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Kurokawa, Kenji,Ryu, Kyoung-Hwa,Ichikawa, Rie,Masuda, Akiko,Kim, Min-Su,Lee, Hanna,Chae, Jun-Ho,Shimizu, Takashi,Saitoh, Tatsuya,Kuwano, Koichi,Akira, Shizuo,Dohmae, Naoshi,Nakayama, Hiroshi,Lee, Bok American Society for Biochemistry and Molecular Bi 2012 The Journal of biological chemistry Vol.287 No.16
Kazushige Itoki,Ryu Kurokawa,Tetsuro Shingo,Phyo Kim 대한척추신경외과학회 2018 Neurospine Vol.15 No.1
Objective: When treating patients with cervical spondylotic myelopathy (CSM), we often note amelioration in concomitant hypertension after surgery. To assess the effects of surgery and the mechanisms thereof, blood pressure (BP) and parasympathetic nervous activity were monitored prospectively in CSM patients undergoing surgery. Methods: Sixty-eight consecutive CSM patients who underwent surgery with myoarchitectonic spinolaminoplasty were enrolled. BP and electrocardiography were recorded preoperatively and at 1, 3, and 6 months postoperatively. Forty-six patients completed the scheduled follow-ups and were analyzed. Preoperatively, 17 had a mean BP higher than 100 mmHg (the HT group) and 12 had hypertension despite taking medication (the HT-refractory group). To evaluate alterations in parasympathetic function, the coefficient of variation of the RR interval (CVRR) was evaluated. Results: A significant BP reduction was observed in the HT group 6 months after surgery, but not in the normotensive group (n=29). The effect was more remarkable in the HT-refractory group. A transient BP increase at 1 and 3 months after surgery was observed in all groups. Comparisons were made between groups classified by age (over 65 years or younger than 60 years) and the presence or absence of an intramedullary hyperintense T2 signal on magnetic resonance imaging, but no significant differences were detected. Measurements of CVRR did not significantly differ between the groups over the course of follow-up. Conclusion: Hypertension coexisting with CSM can be ameliorated after surgical treatment. The effect is likely to be mediated by moderation of sympathetic activity, rather than parasympathetic activation. We believe that a combination of adequate decompression of the spinal cord and relief from musculoskeletal stresses effectuate this moderation.
Structural evidence of <b>α</b>‐aminoacylated lipoproteins of <i>Staphylococcus aureus</i>
Asanuma, Miwako,Kurokawa, Kenji,Ichikawa, Rie,Ryu, Kyoung‐,Hwa,Chae, Jun‐,Ho,Dohmae, Naoshi,Lee, Bok Luel,Nakayama, Hiroshi Blackwell Publishing Ltd 2011 FEBS JOURNAL Vol.278 No.5
<P>Bacterial lipoproteins are known to be diacylated or triacylated and activate mammalian immune cells via Toll‐like receptor 2/6 or 2/1 heterodimer. Because the genomes of low G+C content Gram‐positive bacteria, such as <I>Staphylococcus aureus</I>, do not contain <I>Escherichia coli</I>‐type apolipoprotein <I>N</I>‐acyltransferase, an enzyme converting diacylated lipoproteins into triacylated forms, it has been widely believed that native lipoproteins of <I>S. aureus</I> are diacylated. However, we recently demonstrated that one lipoprotein SitC purified from <I>S. aureus</I> RN4220 strain was triacylated. Almost simultaneously, another group reported that another lipoprotein SA2202 purified from <I>S. aureus</I> SA113 strain was diacylated. The determination of exact lipidated structures of <I>S. aureus</I> lipoproteins is thus crucial for elucidating the molecular basis of host–microorganism interactions. Toward this purpose, we intensively used MS‐based analyses. Here, we demonstrate that SitC lipoprotein of <I>S. aureus</I> RN4220 strain has two lipoprotein lipase‐labile <I>O</I>‐esterified fatty acids and one lipoprotein lipase‐resistant fatty acid. Further MS/MS analysis of the lipoprotein lipase digest revealed that the lipoprotein lipase‐resistant fatty acid was acylated to α‐amino group of the N‐terminal cysteine residue of SitC. Triacylated forms of SitC with various length fatty acids were also confirmed in cell lysate of the RN4220 and Triton X‐114 phase in three other <I>S. aureus</I> strains, including SA113 strain and one <I>Staphylococcus epidermidis</I> strain. Moreover, four other major lipoproteins including SA2202 in <I>S. aureus</I> strains were identified as <I>N</I>‐acylated. These results strongly suggest that lipoproteins of <I>S. aureus</I> are mainly in the <I>N</I>‐acylated triacyl form.</P>
