36 results match your criteria: "Tokushima University Graduate School of Medical Sciences[Affiliation]"

Isolated adrenocorticotropic hormone deficiency presenting with arthritis: A case report.

Mod Rheumatol Case Rep

January 2025

Department of Respiratory Medicine and Rheumatology, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.

Article Synopsis
  • The report presents a case of a patient with isolated adrenocorticotropic hormone (ACTH) deficiency, who showed symptoms of arthritis without an initial clear diagnosis.
  • Initial tests, including blood work and imaging, didn't identify any specific connective tissue disease, complicating the diagnosis.
  • After an adrenal crisis, the ACTH deficiency was diagnosed, and treatment with corticosteroids relieved both the arthritis and other systemic symptoms, highlighting the need to consider endocrine issues in unexplained joint pain.
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Aim: Several studies have shown that the progression of proteinuria and renal tissue injury is associated with activation of the intrarenal renin-angiotensin system (RAS). CCCTC-binding factor (CTCF) is a DNA-binding factor that plays an essential role in the regulation of gene expression. In the present study, we aimed to investigate the phenotypic effects of CTCF deficiency in podocytes.

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Background: Mastectomy has been the standard surgical treatment for ipsilateral breast tumor recurrence (IBTR). Recently, there has been growing interest in repeat breast-conserving surgery (rBCS) for IBTR among breast surgeons; however, there is currently little information regarding patient preferences for surgical procedure for IBTR. The purpose of this study was to evaluate preference for surgical procedure (mastectomy vs.

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Familial cases with adult-onset FGF23-related hypophosphatemic osteomalacia -A PHEX 3'-UTR change as a possible cause.

Bone

May 2024

Department of Molecular Endocrinology, Fujii Memorial Institute of Medical Sciences, Tokushima University, Tokushima, Japan; Department of Diabetes and Endocrinology, Tamaki-Aozora Hospital, Tokushima, Japan. Electronic address:

Excessive actions of FGF23 cause several kinds of hypophosphatemic rickets/osteomalacia. It is possible that there still remain unknown causes or mechanisms for FGF23-related hypophosphatemic diseases. We report two male cousins who had been suffering form FGF23-related hypophosphatemic osteomalacia.

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Bone-fat linkage via interleukin-11 in response to mechanical loading.

J Bone Miner Metab

July 2024

Department of Endocrinology, Metabolism and Hematology, Tokushima University Graduate School of Medical Sciences, 3-18-15 Kuramoto-Cho, Tokushima, 770-8503,, Japan.

Positive regulators of bone formation, such as mechanical loading and PTH, stimulate and negative regulators, such as aging and glucocorticoid excess, suppress IL-11 gene transcription in osteoblastic cells. Signal transduction from mechanical loading and PTH stimulation involves two pathways: one is Ca-ERK-CREB pathway which facilitates binding of ∆FosB/JunD to the AP-1 site to enhance IL-11 gene transcription, and the other is Smad1/5 phosphorylation that promotes IL-11 gene transcription via SBE binding and complex formation with ∆FosB/JunD. The increased IL-11 suppresses Sost expression via IL-11Rα-STAT1/3-HDAC4/5 pathway and enhances Wnt signaling in the bone to stimulate bone formation.

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s-Afadin binds to MAGUIN/Cnksr2 and regulates the localization of the AMPA receptor and glutamatergic synaptic response in hippocampal neurons.

J Biol Chem

April 2023

Department of Molecular and Cellular Neurobiology, Kitasato University Graduate School of Medical Sciences, Sagamihara, Kanagawa, Japan; Department of Biochemistry, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan. Electronic address:

A hippocampal mossy fiber synapse implicated in learning and memory is a complex structure in which a presynaptic bouton attaches to the dendritic trunk by puncta adherentia junctions (PAJs) and wraps multiply branched spines. The postsynaptic densities (PSDs) are localized at the heads of each of these spines and faces to the presynaptic active zones. We previously showed that the scaffolding protein afadin regulates the formation of the PAJs, PSDs, and active zones in the mossy fiber synapse.

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Single-cell RNA sequencing identifies -expressing osteocytes in response to 1,25-dihydroxyvitamin D treatment.

Front Physiol

January 2023

Department of Molecular Endocrinology, Fujii Memorial Institute of Medical Sciences, Institute of Advanced Medical Sciences, Tokushima University, Tokushima, Japan.

