japan.

Tissue fibrosis is characterized by the excessive accumulation of extracellular matrix in various organs, including the lungs, liver, skin, kidneys, pancreas, and heart, ultimately leading to organ failure [...

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Mesenteric phlebosclerosis is a rare ischemic colonic disorder caused by impaired venous drainage. Its prevalence is higher in East Asia, where herbal medicine is widely used. Treatment remains controversial.

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Role of microbiota-derived corisin in coagulation activation during SARS-CoV-2 infection.

J Thromb Haemost

July 2024

Department of Pulmonary and Critical Care Medicine, Faculty and Graduate School of Medicine, Mie University, Tsu, Mie, Japan; Microbiome Research Center, Mie University, Tsu, Mie, Japan.

Background: Coagulopathy is a major cause of morbidity and mortality in COVID-19 patients. Hypercoagulability in COVID-19 results in deep vein thrombosis, thromboembolic complications, and diffuse intravascular coagulation. Microbiome dysbiosis influences the clinical course of COVID-19.

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Background: Recent studies have focused on immune checkpoint inhibitors. Renal complications associated with the use of immune checkpoint inhibitors are uncommon compared with other immune-related adverse events. Acute interstitial nephritis accounts for most of these renal complications, with nephrotic syndrome quite rare.

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Article Synopsis
  • The study evaluates how well next-generation sequencing (NGS) works for detecting RET proto-oncogene changes in thyroid cancer tissue samples from Japanese hospitals.
  • Factors like sample age, processing methods, and DNA/RNA quality were analyzed to determine their impact on NGS success rates, which were found to be high overall (90% for DNA, 93% for RNA).
  • Key findings highlighted that newer samples and specific fixation conditions improved NGS success, and the quality of extracted nucleic acids from older samples (≥3 years) was crucial for reliable results.
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  • Acute cholangitis is a severe infection of the biliary system requiring quick diagnosis and treatment; however, identifying severe cases remains challenging despite existing guidelines.* -
  • This study evaluated the potential of corisin, a microbiome-derived peptide, as a biomarker for acute cholangitis using plasma and bile samples from patients with varying severity of the disease.* -
  • Findings indicated that levels of corisin in both plasma and bile were significantly higher in patients with acute cholangitis compared to controls, especially in those with severe cases, with bile corisin correlating with various inflammatory markers.*
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The objective of this study was to determine the outcomes of radical radiotherapy for early glottic squamous cell carcinoma (EGSCC) with the policy of increasing the fraction size during radiotherapy when the overall treatment time (OTT) was expected to be prolonged. Patients diagnosed with clinical T1-2N0M0 EGSCC, who were treated with radical radiotherapy between 2008 and 2019 at Hokkaido University Hospital, were included. Patients received 66 Gy in 33 fractions for T1 disease and 70 Gy in 35 fractions for T2 disease as our standard regimen (usual group [UG]).

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Bronchoscopy with radial-probe endobronchial ultrasound, a guide sheath, and electromagnetic navigation can improve the diagnostic yield of peripheral lung nodules. However, the suitability of specimens for genetic analysis remains unsatisfactory. We hypothesized that a transbronchial biopsy performed after closely approaching the bronchoscope tip to the lesion might provide more suitable specimens for genetic analysis.

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() is the primary causative agent of various gastroduodenal diseases. is an adapted microorganism that has evolved to survive in the acidic conditions of the human stomach, possessing a natural strategy for colonizing harsh environments. Despite the implementation of various eradication regimens worldwide, the eradication rate of has decreased to less than 80% in recent years due to the emergence of antibiotic-resistant strains.

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Inhibition of a Microbiota-Derived Peptide Ameliorates Established Acute Lung Injury.

Am J Pathol

June 2023

Department of Immunology, Mie University Faculty and Graduate School of Medicine, Tsu, Japan; Center for Intractable Diseases, Mie University, Tsu, Japan; Carl R. Woese Institute for Genomic Biology (Microbiome Metabolic Engineering), University of Illinois at Urbana-Champaign, Urbana, Illinois. Electronic address:

Acute lung injury (ALI) is a clinical syndrome characterized by a diffuse lung inflammation that commonly evolves into acute respiratory distress syndrome and respiratory failure. The lung microbiota is involved in the pathogenesis of ALI. Corisin, a proapoptotic peptide derived from the lung microbiota, plays a role in ALI and acute exacerbation of pulmonary fibrosis.

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  • Epidermal growth factor receptor (EGFR)-mutated squamous cell carcinoma (SCC) is rare compared to adenocarcinoma, and the effectiveness of osimertinib, a treatment known to work for adenocarcinoma, is uncertain for SCC.
  • An 83-year-old male with EGFR exon19 deletion SCC treated with osimertinib experienced disease progression after 18 days, leading to his death three weeks later.
  • Autopsy and next-generation sequencing indicated the presence of other genetic mutations (TP53 R158L, CDK6, and KRAS amplifications), suggesting these could explain osimertinib's failure in his case.
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Pavlovian fear conditioning is a widely used procedure to assess learning and memory processes that has also been extensively used as a model of post-traumatic stress disorder (PTSD). Freezing, the absence of movement except for respiratory-related movements, is commonly used as a measure of fear response in non-human animals. However, this measure of fear responses can be affected by a different baseline of locomotor activity between groups and/or conditions.

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Background: Helicobacter pylori infection is a well-recognized cause of gastric diseases, including chronic gastritis, peptic ulcer, and gastric cancer. Vacuolating cytotoxin-A (VacA) and cytotoxin-associated gene A protein (CagA) play a role in the pathogenesis of H. pylori-related gastric diseases.

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Diabetes mellitus is a global health problem. Diabetic nephropathy is a common complication of diabetes mellitus and the leading cause of end-stage renal disease. The clinical course, response to therapy, and prognosis of nephropathy are worse in diabetic than in non-diabetic patients.

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