Publications by authors named "Atsushi Motegi"

Background: The standard treatment for unresectable non-small cell lung cancer (NSCLC) is anti-PD-L1 therapy combined with chemoradiotherapy (anti-PD-L1-CRT). Although some patients achieve complete cancer eradication and cure, more than half of patients retain persistent cancer cells. Our research aimed to unravel the nuanced mechanisms involved in both immune attack and evasion induced by anti-PD-L1-CRT with single cell spatial transcriptome.

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Background: Locally advanced nasoethmoidal squamous cell carcinoma (SCC) is rare and often unsuitable for surgical resection. Data on the potential clinical benefits of combining induction chemotherapy (IC) and sequential definitive chemoradiotherapy for this condition is limited.

Methods: We retrospectively investigated T4 nasoethmoidal SCC patients who underwent proton or photon chemoradiotherapy with curative intent at the National Cancer Center Hospital East between April 2014 and May 2022.

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Rapid initiation of radiotherapy plays an increasingly important role in palliation of advanced cancer. We performed a retrospective analysis to determine the current status of same-day palliative radiotherapy in patients referred to the Radiotherapy Department of a medium-sized institution in Japan. The incidence by year, sex, age, primary cancer site, indication for radiotherapy, radiotherapy regimens, response rates to radiotherapy, and treatment waiting times were studied in 96 patients who received same-day palliative radiotherapy between 2016 and 2023.

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Background/aim: This study aimed to predict the optimal timing for adaptive radiation therapy (ART) using two-dimensional X-ray image-based water equivalent thickness (2DWET).

Patients And Methods: Forty patients with oropharyngeal and hypopharyngeal cancer underwent Computed Tomography (CT) rescanning during treatment. An adaptive score (AS) was proposed to guide ART decisions based on changes in four dose indices: target coverage, spinal cord dose, parotid gland dose, and over-dose volume.

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  • The study aimed to assess the feasibility of using RT-PCR and direct sequencing to measure HPV DNA levels in the saliva of patients with HPV-related oropharyngeal cancer, which is important for predicting treatment outcomes.
  • Nine patients undergoing treatment were monitored by collecting saliva samples at various stages of their radiotherapy, and HPV DNA levels were analyzed.
  • Results showed a decrease in HPV DNA levels during and after treatment for most patients, with some experiencing disease progression, and sequencing revealed significant gene mutations in their baseline samples.
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  • - This study investigated the acute toxicity of hypo-fractionated radiotherapy in Japanese breast cancer patients post-surgery, focusing on two treatment cohorts: moderately hypo-fractionated (Cohort M) and ultra-hypo-fractionated (Cohort U).
  • - A total of 123 patients were evaluated over 90 days after treatment, with the most common acute adverse events being grade 1 and 2, and no grade 3 or higher events reported.
  • - The study concluded that the rates of acute toxicity from these radiotherapy methods were considered acceptable, with 15% for Cohort M and 10% for Cohort U experiencing grade 2 or higher adverse events.
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Background: The significance of induction chemotherapy (IC) in the treatment of squamous cell carcinoma of the head and neck (SCCHN) with unresectable locoregional recurrence after curative surgery has not been clarified. The aim of this study was to evaluate the efficacy of IC followed by chemoradiotherapy (CRT) in these patients.

Methods: Among patients with unresectable locoregional recurrent SCCHN who had not undergone prior irradiation and were eligible for cisplatin, we conducted a retrospective analysis of patients who received CRT following IC with paclitaxel, carboplatin, or cetuximab (IC-PCE group) and those who received CRT without prior IC (CRT group) between June 2013 and August 2021.

