Publications by authors named "Yoshinori Takahashi"

We describe a case of acute cholangitis with bacteremia caused by non-O1 and non-O139 (NOVC) in a 76-year-old man following acute gastroenteritis. The strain, isolated from blood cultures, was identified as serogroup O120. It lacked the cholera toxin gene, but it harbored multiple virulence genes, including , , , and .

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Objectives: The randomized, double-blind, placebo-controlled LIBERTY SINUS-24 and SINUS-52 studies demonstrated that dupilumab is effective for chronic rhinosinusitis with nasal polyps (CRSwNP) when used with an intranasal corticosteroid (INCS); however, INCSs are not approved for CRSwNP in Japan. The current study aimed to investigate the effectiveness and safety of dupilumab monotherapy in Japanese individuals with CRSwNP.

Methods: This phase 4, open-label, single-arm, multicenter study enrolled adult individuals with CRSwNP inadequately controlled with standard care therapies, including systemic corticosteroids and/or surgery.

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Cat-scratch disease (CSD) is a zoonotic infection primarily caused by Bartonella henselae following cat scratches. It typically presents with localized skin symptoms and self-limiting lymphadenopathy; however, in some cases, it can progress to disseminated lesions, leading to severe complications. We report a case of CSD with multiorgan involvement in a 79-year-old woman undergoing abatacept treatment for rheumatoid arthritis.

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Vacuolar protein sorting 4 (VPS4) is an AAA-ATPase that catalyzes the endosomal sorting complex required for transport-III disassembly, mediating various cellular membrane-remodeling processes including endolysosomal membrane repair and autophagosome closure. Humans have 2 VPS4 paralogs, VPS4A and VPS4B, and the loss of either paralog has been identified in a significant proportion of cancers, rendering them dependent on the remaining paralog for survival. In this study, we explored VPS4 inhibition as an anticancer strategy by investigating the mechanisms of VPS4 inhibition-induced cell death and developing small-molecule compounds that target VPS4 functions.

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Pyogenic arthritis with gas gangrene triggered by intra-articular steroid injections can occasionally result in fatal complications. Clostridium perfringens is typically the causative pathogen, with infections caused by Fusobacterium species being relatively rare. Fusobacterium species are known to cause pyogenic infections, but due to their extreme sensitivity to oxygen, they can be difficult to detect with traditional culture methods.

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The increasing plastic production causes serious problems in the marine environment, and the main source of plastic waste comes from the fishing and aquaculture industries. Although there have been various efforts to develop aquaculture equipment with marine biodegradable plastics, an urgent need is to develop an assay to evaluate their biodegradation in aquaculture environments. This study focused on evaluating the biodegradation of biomass plastic in recirculating aquaculture systems (RAS) that mimic freshwater, brackish water, and saltwater aquacultures.

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The endosomal sorting complex required for transport (ESCRT) machinery is a membrane abscission system that mediates various intracellular membrane remodeling processes, including macroautophagy/autophagy. In our recent study, we established the unique requirement of the ubiquitin E2 variant-like (UEVL) domain of the ESCRT-I subunit VPS37A for phagophore closure, the final step in autophagosome biogenesis, and determined the physiological impact of systemically inhibiting closure by targeting this region in mice. While the mutant mice exhibited phenotypes similar to those reported in mice deficient in generating ATG8 (mammalian Atg8 homologs)-conjugated (ATG8ylated) phagophores, certain phenotypes, such as neonatal lethality and liver injury, were found to be notably milder.

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Antisense oligonucleotides (ASOs) are an important class of therapeutics to treat genetic diseases, and expansion of this modality to neurodegenerative disorders has been an active area of research. To realize chronic administration of ASO therapeutics to treat neurodegenerative diseases, new chemical modifications that improve activity and safety profiles are still needed. Furthermore, it is highly desirable to develop a single stereopure ASO with a defined activity and safety profile to avoid any efficacy and safety concerns due to the batch-to-batch variation in the composition of diastereomers.

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Macroautophagy/autophagy, an evolutionarily conserved cellular degradation pathway, involves phagophores that sequester cytoplasmic constituents and mature into autophagosomes for subsequent lysosomal delivery. The gene family, comprising the and subfamilies in mammals, encodes ubiquitin-like proteins that are conjugated to phagophore membranes during autophagosome biogenesis. A central question in the field is how Atg8-family proteins are precisely involved in autophagosome formation, which remains controversial and challenging, at least in part due to the short lifespan of phagophores.