Fibroblast growth factor 23 (FGF23), a hormone, mainly produced by osteocytes, regulates phosphate and vitamin D metabolism. By contrast, 1,25-dihydroxyvitamin D, the active form of vitamin D, has been shown to enhance FGF23 production. While it is likely that osteocytes are heterogenous in terms of gene expression profiles, specific subpopulations of -expressing osteocytes have not been identified.

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CTCF loss induces giant lamellar bodies in Purkinje cell dendrites.

Acta Neuropathol Commun

November 2022

KOKORO-Biology Group, Laboratories for Integrated Biology, Graduate School of Frontier Biosciences, Osaka University, Suita, 565-0871, Japan.

CCCTC-binding factor (CTCF) has a key role in higher-order chromatin architecture that is important for establishing and maintaining cell identity by controlling gene expression. In the mature cerebellum, CTCF is highly expressed in Purkinje cells (PCs) as compared with other cerebellar neurons. The cerebellum plays an important role in motor function by regulating PCs, which are the sole output neurons, and defects in PCs cause motor dysfunction.

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Article Synopsis
  • Exercise loads the bone, likely causing it to release signals that communicate with fat tissue.
  • Systemic deletion of Interleukin-11 (IL-11) leads to lower bone mass, decreased bone formation with mechanical loading, and increased fat and glucose issues.
  • Specifically deleting IL-11 in bone cells affects bone health and fat levels, while deletion in fat cells shows no negative effects, highlighting the role of IL-11 in bone and fat regulation.
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Article Synopsis
  • Researchers have previously used methods like digital droplet PCR and next-generation sequencing to measure pancreatic β-cell injury through unmethylation of the insulin gene, but these approaches have drawbacks such as needing specialized equipment and dealing with background noise.
  • A new technique was developed using two-step amplification refractory mutation system PCR to detect unmethylated insulin gene CpG sites in both type 1 diabetes patients and healthy individuals.
  • This new method demonstrated the ability to detect low levels of unmethylated insulin DNA effectively and showed an inverse relationship between DNA copy number and disease duration in patients, suggesting it could help monitor β-cell dynamics in conditions like type 1 diabetes.
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Recently, a KRAS mutation located in the endothelial cells of the nidus in arteriovenous malformations(AVMs)was reported. The findings indicate the possibility of medical therapy against cerebral AVMs; the blockade of RAS-MAPK signaling cascade may stabilize AVM nidus. As for surgical treatment for AVMs, achievement of low morbidity is the most important objective.

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Elongated tubular endosomes play essential roles in diverse cellular functions. Multiple molecules have been implicated in tubulation of recycling endosomes, but the mechanism of endosomal tubule biogenesis has remained unclear. In this study, we found that JRAB/MICAL-L2 induces endosomal tubulation via activated Rab8A.

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Aims/introduction: To investigate the basal insulin requirement in patients with type 1 diabetes who are on multiple daily injections (MDI) and to assess the patient characteristics that affect the percent of total daily basal insulin dose to the total daily insulin dose (%TBD/TDD).

Materials And Methods: The subjects of this study were 67 inpatients with type 1 diabetes who were served diabetic meals of 25-30 kcal/kg standard body weight during several weeks of hospitalization. The basal insulin requirement was adjusted to keep the blood glucose level from bedtime to before breakfast within a 30 mg/dL difference.

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Genome stability is essential for brain development and function, as mutations during neuronal development cause psychiatric disorders. However, the contribution of DNA repair to genome stability in neurons remains elusive. Here, we demonstrate that the base excision repair protein DNA polymerase β (Polβ) is involved in hippocampal pyramidal neuron differentiation via a TET-mediated active DNA demethylation during early postnatal stages using β mice of either sex, in which forebrain postmitotic excitatory neurons lack Polβ expression.

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Dynamin 1 is important for microtubule organization and stabilization in glomerular podocytes.

FASEB J

December 2020

Department of Neuroscience, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

Dynamin 1 is a neuronal endocytic protein that participates in vesicle formation by scission of invaginated membranes. Dynamin 1 is also expressed in the kidney; however, its physiological significance to this organ remains unknown. Here, we show that dynamin 1 is crucial for microtubule organization and stabilization in glomerular podocytes.

