Publications by authors named "Yasuo Ishii"

Background: Human leukocyte antigen antibodies play a significant role in kidney transplant rejection at all stages. Cross-matching and human leukocyte antigen antibody testing, especially in donor-specific antibody (DSA)-positive cases, are essential for reducing the risk of antibody-mediated rejection. Despite increasing numbers of DSA-positive transplants with desensitization therapy, guidelines for assessing transplant suitability and therapy selection remain undefined.

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A 20-year-old male patient diagnosed with chronic renal failure owing to autosomal recessive Alport syndrome underwent kidney transplant, with his mother as the donor. After transplant, the patient's renal function was enhanced; however, owing to preoperative nonadherence, he required sedation and mechanical ventilation. Sedation and mechanical ventilation were discontinued on postoperative day 5.

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A 54-year-old man who had been on the kidney donor register for 32 years received a kidney from a 9-year-old boy who had died of fulminant myocarditis. The post-operative course was poor, and hemodialysis was still needed after surgery. A kidney biopsy one hour after surgery showed a neutrophil-predominant inflammatory cell infiltrate localized to the peritubular capillaries (PTC) and acute tubular necrosis of the proximal tubule.

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Emphysematous polycystic renal infection (EPRI) has a poor prognosis with conservative management, and early surgical nephrectomy has been recommended. However, percutaneous cyst drainage may be a possible treatment option. We experienced 6 patients with autosomal dominant polycystic kidney disease (ADPKD) presenting with EPRI.

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BK virus-associated nephritis (BKVAN) is an important cause of graft loss in renal transplant recipients B K viremia occurs in up to 30% of renal transplant recipients. Since the discovery of BKV in 1971, effective prophylaxis and treatment have not been established, and it is not uncommon for a transplant kidney to be lost without cure of BKVAN. BK virus infection is reactivated when cellular immunity is suppressed, which is often during the first year after kidney transplantation when cellular immunity is most suppressed.

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  • After a relapse two years later, he was switched to baricitinib, achieving remission again before RA recurred and he discovered a tumor in his kidney at age 72.
  • Following surgical removal of the tumor, which was identified as renal cell carcinoma (RCC), the patient reported joint pain relief but ultimately died from systemic metastases about 10 weeks later, with the RA and RCC linked as a paraneoplastic syndrome.
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  • Despite negative cultures, his condition improved, and he was discharged 20 days later without peritonitis symptoms.
  • After a 40-day follow-up culture revealed Mycobacterium tuberculosis and the recurrence of peritonitis, a positive T-SPOT test led to successful anti-tuberculosis treatment, highlighting its potential for early diagnosis.
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  • - A 63-year-old man with a history of polycystic kidney disease received a kidney transplant from his wife and later developed kidney issues after receiving COVID-19 vaccines, including proteinuria and hematuria.
  • - A kidney biopsy revealed findings consistent with membranous nephropathy (MN), showing chronic damage and deposits that indicated a newly developed condition after the transplant.
  • - The case suggests a possible link between the COVID-19 vaccination and the onset of MN in kidney transplant patients, highlighting the need for awareness of such potential complications.
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The specification of the embryonic central nervous system (CNS) into future brain (forebrain, midbrain, or hindbrain) and spinal cord (SC) regions is a critical step of CNS development. A previous chicken embryo study indicated that anterior epiblast cells marked by N2 enhancer activity are specified to the respective brain regions during the transition phase of the epiblast to the neural plate-forming neural primordium. The present study showed that the SC precursors positioned posterior to the hindbrain precursors in the anterior epiblast migrated posteriorly in contrast to the anterior migration of brain precursors.

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  • - A 53-year-old Japanese man developed gastric Burkitt's monomorphic post-transplant lymphoproliferative disorder (B-PTLD) 28 months after receiving a kidney transplant in Ethiopia, following complaints of gastric discomfort.
  • - Prior to the transplant, his serum tests for Epstein-Barr virus (EBV) were negative, but a biopsy of the tumor revealed positive EBV-encoded small RNAs, indicating the onset of B-PTLD.
  • - The patient underwent intensive treatment with R-CHOP and DA-EPOCH-R chemotherapy, which has been effective so far, with no relapse reported, highlighting a rare case of successful B-PTLD management.
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  • - The text discusses a clinical trial on machine perfusion for kidney transplants in Japan, aiming to boost the use of this technique due to its potential benefits for organ preservation.
  • - Thirteen kidney transplant procedures were performed using a specific machine that maintains optimal conditions for the organs, with details on donor types and recipient demographics highlighted.
  • - The results indicated successful preservation with no primary non-functional cases, showing promise for machine perfusion as a method for using marginal donor organs in Japan.
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  • * 22 months post-transplant, he experienced graft loss due to hemolytic uremic syndrome, linked to poor medicine adherence, resulting in rapid kidney function decline and blood abnormalities.
  • * A kidney biopsy revealed thrombotic microangiopathy (TMA) but no signs of lupus recurrence or rejection, indicating TMA related to APS caused the graft loss, emphasizing the need for strict adherence to warfarin treatment.
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  • The initial kidney biopsy revealed serious kidney issues, classified as class 3 diabetic nephropathy.
  • Six months post-surgery, the woman's kidney function improved, indicating that diabetes-related kidney damage may be more linked to metabolic and hemodynamic factors rather than directly causing protein loss in urine.
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Live imaging of migrating and interacting cells in developing embryos has opened a new means for deciphering fundamental principles in morphogenesis and patterning, which was not possible with classic approaches of experimental embryology. In our recent study, we devised a new genetic tool to sparsely label cells with a green-fluorescent protein in the broad field of chicken embryos, enabling the analysis of cell migration during the early stages of brain development. Trajectory analysis indicated that anterior epiblast cells from a broad area gather to the head axis to form the brain primordia or brain-abutting head ectoderm.