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  • The study examined the effects of postoperative radiotherapy (PORT) after salvage neck dissection for patients with cervical lymph node recurrence in oral cavity cancer, focusing on outcomes like survival and recurrence rates.
  • After following 51 patients for about 7.4 years, the results showed a 7-year overall survival rate of 66.3% and a recurrence-free survival rate of 54.6%, with better outcomes for younger patients and those with isolated lymph node recurrence.
  • While PORT was effective, some patients experienced side effects like severe acute mucositis (35%) and less common long-term issues like osteoradionecrosis (4%) and laryngeal stenosis (2%).
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  • Combining radiotherapy and immunotherapy shows potential, but the immune response after radiotherapy is still not well understood.
  • Recent analyses revealed that immune cells infiltrate tumors and undergo significant changes in gene expression in response to radiotherapy over time.
  • Myeloid cells, in particular, were found to have increased expression of both stimulating and suppressive immune genes, indicating they might be valuable targets for future immunotherapy approaches alongside PD-L1 inhibitors.
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  • - The study evaluated the effectiveness of using anterior oblique portals (AOP) in radiotherapy for early-stage glottic cancer, aiming to minimize radiation exposure to critical areas like the internal carotid arteries and pharyngeal constrictor muscle.
  • - Out of 66 patients treated with radiotherapy, nearly half received AOP, and results showed no significant difference in local failure or survival rates between AOP and standard treatments, but AOP significantly reduced the incidence of severe acute mucositis.
  • - The findings suggest that AOP maintains effective radiation dose coverage to the cancer while reducing harmful exposure to important surrounding structures.
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Radiotherapy (RT) plus immunotherapy is a promising modality; however, the therapeutic effects are insufficient, and the molecular mechanism requires clarification to further develop combination therapies. Here, we found that the RNA virus sensor pathway dominantly regulates the cellular immune response in NSCLC and ESCC cell lines. Notably, transposable elements (TEs), especially long terminal repeats (LTRs), functioned as key ligands for the RNA virus sensor RIG-I, and the mTOR-LTR-RIG-I axis induced the cellular immune response and dendritic cell and macrophage infiltration after irradiation.

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  • A retrospective study was conducted on 80 patients receiving whole-brain radiotherapy (WBRT) for leptomeningeal metastasis (LM) from lung adenocarcinoma, focusing on survival outcomes and prognostic factors.
  • The median overall survival (OS) was 6.2 months, with EGFR/ALK mutant patients having significantly better OS (10.4 months) compared to wild-type patients (3.8 months).
  • Key factors associated with better OS included having EGFR/ALK mutations and a good performance status (ECOG PS of 0-1), indicating that these traits may improve survival chances for patients undergoing WBRT.
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  • The study analyzes the effectiveness of local therapies (LT) like surgery and radiotherapy in patients with recurrent or metastatic squamous cell carcinoma of the head and neck (R/M SCCHN) who have previously undergone treatment with the immune checkpoint inhibitor nivolumab.
  • A retrospective review involved 24 patients, with 37.5% receiving salvage LT and 62.5% undergoing palliative radiotherapy. The outcomes varied significantly based on the type of treatment received, with median overall survival (OS) ranging from 24.5 months to 2.4 months.
  • The findings suggest that for R/M SCCHN patients treated with nivolumab, salvage LT followed by systemic therapy is associated with better survival outcomes,
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Background: The relationship between the grading of toxicities based on toxicity criteria and longitudinal changes in quality of life (QOL) scores after permanent prostate brachytherapy (PPB) for localized prostate cancer remains unclear. This study aimed to evaluate these relationships.

Materials And Methods: We assessed 107 patients treated with PPB using Iodine-125 alone from May 2007 to April 2010.

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Japanese national oncological experts convened to evaluate the efficacy and safety of particle beam therapy (PT) for pulmonary, liver and lymph node oligometastases (P-OM, L-OM and LN-OM, respectively) and to conduct a statistically comparative analysis of the local control (LC) rate and overall survival (OS) rate of PT versus those of X-ray stereotactic body radiotherapy (X-SBRT) and X-ray intensity-modulated radiotherapy (X-IMRT). They conducted [1] an analysis of the efficacy and safety of metastasis-directed therapy with PT for P-OM, L-OM and LN-OM using a Japanese nationwide multi-institutional cohort study data set; [2] a systematic review of X-ray high-precision radiotherapy (i.e.

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Background: The addition of induction chemotherapy (IC) before chemoradiotherapy (CRT) has improved survival over CRT alone in locoregionally advanced nasopharyngeal cancer (LA-NPC). Nevertheless, this population would benefit from further development of a novel IC regimen with satisfactory efficacy and a more favorable safety profile.

