Publications by authors named "Hiroaki Miyoshi"

Composite or collision tumors in the central nervous system can significantly impact disease progression and metastasis, potentially affecting treatment efficacy. Studying the mechanisms associated with these tumors can provide neuro-oncologists with insights into tumor diversity, progression, and aid in the development of novel treatments. We encountered an 84-year-old female with memory disturbance who presented with tumors consistent with wild-type isocitrate dehydrogenase high-grade glioma and low-grade B-cell lymphoma at the same site.

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Objective: This study quantifies the performance of autonomous emergency braking (AEB) systems in preventing car-pedestrian collisions in Japan.

Method: The study uses data on Japanese traffic accidents compiled by Japan's National Police Agency, restricting the analysis to collisions for which we could determine whether the primary party's car was equipped with an AEB system. Poisson mixed-effects regression analyses are conducted using data for 2022 and 2023 to quantify the collision avoidance performance of cars that were first registered in 2021 and equipped with AEB systems compared with cars without AEB systems that were first registered in 2015 or 2016.

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Pseudoprogression, often misinterpreted as glioblastoma progression on MRI, results from treatment-induced inflammation and can resolve without additional intervention. This study investigated the role of leucine-rich α-2 glycoprotein 1 (LRG1) in the glioblastoma microenvironment. Leucine-rich α-2 glycoprotein 1 is associated with inflammation and prognosis in various diseases and its blood concentrations reflect disease-related inflammation.

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Nodal T follicular helper cell lymphoma (nTFHL) exhibits unique immunophenotypes and somatic alterations, while the prognostic value of these alterations remains unclear. By analyzing 173 nTFHL cases, we identified 36 driver genes, including 4 novel ones (TET3, HLA-C, NRAS, and KLF2). Then, we classified nTFHL cases into four molecular subgroups by major driver alterations.

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BackgroundMycophenolate mofetil (MMF) is widely used to treat systemic lupus erythematosus (SLE), particularly in cases with severe and organ-threatening complications such as lupus nephritis. However, multiple reports have documented lymphoproliferative disorder (LPD) in patients with SLE undergoing MMF therapy, predominantly developing in the central nervous system and requiring aggressive treatment, including chemotherapy, radiation, and surgery.Case ReportWe herein report the case of a 58-year-old female patient with SLE who developed cervical, hepatic hilar, and para-aortic lymphadenopathy 8 years after initiating MMF treatment.

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This is a case of primary cutaneous T-follicular helper cell lymphoma, follicular-type. A 99-year-old woman was detected with cutaneous mass located in left greater trochanter area and buttock, which was suspected to be malignant lymphoma. Computed tomography revealed few regional lymph node enlargement.

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Extranodal NK/T-cell lymphoma (ENKTCL) is an Epstein-Barr virus (EBV)-related neoplasm preferentially involving the upper aerodigestive tract. Here we show that NK-cell-specific Trp53 disruption in mice leads to the development of NK-cell lymphomas after long latency, which involve not only the hematopoietic system but also the salivary glands. Before tumor onset, Trp53 knockout causes extensive gene expression changes, resulting in immature NK-cell expansion, exclusively in the salivary glands.

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  • - This study analyzes how the collision avoidance performance of autonomous emergency braking (AEB) systems in Japan has changed since 2015, specifically focusing on their effectiveness in traffic accidents involving injury or loss of life.
  • - Using data from Japan's National Police Agency and statistical regression analyses, the research compares AEB-equipped vehicles registered in 2015-2020 against non-AEB vehicles regarding their performance in preventing rear-end and right-turn collisions.
  • - Results show a significant improvement in the collision reduction rate for rear-end collisions, with a 69.2% reduction for AEB cars registered in 2020 compared to non-AEB cars from 2015, while results for right-turn collisions are less consistent, suggesting ongoing advancements in
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Adult T-cell leukaemia/lymphoma (ATLL) is an aggressive peripheral T-cell neoplasm with a poor prognosis. T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domains (TIGIT) is an immune checkpoint receptor expressed on T and natural killer cells. Although increased TIGIT expression in the tumour microenvironment is associated with poor prognosis in various neoplasms, its relevance in ATLL remains unknown.

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  • - Romidepsin is a promising treatment for patients with peripheral T-cell lymphoma (PTCL), but its timing in therapy remains debated; this study aimed to assess its safety and effectiveness after GDP therapy.
  • - Conducted from March 2019 to March 2021, the study involved 7 patients with relapsed/refractory PTCL and found a 2-year overall survival rate of 71% and a 57% overall response rate after treatment.
  • - Although common side effects included neutropenia, which was manageable, no treatment-related deaths occurred, suggesting that the GDP plus romidepsin regimen may be a safe option for older patients not eligible for transplants; however, further research is necessary.
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Idiopathic carpal tunnel syndrome is the most common entrapment neuropathy in hand surgery, and it is characterized by Noninflammatory fibrosis of subsynovial connective tissues. The prevalence and incidence differ between male and female individuals, and the mechanism underlying this difference remains largely unclear. In the present study, we collected subsynovial connective tissues from six male and six female patients diagnosed with idiopathic carpal tunnel syndrome during surgery.