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  • - Roxadustat, a drug for treating anemia associated with renal issues, was tested on 31 post-transplant patients with low hemoglobin levels to assess its effectiveness in improving posttransplant anemia (PTA).
  • - The study showed that after 12 weeks of roxadustat treatment, patients' hemoglobin levels significantly increased from an average of 9.8 g/dL to 12.1 g/dL, while ferritin and LDL cholesterol levels decreased.
  • - Despite these improvements, some complications arose, including decreased hemoglobin in a few patients and gastrointestinal issues, indicating that while roxadustat is promising for PTA, monitoring for side effects is essential.
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Despite previous intensive investigations on epiblast cell migration in avian embryos during primitive streak development before stage (st.) 4, this migration at later stages of brain development has remained uninvestigated. By live imaging of epiblast cells sparsely labeled with green fluorescence protein, we investigated anterior epiblast cell migration to form individual brain portions.

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A 69-year-old man underwent renal transplantation due to chronic renal failure of unknown cause in 1991. Furthermore, in 2012 he again underwent renal transplantation due to renal graft dysfunction with focal segmental glomerulosclerosis. After the second renal transplantation, his renal function has been stable.

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  • Japan's organ transplant law revision has led to an increase in organ donations from brain-dead donors and expanded criteria donors, highlighting the importance of effective organ preservation methods.
  • The study utilized the CMP-X08 perfusion device with Belzer MPS solution for kidney preservation, monitoring pressure and temperature during cold storage before transplantation.
  • Results showed positive outcomes in two cases: one patient rapidly regained kidney function post-surgery without requiring dialysis, indicating the potential benefits of hypothermic machine perfusion over traditional cold storage methods.
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  • * After the operation, he experienced acute heart failure with low urine output and weight gain, despite being treated with furosemide.
  • * His condition improved significantly after being given tolvaptan, marking the first report of such an outcome in post-kidney transplantation patients with heart failure.
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  • The introduction of rituximab has improved transplant success for ABO-incompatible kidney recipients and reduced the need for splenectomy, but some evidence suggests splenectomy may still prevent graft failure in acute antibody-mediated rejection (AAMR).
  • A study involving four living donor kidney transplants in patients who were flow cytometry crossmatch (FCXM)-positive showed that all three patients who had splenectomy before surgery did not experience rejection, while the one who didn’t undergo the procedure did face graft rejection.
  • The findings indicate that pretransplant splenectomy could be a promising option for preventing rejection in high-risk cases, although more extensive studies are needed for confirmation.
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  • Renal transplantation is a viable option for patients with autosomal dominant polycystic kidney disease (ADPKD), as there's no reported recurrence, and procedures like transcatheter arterial embolization (TAE) and nephrectomy can be performed beforehand to manage health issues.
  • A study evaluated 44 patients who underwent transplantation to compare outcomes based on whether they had TAE or nephrectomy before the procedure.
  • Results showed that those who had both TAE and nephrectomy experienced better kidney function post-transplant, but nephrectomy may not be necessary if there is enough space for kidney volume reduction after surgery.
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Endoderm precursors expressing FoxA2 and Sox17 develop from the epiblast through the gastrulation process. In this study, we developed an experimental system to model the endoderm-generating gastrulation process using epiblast stem cells (EpiSCs). To this end, we established an EpiSC line i22, in which enhanced green fluorescent protein is coexpressed with Foxa2.

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In the anterior foregut (AFG) of mouse embryos, the transcription factor SOX2 is expressed in the epithelia of the esophagus and proximal branches of respiratory organs comprising the trachea and bronchi, whereas NKX2.1 is expressed only in the epithelia of respiratory organs. Previous studies using hypomorphic alleles have indicated that reduced SOX2 expression causes the esophageal epithelium to display some respiratory organ characteristics.

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Background: Multicentric Castleman disease (MCD) is an uncommon lymphoproliferative disease characterized by systemic inflammatory reactions associated with the dysregulated production of interleukin-6 (IL-6). In patients with MCD, renal involvement is uncommon, with only one report published regarding kidney transplantation (KTx) to treat end-stage renal disease (ESRD) secondary to MCD. Recent clinical observations have shown that IL-6 production is implicated in allograft rejection, while IL-6 receptor blockade (with tocilizumab [TCZ]) reduces alloantibody generation and thereby improves graft survival; however, the efficacy and safety of TCZ in MCD patients undergoing KTx is still unknown.

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A 29-year-old woman with past medical history of hypertension was referred to our hospital for the evaluation of kidney dysfunction (serum creatinine 1.0 mg/dL), proteinuria (0.54 g/gCre), and microscopic hematuria.

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