Publications by authors named "Toru Nanmoku"

Background: T follicular helper (Tfh) cell lymphomas, including their most prevalent form, angioimmunoblastic T-cell lymphoma, frequently present with clinical symptoms, such as fever and rash, accompanied by substantial immune cell infiltration within the tumor microenvironment. These features often obscure the distinction between Tfh lymphoma and other autoimmune or inflammatory conditions. Notably, the p.

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  • Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare type of T-cell lymphoma that primarily affects the skin and has a high five-year survival rate of over 80%.
  • A study involving whole-exome sequencing of 60 samples from 36 SPTCL patients identified 138 mutations in skin tumors and recurring HAVCR2 germline mutations in many patients, particularly in Japanese individuals.
  • Despite treatment with multiple chemotherapy agents, some patients showed only partial responses, but their conditions remained stable with further treatments, highlighting the importance of long-term monitoring due to potential complications.
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A 64-year-old woman presented with fine motor impairment in both hands. MRI revealed a contrast-enhanced lesion in the medulla oblongata. Lymphoid cells with abnormal blebs were observed and a CD4/CD8 double positive (DP) T cell population was detected by flow cytometry (FCM) in the bone marrow (BM) and the peripheral blood (PB).

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A 64-year-old man was diagnosed with diffuse large B-cell lymphoma (DLBCL). He achieved complete remission after R-CHOP therapy, but experienced relapse as lymphoplasmacytic lymphoma (LPL) 4 years after initial treatment. He was retreated with R-bendamustine therapy, resulting in a second remission.

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  • A 2-year-old boy was diagnosed with acute megakaryoblastic leukemia (AMKL) and achieved complete remission through chemotherapy without needing stem cell transplantation.
  • Nine months post diagnosis, he developed acute monocytic leukemia (AMoL), marked by the presence of the KMT2A::LASP1 chimeric gene, and again achieved complete remission after receiving multi-agent chemotherapy followed by cord blood transplantation.
  • Detailed analysis confirmed that AMoL was a separate leukemia rather than a relapse of AMKL, as indicated by differences in morphology, genomics, and molecular characteristics; the patient is now disease-free.
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A 51-year-old man with the chief complaint of glove- and stocking-type dysesthesia for >3 years was diagnosed with Waldenström's macroglobulinemia (WM) based on IgM-type M-proteinemia, bone marrow infiltration of plasmacytoid B cells, multiple lymphadenopathies, and splenomegaly. A nerve conduction examination suggested demyelinating neuropathy. Serum anti-myelin-associated glycoprotein antibody was negative.

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  • NUP98::DDX10 is a rare gene fusion linked to acute myeloid leukemia (AML), and its treatment outcomes and transplantation guidelines are not well-established.
  • A 48-year-old woman with AML and this fusion gene initially responded to treatment, achieving remission, but later experienced persistent MRD and eventual relapse after stem cell transplantation.
  • The case highlights the need for careful consideration of transplantation timing and relapse management strategies, emphasizing the importance of gathering more cases for better understanding and treatment protocols.
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  • Angioimmunoblastic T-cell lymphoma (AITL) is a challenging type of T-cell lymphoma characterized by the specific p.Gly17Val RHOA mutation.
  • A patient experienced worsening health due to cardiac issues after receiving autologous transplantation for AITL, leading to a diagnosis of cardiac tamponade related to AITL recurrence.
  • The case highlights the potential for precision medicine, suggesting that monitoring the p.Gly17Val RHOA mutation can improve AITL management.
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Background: In this study, we aimed to investigate the effect of DNA methyltransferase 1 gene (DNMT1) expression on leukemia cell proliferation.

Methods: Following stimulation with interferon-α (IFN-α) or methylation inhibitor for three days, we evaluated changes in the DNMT1 expression levels, cell proliferation activity, and Bcl-2-Associated X Protein (BAX) expression levels in the chronic myelogenous leukemia cell line K562 and the acute monocytic leukemia cell line THP-1.

Results: DNMT1 expression levels and cell proliferation activity decreased in K562 and THP-1 cells, whereas BAX expression levels increased.

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  • A new rapid assay using the GENECUBE was developed to detect the tcdB gene of Clostridioides difficile in stool samples, providing results in about 35 minutes without purification.
  • A study involving 383 stool samples compared the performance of this new assay against the BD MAX Cdiff assay and toxigenic cultures across eight institutions in Japan.
  • The GENECUBE assay showed high sensitivity and specificity, with results comparable to the BD MAX Cdiff assay, making it a reliable method for detecting the tcdB gene in clinical settings.
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Immunophenotyping was performed in 1044 consecutive childhood acute lymphoblastic leukemia (ALL) patients enrolled in the Tokyo Children's Cancer Study Group L04-16 trial, revealing novel findings associated with genetic abnormalities. In addition to TCF3-PBX1 and MEF2D fusions, the CD10 subtype of KMT2A-MLLT3-positive ALL frequently exhibited the cytoplasmic-μ pre-B ALL immunophenotype. Although ETV6-RUNX1 was significantly correlated with myeloid antigen expression, more than half of patients expressed neither CD33 nor CD13, while the CD27 /CD44 immunophenotype was maintained.