Toshiki Endo,Tomoo Inoue,Masaki Mizuno,Ryu Kurokawa,Kiyoshi Ito,Shigeo Ueda,Toshihiro Takami,Kazutoshi Hida,Minoru Hoshimaru,Investigators of intramedullary spinal cord tumors in the Neurospinal Socie 대한척추신경외과학회 2022 Neurospine Vol.19 No.2
Objective: We performed a retrospective observational study to demonstrate the surgical risks and long-term prognoses of intramedullary tumors in Japan using a multicenter registry authorized by the Neurospinal Society of Japan. Methods: Data from 1,033 consecutive patients with intramedullary tumors, treated between 2009 and 2020, were collected from 58 centers. Patients with spinal lipomas or myxopapillary ependymomas were excluded. Patient characteristics, clinical presentations, imaging characteristics, treatments, and outcomes were analyzed. The modified McCormick scale was used to classify functional status. Survival was described using Kaplan-Meier curves, and multivariable logistic regression analyses were performed. Results: The mean age of the patients was 48.4 years. Data of 361 ependymomas, 196 hemangioblastomas, 168 astrocytic tumors, 160 cavernous malformations, and the remaining 126 cases including subependymomas, metastases, schwannomas, capillary hemangiomas, and intravascular B-cell lymphomas were analyzed. Twenty-two patients were undiagnosed. The mean follow-up duration was 46.1 ± 38.5 months. Gross total tumor removal was achieved in 672 tumors (65.1%). On the modified McCormick scale, 234 patients (22.7%) had worse postoperative grades at the time of discharge. However, neurological status gradually improved. At 6 months postoperatively, 251 (27.5%), 500 (54.9%), and 160 patients (17.6%) had improved, unchanged, and worsened grades, respectively. Preoperative functional status, gross total tumor removal, and histopathological type were significantly associated with mortality and functional outcomes. Conclusion: Our findings demonstrate better postoperative functional outcomes in patients with fewer preoperative neurological deficits. Degree of resection, postoperative treatments, and prognoses are closely related to the histology of intramedullary tumors.
Roh, Kyung-Baeg,Kim, Chan-Hee,Lee, Hanna,Kwon, Hyun-Mi,Park, Ji-Won,Ryu, Ji-Hwan,Kurokawa, Kenji,Ha, Nam-Chul,Lee, Won-Jae,Lemaitre, Bruno,Sö,derhä,ll, Kenneth,Lee, Bok-Luel American Society for Biochemistry and Molecular Bi 2009 The Journal of biological chemistry Vol.284 No.29
<P>The insect Toll signaling pathway is activated upon recognition of Gram-positive bacteria and fungi, resulting in the expression of antimicrobial peptides via NF-kappaB-like transcription factor. This activation is mediated by a serine protease cascade leading to the processing of Spätzle, which generates the functional ligand of the Toll receptor. Recently, we identified three serine proteases mediating Toll pathway activation induced by lysine-type peptidoglycan of Gram-positive bacteria. However, the identities of the downstream serine protease components of Gram-negative-binding protein 3 (GNBP3), a receptor for a major cell wall component beta-1,3-glucan of fungi, and their order of activation have not been characterized yet. Here, we identified three serine proteases that are required for Toll activation by beta-1,3-glucan in the larvae of a large beetle, Tenebrio molitor. The first one is a modular serine protease functioning immediately downstream of GNBP3 that proteolytically activates the second one, a Spätzle-processing enzyme-activating enzyme that in turn activates the third serine protease, a Spätzle-processing enzyme. The active form of Spätzle-processing enzyme then cleaves Spätzle into the processed Spätzle as Toll ligand. In addition, we show that injection of beta-1,3-glucan into Tenebrio larvae induces production of two antimicrobial peptides, Tenecin 1 and Tenecin 2, which are also inducible by injection of the active form of Spätzle-processing enzyme-activating enzyme or processed Spätzle. These results demonstrate a three-step proteolytic cascade essential for the Toll pathway activation by fungal beta-1,3-glucan in Tenebrio larvae, which is shared with lysine-type peptidoglycan-induced Toll pathway activation.</P>
