Publications by authors named "Shuta Tomida"

Background: B7-H3 and delta-like ligand 3 (DLL3) are novel therapeutic targets in extensive-stage small cell lung cancer (ES-SCLC). We aimed to assess the impact of B7-H3 and DLL3 expression on the tumor immune microenvironment (TME) and on the therapeutic efficacy of programmed cell death-ligand 1 (PD-L1) blockade for ES-SCLC.

Patients And Methods: A total of 146 ES-SCLC patients who received platinum-based chemotherapy either with (Chemo + ICI cohort) or without (Chemo cohort) an immune checkpoint inhibitor was analyzed.

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Introduction: Next-generation sequencing-based comprehensive cancer genomic profiling (CGP) tests are beneficial for refining diagnosis and personalized treatment of various cancers. However, the clinical impact of CGP, as covered by public health insurance in the management of sarcomas, remains unknown. Especially, the data on the utility of the newly emerging dual DNA-RNA panel compared to the conventional DNA-only panel in clinical settings is lacking.

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Managing elderly patients presents several challenges because of age-related declines; however, age should not be the sole determinant for adjuvant treatment decisions in patients with non-small cell lung cancer (NSCLC). Moreover, age may affect the expression of 5-fluorouracil (5-FU) biomarkers. The present study assessed: i) The effect of age on the expression levels of 5-FU biomarkers by analyzing a public database; and ii) the ability of these biomarkers to predict clinical outcomes in elderly patients with NSCLC who underwent complete resection in the Setouchi Lung Cancer Group Study 1201 (SCLG1201) followed by S-1 adjuvant chemotherapy.

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Cancer-associated fibroblasts (CAF) play immunosuppressive roles in the tumor microenvironment. Specifically, they reportedly act as physical barriers preventing immune cell infiltration. However, the spatial relationships between CAFs and cancer cells in antitumor immunity remain unknown.

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Background: The incidence of gastric cancer among younger patients is increasing globally, with growing attention being paid to the role of homologous recombination deficiency (HRD). However, the effect of HRD on treatment outcomes and prognosis in this population remains unclear.

Methods: We analyzed clinical and genomic data from the Center for Cancer Genomics and Advanced Therapeutics database.

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Persister cancer cells, which reversibly adapt to survive epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) treatment, contribute to the incurability of EGFR-mutant lung cancer. We previously reported that gefitinib induces CD8⁺ T cell-related tumor immunity in a genetically engineered mouse model (GEMM). This study investigates the tolerance of persister cancer cells to EGFR-TKI-induced tumor immunity in this model.

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Background: Gastric cancer (GC) in younger patients often exhibits aggressive behavior and a poorer prognosis than that in older patients. Although the clinical differences may stem from oncogenic gene variations, it is unclear whether genetic differences exist between these groups. This study compared the genetic profiles of early- and late-onset GC and evaluated their impact on treatment outcomes.

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Background: Small bowel adenocarcinoma (SBA) is a rare malignancy with a poor prognosis and limited treatment options. Although homologous recombination deficiency has been studied as a biomarker for other cancer types, the clinical and genomic implications of homologous recombination repair (HRR) gene mutations in SBA remain unclear.

Methods: We retrospectively analyzed the data of 628 patients with advanced or recurrent SBA from a nationwide genomic database.

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Article Synopsis
  • Idiopathic multicentric Castleman disease (iMCD) is a subtype of Castleman disease that is not linked to KSHV/HHV8 and is categorized into three types: iMCD-IPL, iMCD-TAFRO, and iMCD-NOS.
  • The primary treatment is IL-6 inhibitors, yet patients with iMCD-TAFRO and NOS often show resistance, indicating the influence of other cytokines in their pathology.
  • A transcriptome analysis revealed increased expression of various cytokine-related genes in iMCD-TAFRO/NOS, suggesting enhanced inflammatory signaling pathways, particularly the JAK-STAT and MAPK pathways, contributing to a potential cytokine storm.
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  • The study focuses on understanding how lung cancer cells develop resistance to crizotinib, a MET tyrosine kinase inhibitor, particularly in cases of MET amplification.
  • Researchers established two MET-amplified lung cancer cell lines, EBC-1 and H1993, to explore the mechanisms behind this acquired resistance, using genomic and transcriptomic data for analysis.
  • Findings revealed various resistance mechanisms, including SERPINE1 overexpression in EBC-1 cells and potential therapies like PAI-1 inhibitors or MEK inhibitors for overcoming resistance in these cancer cells.
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  • Researchers studied immune-checkpoint molecules in the blood of advanced non-small cell lung cancer (NSCLC) patients to see how they correlate with response to PD-1/PD-L1 blockade therapy.
  • They found that higher levels of these immune factors, particularly in patients with immune-reactive tumors, were linked to a lack of response to therapy.
  • The study suggests combining measurements of soluble immune molecules with tumor characteristics can better predict which patients may not benefit from PD-1/PD-L1 blockade treatments.
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Background: Selective activator protein (AP)-1 inhibitors are potentially promising therapeutic agents for atopic dermatitis (AD) because AP-1 is an important regulator of skin inflammation. However, few studies have investigated the effect of topical application of AP-1 inhibitors in treating inflammatory skin disorders.