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  • The study investigates the use of cell-free DNA (cfDNA) analysis in detecting mutations in B-cell lymphoma patients, focusing on the origins of these mutations.
  • It specifically looks at genes associated with lymphoma (MYD88, CD79B), mutations related to clonal hematopoiesis (CHIP) (DNMT3A, TP53), and shared mutations.
  • The findings suggest that mutations in TP53 and DNMT3A detected in cfDNA during remission likely come from CHIP rather than lingering cancer, emphasizing the need for careful interpretation of liquid biopsy results.
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t(17;19)(q21-q22;p13), responsible for TCF3-HLF fusion, is a rare translocation in childhood B-cell precursor acute lymphoblastic leukemia(BCP-ALL). t(1;19)(q23;p13), producing TCF3-PBX1 fusion, is a common translocation in childhood BCP-ALL. Prognosis of t(17;19)-ALL is extremely poor, while that of t(1;19)-ALL has recently improved dramatically in intensified chemotherapy.

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CHARGE syndrome is a rare congenital malformation syndrome which may share symptoms with DiGeorge syndrome. Complete DiGeorge syndrome (cDGS) is a severe form of DiGeorge syndrome, characterized by a CD3+ T-cell count of <50/mm due to athymia, and is fatal without immunologic intervention. We performed peripheral blood lymphocyte transfusion (PBLT) from an HLA-identical sibling without pretransplant conditioning in a CHARGE/cDGS patient with a novel CHD7 splice site mutation.

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Primary central nervous system lymphoma (PCNSL) is a rare subtype of lymphoma that arises within the brain or the eyes. PCNSL recurs within the central nervous system (CNS) in most relapsed cases, whereas extra-CNS relapse is experienced in rare cases. The present study aimed at identifying the presence of common precursor cells (CPC) for primary intra- and relapsed extra-CNS tumors, and further assessing the initiating events in bone marrow (BM).

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The duplication of 5' segment of is a rare molecular event in childhood leukemia, and the influence on prognosis is unknown. Here, we report on a boy who developed acute monocytic leukemia. Fluorescence in situ hybridization revealed the duplication of the 5' segment with 2 normal alleles at which was eventually found to be fused with .

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Recent genetic studies identified that the disease-specific G17V RHOA mutation, together with mutations in TET2, DNMT3A, and IDH2, is a hallmark of angioimmunoblastic T cell lymphomas (AITL). The diagnostic value of these mutations is now being investigated. Circulating tumor DNAs (ctDNAs) may offer a non-invasive testing for diagnosis and disease monitoring of cancers.

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  • In vitro hemolysis is a prevalent issue in laboratory medicine that can affect the accuracy of test results in unpredictable ways.
  • A study investigated the impact of hemolysis on 80 routine laboratory tests by simulating varying levels of hemoglobin in blood samples and measuring the results from several testing machines.
  • The findings revealed that 8.6% of hospital specimens were hemolyzed, resulting in significant changes in 43 out of 80 tests, with certain tests like potassium and lactate dehydrogenase showing notable increases due to hemolysis.
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Recent studies have indicated that the detection of urinary podocytes holds major significance for focal segmental glomerulosclerosis (FSGS). We present two cases of FSGS after kidney transplantation, focusing on urinary podocytes. In Case 1, treatment led to incomplete remission with the reduction of urinary podocytes, and his renal function was preserved.

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Imatinib mesylate has dramatically improved the outcome of children with Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph* ALL) and is now included as first-line therapy. Uncommon adverse effects of this drug for pediatric use, however, are largely unknown. We report the first case of a 9-year-old child who developed severe acute hepatitis with grade 4 transaminases and bilirubin elevation during imatinib treatment for Ph* ALL.

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The collection of clinical samples, such as bone marrow (BM) and peripheral blood, is an important procedure for the extraction of the cellular RNA. It is essential to preserve the extracted RNA during and after the collection of clinical samples to ensure the accurate analysis of gene expression. To date, the PAXgene™ Blood RNA System has been proven useful for stabilizing RNA extracted from peripheral blood; however, a problem concerning the stability of the total RNA stored using the system has been identified.

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Angioimmunoblastic T cell lymphoma (AITL) is a distinct subtype of peripheral T cell lymphoma characterized by generalized lymphadenopathy and frequent autoimmune-like manifestations. Although frequent mutations in TET2, IDH2 and DNMT3A, which are common to various hematologic malignancies, have been identified in AITL, the molecular pathogenesis specific to this lymphoma subtype is unknown. Here we report somatic RHOA mutations encoding a p.

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Upon analyzing 696 childhood B-cell precursor acute lymphoblastic leukemia (BCP-ALL) cases, we identified the characteristics of CD66c expression. In addition to the confirmation of strong correlation with BCR-ABL positivity and hyperdiploid, we further observed that CD66c is frequently expressed in CRLF2-positive (11/15, p<0.01 against chimeric gene-negative) as well as hypodiploid cases (3/4), whereas it is never expressed in ETV6-RUNX1, MLL-AF4, MLL-AF9, MLL-ENL, and E2A-PBX1-positive cases.

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