Publications by authors named "Kana Hosokawa"

Background/aim: Appropriate dietary assessment plays a crucial role in individualized nutritional therapy for individuals with type 2 diabetes mellitus (T2DM). Daily dietary variations must be considered in the estimation of usual dietary intake, and such data are limited in individuals with T2DM. This study aimed to evaluate within- and between-individual variations in protein, sodium, potassium, and phosphorus intakes estimated from 24 h urine collection (24 h UC) and semi-weighted dietary records (DRs) in Japanese individuals with T2DM.

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Background/objectives: Pancreatic cancer (PC) is an aggressive malignancy with a poor prognosis. Zinc deficiency (ZD) is prevalent among patients with cancer, especially those with PC, owing to factors such as malabsorption and systemic inflammation. Although ZD is associated with poor nutritional status and cancer cachexia, its impact on overall survival (OS) in unresectable PCs remains unclear.

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Introduction: Despite recent advancements, outcomes for unresectable hepatocellular carcinoma (HCC) treated with atezolizumab plus bevacizumab (atezo/bev) remain suboptimal, with drug resistance posing a major challenge. This study evaluated the efficacy of additional locoregional treatments (LRTs) for oligo-atezo/bev-resistant lesions.

Methods: We retrospectively analyzed patients with intermediate-stage and advanced-stage HCC who developed drug-resistant lesions during first-line atezo/bev therapy.

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Neuroendocrine carcinomas (NECs) are rare and highly malignant tumors with a generally poor prognosis. Carcinoembryonic antigen (CEA) is often associated with adenocarcinoma, but its significant elevation in NEC cases is unusual. A 69-year-old man was admitted to our hospital in January 2016 due to syncope induced by anemia.

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  • Advanced pancreatic cancer requires quick treatment; the study looked at how the time between diagnosis and starting chemotherapy affects patient survival.
  • A total of 137 patients were analyzed, split into two groups: those starting treatment within 30 days and those waiting longer.
  • The results showed no significant survival difference between the groups, suggesting that waiting more than 30 days to begin chemotherapy does not adversely impact treatment effectiveness.
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Background: Pancreatic cancer (PC) has a poor prognosis, with body weight loss commonly observed at diagnosis. However, the impact on PC prognosis of weight loss at the time of diagnosis on PC prognosis is unknown.

Methods: This retrospective, single-center study enrolled consecutively patients diagnosed with metastatic or locally advanced PC or resectable PC who were intolerant of or refused surgery.

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  • A study analyzed 609 hospitalized Japanese COVID-19 patients to understand the prevalence and severity of gastrointestinal (GI) symptoms.
  • Among the patients, 36% exhibited GI symptoms, with diarrhea being the most common, though the severity of GI issues did not correlate with the severity of COVID-19 infection.
  • Timing of symptoms showed that in patients with both GI and respiratory symptoms, about half had respiratory symptoms first, while others experienced simultaneous or GI symptoms before respiratory ones.
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  • The study investigates the impact of antithrombotic drugs (ATs) on fecal immunochemical test (FIT) results for colorectal cancer (CRC) screening, comparing results between AT users and nonusers.
  • Findings indicate that patients on ATs had lower adenoma detection rates (ADRs) and polyp detection rates (PDRs), though the overall predictive value for detecting invasive CRC remained similar.
  • Notably, the use of warfarin was identified as a potential positive predictive factor for invasive CRC detection among AT users, suggesting it might have some influence on FIT outcomes.
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Background And Aim: Oxaliplatin can lead to hepatic sinusoidal injury, called hepatic sinusoidal obstruction syndrome (SOS), resulting in portal hypertension-related complications. This could worsen the clinical course of the patients treated with oxaliplatin. Early diagnosis is challenging.

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Recently, direct oral anticoagulants (DOACs) have been widely used as antithrombotic agents to replace warfarin, but their clinical impact in patients with gastrointestinal bleeding is unclear. We compared the effects of warfarin and DOACs on the outcomes of patients with colonic diverticular bleeding. The patients were divided into warfarin and DOAC groups.

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  • Predicting malignant transformation in pancreatic cyst patients is tough, prompting a study on risk factors.
  • The study reviewed 479 patients from 2008 to 2021, revealing that 9.2% experienced significant changes and 1.7% developed pancreatic cancer.
  • Key predictive factors identified include cyst diameter, main pancreatic duct diameter, multilocular cysts, and inconsistent duct caliber, allowing risk stratification into low, medium, and high-risk groups for better monitoring.
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BRCA2 localizes to centrosomes between G1 and prophase and is removed from the centrosomes during mitosis, but the underlying mechanism is not clear. Here we show that BRCA2 is cleaved into two fragments by membrane type-1 matrix metalloproteinase (MT1-MMP), and that knockdown of MT1-MMP prevents the removal of BRCA2 from centrosomes during metaphase. Mass spectrometry mapping revealed that the MT1-MMP cleavage site of human BRCA2 is between Asn-2135 and Leu-2136 ((2132)LSNN/LNVEGG(2141)), and the point mutation L2136D abrogated MT1-MMP cleavage.

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