Methods: Immunohistochemistry was conducted to detect phosphorylated AP-1/c-Jun expression of skin lesions in AD patients.

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Background: Autoimmune gastritis (AIG) is a prevalent chronic inflammatory disease with oncogenic potential that causes destruction of parietal cells and severe mucosal atrophy. We aimed to explore the distinctive gene expression profiles, activated signaling pathways, and their underlying mechanisms.

Methods: A comprehensive gene expression analysis was conducted using biopsy specimens from AIG, Helicobacter pylori-associated gastritis (HPG), and non-inflammatory normal stomachs.

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Article Synopsis
  • CAF-derived POSTN is significantly overexpressed in non-small cell lung cancer (NSCLC) compared to normal fibroblasts, contributing to tumor growth and progression.
  • POSTN promotes cell proliferation and enhances the ability of NSCLC cells to undergo epithelial-mesenchymal transition (EMT) through activation of the ERK signaling pathway.
  • Knocking down POSTN in cancer-associated fibroblasts improves the effectiveness of osimertinib treatment in EGFR-mutant NSCLC cells, suggesting that targeting POSTN could be a promising therapeutic approach.
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With the rapid expansion of genomic medicine, more citizens are compelled to think about genetics in their daily lives. This study aims to explore appropriate types of educational media and methods to enlighten activities for genetics and hereditary cancer. We presented an 18-min YouTube video on genetics and hereditary cancer to participants at a scientific event, Science Agora 2020, and administered a web questionnaire to investigate their opinions about when and how citizens should start learning about genetics and hereditary cancer.

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The distribution and clinical impact of cell-of-origin (COO) subtypes of diffuse large B-cell lymphoma (DLBCL) outside Western countries remain unknown. Recent literature also suggests that there is an additional COO subtype associated with the germinal center dark zone (DZ) that warrants wider validation to generalize clinical relevance. Here, we assembled a cohort of Japanese patients with untreated DLBCL and determined the refined COO subtypes, which include the DZ signature (DZsig), using the NanoString DLBCL90 assay.

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Article Synopsis
  • The PACIFIC regimen, which involves durvalumab treatment after chemoradiation, is standard for unresectable stage III NSCLC, but many patients see disease progression within a year, highlighting a need to understand treatment resistance.
  • A study involving 135 patients aimed to analyze tumor microenvironments and immune cell profiles to identify resistance mechanisms, revealing key findings related to adaptive immunity and specific cancer cell behaviors.
  • Results showed that low levels of CD8 lymphocytes and high CD73 expression in tumors correlate with poor treatment outcomes, suggesting that targeting CD73 may improve future therapies and highlighting the role of adaptive immunity in treatment effectiveness.
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In the current World Health Organization classification of central nervous system tumors, comprehensive genetic and epigenetic analyses are considered essential for precise diagnosis. A 14-year-old male patient who presented with a cerebellar tumor was initially diagnosed with glioblastoma and treated with radiation and concomitant temozolomide chemotherapy after resection. During maintenance temozolomide therapy, a new contrast-enhanced lesion developed in the bottom of the cavity formed by the resection.

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  • - The study investigates how the vaginal microbiota is affected by uropathogenic bacteria linked to recurrent cystitis (RC) and explores the potential benefits of vaginal suppositories in preventing RC.
  • - Researchers analyzed vaginal samples from 39 postmenopausal women, categorizing them into four groups (healthy, uncomplicated cystitis, RC, and prevention), and utilized sequencing data to differentiate bacterial communities.
  • - Findings showed distinct bacterial clusters, with most samples from the RC and prevention groups falling into specific clusters compared to healthy and uncomplicated cystitis groups, indicating that the vaginal microbiome plays a significant role in RC development and prevention.
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Renal dysfunction is a long-term complication associated with an increased mortality after lung transplantation (LT). We investigated the association of single-nucleotide polymorphisms (SNPs) with the development of renal dysfunction after LT using a Japanese-specific SNP array. First, eligible samples of 34 LT recipients were genotyped using the SNP array and divided into two groups, according to the presence of homozygous and heterozygous combinations of mutant alleles of the 162 renal-related SNPs.

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Patients found to have presumed germline pathogenic variants (PGPVs) during comprehensive genomic profiling (CGP) require genetic counseling (GC) referrals. We retrospectively investigated the outcomes of patients with PGPVs. Among 159 patients who underwent CGP, we recommended GC for the 16 patients with PGPVs (3 with [FG group] and 13 without [G Group] a family/personal history of hereditary cancer) as well as for the 8 patients with no PGPVs, but a history (F group); 2 (67%), 5 (38%), and 3 (38%) patients received GC in the FG, G, and F groups, respectively.

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