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RANKL as a target for the treatment of osteoporosis.

J Bone Miner Metab

January 2021

Department of Bioregulatory Sciences, Tokushima University Graduate School of Medical Sciences, Tokushima, Japan.

Osteoporosis is characterized by compromised bone strength, predisposing to an increased risk of fracture. Because bone is constantly remodeled, and bone mass and structure are determined by the balance between bone resorption and bone formation, it is important to maintain normal bone turnover. Therefore, therapies that reduce bone resorption have been the mainstream of osteoporosis treatment.

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Background: A randomised controlled trial in Japan showed that inhaled N-acetylcysteine monotherapy stabilised serial decline in forced vital capacity (FVC) in some patients with early idiopathic pulmonary fibrosis (IPF). However, the efficacy and tolerability of combination therapy with an antifibrotic agent and inhaled N-acetylcysteine are unknown.

Methods: This 48-week, randomised, open-label, multicentre phase 3 trial compared the efficacy and tolerability of combination therapy with pirfenidone plus inhaled N-acetylcysteine 352.

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Minodronate.

Bone

August 2020

Department of Bioregulatory Sciences, Tokushima University Graduate School of Medical Sciences, Tokushima, Japan.

Minodronate is a heterocyclic nitrogen-containing bisphosphonate with high potency in inhibiting bone resorption, and is developed for clinical use in Japan. Minodronate has very high potency in inhibiting farnesyl pyrophosphate synthase, and shows lower affinity for bone matrix hydroxyapatite at both neutral and acidic pH. As a result, small amount of minodronate is deposited in bone but can exert strong anti-resorptive activity in vivo.

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Actomyosin-undercoated adherens junctions are critical for epithelial cell integrity and remodeling. Actomyosin associates with adherens junctions through αE-catenin complexed with β-catenin and E-cadherin in vivo; however, in vitro biochemical studies in solution showed that αE-catenin complexed with β-catenin binds to F-actin less efficiently than αE-catenin that is not complexed with β-catenin. Although a "catch-bond model" partly explains this inconsistency, the mechanism for this inconsistency between the in vivo and in vitro results remains elusive.

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Optimizing Nervous System-Specific Gene Targeting with Cre Driver Lines: Prevalence of Germline Recombination and Influencing Factors.

Neuron

April 2020

Djavad Mowafaghian Centre for Brain Health and Department of Psychiatry, University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada. Electronic address:

Article Synopsis
  • The Cre-loxP system allows precise control of gene modification in the mouse nervous system, but unexpected germline recombination can occur with different Cre driver lines.
  • Research shows over half of 64 common Cre driver lines exhibit germline recombination, often influenced by which parent contributes the germline cells.
  • The findings reveal that varying transcriptional elements in different Cre lines impact recombination rates, affecting how reliably researchers can use reporters to track genetic modifications.
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Alterations in the homeostasis of either cortical progenitor pool, namely the apically located radial glial (RG) cells or the basal intermediate progenitors (IPCs) can severely impair cortical neuron production. Such changes are reflected by microcephaly and are often associated with cognitive defects. Genes encoding epigenetic regulators are a frequent cause of intellectual disability and many have been shown to regulate progenitor cell growth, including our inactivation of the gene encoding Snf2l, which is one of two mammalian orthologs.

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Article Synopsis
  • * A systematic review and the modified Delphi method were used to create 29 QIs, and we found that measuring adherence to 6 of these QIs was feasible based on data from over 396,000 stroke patients.
  • * The study revealed significant variation in adherence rates among hospitals, indicating that the DPC database can efficiently collect data for evaluating stroke care quality at a lower cost.
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JRAB/MICAL-L2 is an effector protein of Rab13, a member of the Rab family of small GTPase. JRAB/MICAL-L2 consists of a calponin homology domain, a LIM domain, and a coiled-coil domain. JRAB/MICAL-L2 engages in intramolecular interaction between the N-terminal LIM domain and the C-terminal coiled-coil domain, and changes its conformation from closed to open under the effect of Rab13.

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Background: Reconstruction of long and deep sternal defects has been challenging. The pectoralis major can be used in the conventional turnover method that requires the internal thoracic vessel. We developed a new turnover pectoralis major flap based on thoracoacromial vessels.

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