Kim, Min-Chan,Yook, Jeong-Hwan,Yang, Han-Kwang,Lee, Hyuk-Joon,Sohn, Tae-Sung,Hyung, Woo-Jin,Ryu, Seung-Wan,Kurokawa, Yukinori,Kim, Young-Woo,Han, Sang-Uk,Kim, Hyung-Ho,Park, Do-Joong,Kim, Wook,Lee, Sa Williams & Wilkins Co 2015 Medicine Vol.94 No.41
<P><B>Abstract</B></P><P>The aim of this study was to evaluate the treatment and prognosis of gastric gastrointestinal stromal tumors (GISTs) according to the 7th UICC/AJCC tumor-node-metastasis (TNM) system and the modified National Institutes of Health (NIH) risk classification. The study cohort consisted of 1057 patients with gastric GIST who underwent surgery between January 2000 and December 2007 from 13 institutions in Korea and 2 in Japan. Clinicopathologic characteristics, surgical outcomes, recurrence, and 5-year recurrence-free survival were evaluated.</P><P>The mean age of the patients was 58.6 years. Thirty patients (2.8%) had distant metastasis preoperatively. Median tumor size was 4.0 cm. Complete resection (R0 resection) was achieved in 1018 patients (96.3%). Eighty-six patients (8.1%) had postoperative complications, and 2 patients (0.2%) died within 30 days after surgery. According to the 7th UICC/AJCC TNM system, 5-year recurrence-free survival rates were 95% to 99% in stage I, 94.1% in stage II, 74.1% in stage IIIA, 48.6% in stage IIIB, and 50.0% in stage IV patients. On survival analysis of high-risk patients according to the TNM system, the 5-year recurrence-free survival rates were 91.6% in stage II, 74.1% in stage IIIA, and 48.6% in stage IIIB patients. Independent factors of recurrence following surgery for gastric GIST were gender, tumor size, mitotic count, and radicality on multivariate analysis.</P><P>The treatment outcome and prognosis of gastric GIST in Korea and Japan seem more favorable compared to those in Western countries. Compared to the modified NIH risk classification, the 7th UICC/AJCC TNM system is more reflective of the 5-year recurrence-free survival of patients with gastric GIST.</P>
Three Pairs of Protease-Serpin Complexes Cooperatively Regulate the Insect Innate Immune Responses
Jiang, R.,Kim, E.-H.,Gong, J.-H.,Kwon, H.-M.,Kim, C.-H.,Ryu, K.-H.,Park, J.-W.,Kurokawa, K.,Zhang, J.,Gubb, D. The American Society for Biochemistry and Molecula 2009 The Journal of biological chemistry Vol.284 No.51
Takashi Yagi,Masaki Mizuno,Hiroto Kageyama,Kotaro Tatebayashi,Toshiki Endo,Yasuhiro Takeshima,Motoyuki Iwasaki,Ryu Kurokawa,Keisuke Takai,Misao Nishikawa,Kazutoshi Hida 대한척추신경외과학회 2023 Neurospine Vol.20 No.3
Objective: This study aimed to analyze the clinical characteristics, treatment strategies, and surgical outcomes of subependymoma patients from the 2022 Neurospinal Society of Japan multicenter intramedullary spinal cord tumor study. Methods: Twenty-six patients with spinal cord subependymoma who were included in the index study of 1,033 patients were retrospectively analyzed. Results: Mean patient age was 49.4 years. Seventeen patients were men and 9 were women. Sensory disturbance was reported in 22 patients and motor weakness in 18. Median duration of symptoms was 24 months. The tumor was eccentrically located in 19 patients (73.1%) and unilateral in 17 (65.4%). Gross total resection was achieved in 6 patients (23.1%). The same rate for ependymoma patients in the index study was significantly higher (74.8%). Median follow-up was 40.5 months (interquartile range, 18–68 months). In 2 patients who underwent only partial resection, reoperation was required owing to progression 68 and 90 months after surgery, respectively. No recurrence occurred in patients who underwent gross total resection. Five patients experienced neurological worsening after surgery. Conclusion: Although spinal cord subependymoma can be difficult to distinguish from other intramedullary spinal cord lesions before surgery, it is characterized by an indolent clinical course and eccentric location. Surgical treatment should prioritize functional preservation because the prognosis is good even after subtotal resection.