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  • The study suggests a new grading criterion for follicular lymphoma that aligns more closely with pathologists' evaluations than the current World Health Organization (WHO) criteria.
  • Due to the difficulty in manually counting and identifying cell types like centroblasts and centrocytes, they utilize digital pathology and image processing for accurate cell classification.
  • A new dataset is created to assist in building a cell type classifier, which shows improved consistency with pathologist findings compared to the WHO standards.
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Extranodal NK/T-cell lymphoma (ENKTCL) is an Epstein-Barr virus (EBV)-related neoplasm with male dominance and a poor prognosis. A better understanding of the genetic alterations and their functional roles in ENKTCL could help improve patient stratification and treatments. In this study, we performed a comprehensive genetic analysis of 178 ENKTCL cases to delineate the landscape of mutations, copy number alterations (CNA), and structural variations, identifying 34 driver genes including six previously unappreciated ones, namely, HLA-B, HLA-C, ROBO1, CD58, POT1, and MAP2K1.

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Aims: T-follicular helper (TFH) cells are effector T-cells that are crucial for B-cell selection and differentiation. T-cell lymphomas derived from TFH cells have distinct characteristics. Additionally, in the World Health Organization (WHO) classification 5th edition, three lymphomas were introduced as independent disease entities with TFH cell origin.

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  • EBV-positive nodal T- and natural killer-cell lymphoma (EBV+ nPTCL) is a type of cancer characterized by T-cell tumor cells that contain the Epstein-Barr virus, but its genetic basis has not been thoroughly studied.
  • Researchers conducted whole-exome and/or whole-genome sequencing on 22 cases of EBV+ nPTCL, identifying key mutations in TET2 (68%) and DNMT3A (32%), which are associated with poorer survival outcomes.
  • The study also highlighted frequent structural variations in the EBV genome, including deletions and integration of human genes like PD-L1, which is linked to increased expression of this protein and may play a role in the development of this lymphoma
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In this study, we present a deep-learning-based multimodal classification method for lymphoma diagnosis in digital pathology, which utilizes a whole slide image (WSI) as the primary image data and flow cytometry (FCM) data as auxiliary information. In pathological diagnosis of malignant lymphoma, FCM serves as valuable auxiliary information during the diagnosis process, offering useful insights into predicting the major class (superclass) of subtypes. By incorporating both images and FCM data into the classification process, we can develop a method that mimics the diagnostic process of pathologists, enhancing the explainability.

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  • Regulatory B cells (Bregs) contribute to tumor growth in diffuse large B-cell lymphoma (DLBCL) by producing immune-suppressing cytokines like TGF-β and IL-10.
  • In a study of 123 DLBCL cases, 15 (12.2%) exhibited Breg characteristics, showing significantly worse survival outcomes compared to non-Breg cases.
  • Gene expression analysis revealed downregulation of key genes in Breg-type DLBCL, supporting the idea that Breg markers correlate with poor prognosis in DLBCL patients.
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  • Peripheral T-cell lymphoma not otherwise specified (PTCL-NOS) can be divided into two main subtypes: PTCL-TBX21 and PTCL-GATA3, each exhibiting different characteristics.
  • In a study involving 100 Japanese patients, PTCL-TBX21 showed better treatment response and lower CD4 positivity compared to PTCL-GATA3, which also had worse overall survival rates.
  • The findings suggest that classifying PTCL-NOS based on these subtypes can help predict patient outcomes and tailor immune therapy.
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Introduction: Renal involvement by non-Hodgkin's lymphoma is very rare, and the kidney as the primary site of this lymphoma is much more uncommon. We report a case of primary renal peripheral T-cell lymphoma, not otherwise specified, treated with partial nephrectomy.

Case Presentation: A 63-year-old man was hospitalized with coronavirus infectious disease, emerged in 2019 in the emergency department.

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F-FDG PET/CT is regarded as a modality utilized for the purpose of lesion localization, staging and assessment of treatment response in patients with lymphoma. However, it is difficult that we diagnose among multifocal lymphoma, IgG4-related disease (IgG4-RD), or a combination of both conditions when confronted with multiple sites of F-FDG uptake with heightened serum IgG4 levels. We present a case of a 72-year-old male who was suspected of Sjögren's syndrome based on symptoms of xerostomia accompanied by swelling of the bilateral upper eyelid and salivary glands.

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We report a case of a 24-year-old man who developed angioimmunoblastic T-cell lymphoma (AITL) after treatment for refractory lymphocyte-rich classic Hodgkin lymphoma (LR-CHL). This patient was treated with the BV+AVD (brentuximab vedotin, doxorubicin, vinblastine, and dacarbazine) protocol for LR-CHL but progressed before completing chemotherapy. The pathological imaging showed the typical findings of LR-CHL at the first onset and first progression.

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This is the first autopsy case of Epstein-Barr virus-positive marginal zone lymphoma (EBV + MZL) with an other iatrogenic immunodeficiency-associated lymphoproliferative disorders (LPD) (methotrexate [MTX]-associated LPD) that deteriorated after the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine. This case had a unique immunophenotype. A 71-year-old female patient with rheumatoid arthritis receiving MTX presented with fatigue 1 week after the SARS-CoV-2 vaccination.

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  • * This study examined the effects of CD47 and SIRPα in 84 myeloid sarcoma biopsy samples, classifying patients based on whether SIRPα was present in tumor cells (nSIRPα) or surrounding stromal cells (miSIRPα).
  • * Patients with CD47-positive tumors experienced better overall survival rates and greater lymphocytic infiltration, marking a new finding that suggests CD47 may have a protective role in myeloid sarcoma, although further studies on genetic factors
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