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Article Synopsis
  • Macroautophagy involves creating structures called autophagosomes for cellular cleanup, and disrupting their closure has unknown effects.
  • Researchers created mice with a specific mutation that impairs autophagosome closure, resulting in various issues like protein buildup and growth problems, though some survive into adulthood.
  • The study found that this mutation causes the buildup of a protein (TBK1) on forming autophagosomes, leading to increased phosphorylation and aggregation of other proteins, suggesting a new role for these structures in managing cellular waste.
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  • * Factors linked to elevated IgG4 included male sex, older age, lower lipid and polyunsaturated fatty acid intake, and higher carbohydrate intake in both genders, with additional specific associations for men related to kidney function and blood sugar levels.
  • * The findings suggest that elevated serum IgG4 levels are connected to age, gender, and diet, which may reflect similar patterns seen in IgG4-related disease (IgG4-RD).
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  • The study addresses the challenge of creating an in vitro - in vivo correlation (IVIVC) for oral modified release formulations, which would allow for easier substitution of dissolution tests in place of human bioequivalence studies.
  • Researchers developed a physiologically based biopharmaceutics model (PBBM) that enables IVIVC specifically for mirabegron MR formulations, taking into account the drug's non-linear absorption characteristics.
  • The PBBM approach showed success in predicting the peak concentration (Cmax) of the MR formulations, but had prediction errors for the total drug exposure over time (AUC) that exceeded acceptable criteria due to factors like incomplete absorption.
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  • * This report presents a case of culturenegative infective endocarditis caused by Neisseria bacilliformis, which was identified using 16S rRNA analysis of the affected valve tissue.
  • * A literature review indicated that beta-lactam antibiotics are effective against N. bacilliformis, suggesting a relatively favorable outcome for patients, marking this as the first recorded instance of identifying N. bacilliformis in culture-negative endocarditis through 16S rRNA analysis.
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  • - The text examines whether BCS-based biowaivers can be applied to immediate-release drugs containing raltegravir potassium, a treatment for HIV.
  • - Raltegravir potassium is classified as BCS class II or IV, meaning it has low solubility and uncertain permeability, which affects its potential for biowaivers.
  • - According to ICH M9 guidelines, it's not advisable to use BCS-based biowaivers for new generic versions or significant changes to the drug's formulation or manufacturing.
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  • VPS37A is a key component of the ESCRT-I complex, necessary for bringing certain ESCRT proteins to the phagophore, which is crucial for closing autophagosomes.
  • The exact process of how VPS37A reaches the phagophore is unclear, but its N-terminal domain interacts with highly curved membranes due to specific motifs around its UEVL domain.
  • Mutations in these interaction motifs disrupt the localization of ESCRT-I to the phagophore, leading to incomplete phagophore closure and impaired autophagy, suggesting that the phagophore's unique shape is important for the assembly of the necessary machinery for autophagosome formation.
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Frequent mutations of SARS-CoV-2 change the strain more transmissible, leading to the pandemic in worldwide. We detected Y453F substitution on Omicron strain, isolated from a Japanese patient in July 2022. While Y453F substitution was identified B1.

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  • - Scleroderma renal crisis (SRC) is a serious complication of systemic sclerosis that can lead to kidney failure, with normotensive SRC being particularly hard to diagnose; this condition may develop after kidney transplantation in patients who have received high doses of glucocorticoids.
  • - A case study highlights a 37-year-old man with overlapping systemic sclerosis and lupus who developed normotensive SRC after kidney transplantation and glucocorticoid treatment, leading to worsening kidney function and eventual hemodialysis.
  • - It's important for nephrologists to recognize the potential for SRC in transplanted kidneys and to monitor patients closely, especially when they are on high-dose glucocorticoids, to ensure timely diagnosis and management.
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  • Fluoroscopy is crucial for orthopedic surgeries but poses health risks due to radiation exposure to the surgical team.
  • This study used cadavers to measure radiation doses during hip surgeries, finding that exposure was significantly higher during lateral imaging compared to posteroanterior imaging for the surgeon.
  • The results suggest reducing lateral imaging time and maintaining distance from fluoroscopy equipment can minimize radiation exposure for surgical team members, especially nurses and anesthesiologists.
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The gene encodes a subunit of the endosomal sorting complex required for transport (ESCRT)-I complex that is frequently lost in a wide variety of human solid cancers. We have previously demonstrated the role of VPS37A in directing the ESCRT membrane scission machinery to seal the phagophore for autophagosome completion. Here, we report that -deficient cells exhibit an accumulation of the apoptotic initiator CASP8 (caspase 8) on the phagophore and are primed to undergo rapid apoptosis through the intracellular death-inducing signaling complex (iDISC)-mediated CASP8 activation upon exposure to endoplasmic reticulum (ER) stress.

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  • Research identifies harmful long-term effects of low-dose radiation and evaluates actual exposure levels for surgical team members during fluoroscopic spinal procedures.
  • Seven cadavers were subjected to C-arm fluoroscopy, measuring radiation doses at critical body areas to assess risk associated with various X-ray source positions.
  • Results showed significant variations in radiation exposure based on X-ray source positioning, with lateral exposures posing the highest risk, emphasizing the need for effective shielding and techniques to reduce radiation risks for surgical staff.
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Objectives: Although elevated serum immunoglobulin A (IgA) levels are thought to exclude a diagnosis of IgG4-related disease (IgG4-RD), IgG4-RD has been definitively diagnosed in some patients despite elevated serum IgA levels. This study aimed to clarify the prevalence of elevated IgA levels in patients with IgG4-RD and to compare the clinical features of IgG4-RD patients with and without elevated IgA levels.

Methods: The clinical features of 169 IgG4-RD patients were retrospectively compared among those with and without elevated serum IgA levels.

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Water-soluble protein (WSP) from fish meat is abundant in the waste effluent generated via the surimi manufacturing process. This study investigated the anti-inflammatory effects and mechanisms of fish WSP using primary macrophages (MΦ) and animal ingestion. MΦ were treated with digested-WSP (d-WSP, 500 µg/mL) with or without lipopolysaccharide (LPS) stimulation.

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We herein report a three-year-old boy with septic pulmonary embolism caused by Tsukamurella paurometabola bacteremia during chemotherapy for rhabdomyosarcoma. During the interval of chemotherapy, the patient was temporarily discharged with a peripherally inserted central venous catheter but was re-admitted to the hospital with a fever on the same day. A blood culture taken at the time of re-admission showed T.

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Complement component 5 (C5), an important molecule in the complement cascade, blockade by antibodies shows clinical efficacy in treating complement-mediated disorders. However, insufficient blockading induced by single-nucleotide polymorphisms in the C5 protein or frequent development of "breakthrough" intravascular hemolysis in patients with paroxysmal nocturnal hemoglobinuria treated with eculizumab have been reported. Herein, we developed a lipid nanoparticle (LNP)-formulated siRNA targeting C5 that was efficiently delivered to the liver and silenced C5 expression.

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