Methods: We retrospectively assessed 29 LA-NPC patients who received the combination of paclitaxel (PTX), carboplatin (CBDCA), and cetuximab (Cmab) (PCE) as IC (IC-PCE) at the National Cancer Center Hospital East between March 2017 and April 2021.

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It was not until around 2000 that human papillomavirus-related oropharyngeal carcinoma was recognized as carcinoma with clinical presentations different from nonrelated head and neck carcinoma. Twenty years after and with the revision of the tumor-node-metastasis classification in 2017, various clinical trials focused on human papillomavirus-related oropharyngeal carcinoma to improve the prognosis and quality of life of patients with this disease. However, the incidence of human papillomavirus-related cancers is increasing, which is expected to be particularly prominent in Japan, where human papillomavirus vaccination is not widely available.

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Background: Combination therapy based on radiotherapy and immune checkpoint inhibitors (ICIs) was recently reported as effective for various cancers. The radiation-induced immune response (RIIR) is an essential feature in ICI-combined radiotherapy; however, the effects of drugs used concomitantly with RIIR remain unclear. We screened for drugs that can modify RIIR to understand the mutual relationship between radiotherapy and combined drugs in ICI-combined radiotherapy.

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Salivary gland malignancies are rare neoplasms that have a broad histological spectrum and a variety of biologic behaviors. Salivary gland malignancies are known as chemo-resistant tumors, which render optimal treatment challenging. This review summarizes the role of systemic therapy for salivary gland malignancies.

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Radiotherapy (RT) combined with immune checkpoint inhibitors has recently produced outstanding results and is expected to be adaptable for various cancers. However, the precise molecular mechanism by which immune reactions are induced by fractionated RT is still controversial. We aimed to investigate the mechanism of the immune response regarding multifractionated, long-term radiation, which is most often combined with immunotherapy.

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  • * The study compared immune responses in an oesophageal cancer cell line (KYSE450) after exposure to X-ray, proton, and carbon-ion irradiation, noting differences in gene expression shortly after treatment.
  • * Findings indicated that despite initial differences, a similar immune response emerged after three days, driven by the STING-STAT1 signaling pathway, suggesting a shared mechanism for the immune reactions induced by all three types of irradiation.
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This study describes biological functions of the bHLH transcription factor RERJ1 involved in the jasmonate response and the related defense-associated metabolic pathways in rice, with particular focus on deciphering the regulatory mechanisms underlying stress-induced volatile emission and herbivory resistance. RERJ1 is rapidly and drastically induced by wounding and jasmonate treatment but its biological function remains unknown as yet. Here we provide evidence of the biological function of RERJ1 in plant defense, specifically in response to herbivory and pathogen attack, and offer insights into the RERJ1-mediated regulation of metabolic pathways of specialized defense compounds, such as monoterpene linalool, in possible collaboration with OsMYC2-a well-known master regulator in jasmonate signaling.

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  • A retrospective study evaluated the effectiveness and safety of palliative radiation therapy (RT) for urothelial cancer patients experiencing macroscopic hematuria (MH) from 2008 to 2018, involving 25 patients.
  • Results showed that 88% of patients achieved complete resolution of MH within a median of 9 days, but 41% experienced recurrences with a median relapse time of 129 days.
  • The three-month hematuria-free survival rate was 52.1%, with significant differences based on prior blood transfusions, and the therapy demonstrated limited toxicities, like mild urinary pain and diarrhea.
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  • The study investigates the risk of radiation pneumonitis (RP) in cancer patients with interstitial lung disease (ILD) receiving palliative radiotherapy (RT), focusing on its incidence, severity, and predictive factors.
  • A retrospective review of 62 patients' medical records showed that RP occurred in various grades, with a significant number experiencing severe RP (≥Grade 3) usually within 39 days post-treatment.
  • The results highlight that the pattern of ILD observed in pre-treatment CT scans is a crucial factor in predicting severe RP, suggesting that RT for these patients should be approached with caution.
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