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Toshiyuki Kanno,Hideo Matsui,Yoshika Akizawa,Hirokazu Usui,Makio Shozu 대한부인종양학회 2018 Journal of Gynecologic Oncology Vol.29 No.6
Objective: Highly effective chemotherapy for patients with low-risk gestational trophoblastic neoplasia (GTN) is associated with almost a 100% cure rate. However, 20%–30% of patients treated with chemotherapy need to change their regimens due to severe adverse events (SAEs) or drug resistance. We examined the treatment outcomes of second-line chemotherapy for patients with low-risk GTN. Methods: Between 1980 and 2015, 281 patients with low-risk GTN were treated. Of these 281 patients, 178 patients were primarily treated with 5-day intramuscular methotrexate (MTX; n=114) or 5-day drip infusion etoposide (ETP; n=64). We examined the remission rates, the drug change rates, and the outcomes of second-line chemotherapy. Results: The primary remission rates and drug resistant rates of 5-day ETP were significantly higher (p<0.001) and significantly lower (p=0.002) than those of 5-day MTX, respectively. Forty-seven patients (26.4%) required a change in their chemotherapy regimen due to the SAEs (n=16) and drug resistance (n=31), respectively. Of these 47 patients failed the first-line regimen, 39 patients (39/47, 82.9%) were re-treated with single-agent chemotherapy, and 35 patients (35/39, 89.7%) achieved remission. Four patients failed second-line, single-agent chemotherapy and eight patients (17.0%) who failed first-line regimens were treated with combined or multi-agent chemotherapy and achieved remission. Conclusions: Patients with low-risk GTN were usually treated with single-agent chemotherapy, while 20%–30% patients had to change their chemotherapy regimen due to SAEs or drug resistance. The second-line regimens of single-agent chemotherapy were effective; however, there were several patients who needed multiple agents and combined chemotherapy to achieve remission.
Risk factors for severity of colonic diverticular hemorrhage
Ken Kinjo,Toshiyuki Matsui,Takashi Hisabe,Hiroshi Ishihara,Toshiki Kojima,Kenta Chuman,Shigeyoshi Yasukawa,Tsuyoshi Beppu,Akihiro Koga,Satoshi Ishikawa,Masahiro Kishi,Noritaka Takatsu,Fumihito Hirai,K 대한장연구학회 2018 Intestinal Research Vol.16 No.3
Background/Aims: Colonic diverticular hemorrhage (DH) was a rare disease until the 1990s, and its incidence has increased rapidly since 2000 in Japan. In recent years, colonic DH has been the most frequent cause of lower gastrointestinal bleeding (LGIB). Nearly all cases of DH are mild, with the bleeding often stopping spontaneously. Some cases, however, require surgery or arterial embolization. In this study, using a cohort at Fukuoka University Chikushi Hospital, we investigated factors associated with severe colonic DH. Methods: Among patients with LGIB who underwent colonoscopy at our hospital between 1995 and 2013, DH was identified in 273 patients. Among them, 62 patients (22.7%) were defined as having severe colonic DH according to recurrence of bleeding in a short period, and/or the necessity of transfusion, arterial embolization, or surgery. We then evaluated risk factors for severe DH among DH patients in this retrospective cohort. Results: Among the 273 patients with DH, use of non-steroidal anti-inflammatory drugs (NSAIDs) (odds ratio [OR], 2.801; 95% confidence interval [CI], 1.164–6.742), Charlson Risk Index (CRI) ≥2 (OR, 3.336; 95% CI, 1.154–7.353), right-sided colonic DH (OR, 3.873; 95% CI, 1.554–9.653), and symptoms of cerebral hypoperfusion (such as light-headedness, dizziness, or syncope) (OR, 2.926; 95% CI, 1.310–6.535) showed an increased risk of severe DH even after controlling for other factors. Conclusions: Severe DH occurred in 23% of DH patients, and NSAID use, CRI ≥2, right-sided colonic DH, and symptoms of cerebral hypoperfusion are suggested to be predictors of severe DH.
Dulal Chandra,Toshiyuki Matsui,Haruo Suzuki,Yusuke Kosugi 한국원예학회 2009 Horticulture, Environment, and Biotechnology Vol.50 No.2
The quality of harvested perishable products greatly depends on temperatures during transport and storage or market display. In this study, we evaluated the influence of low temperature and duration of storage on the storage quality in iceberg lettuce that were kept at 1±0.2℃ for 0 (control), 1 and 2 weeks and subsequently exposed to 20±2℃ for 10 days. Lettuce heads with prior storage at 1℃ for 1 or 2 weeks showed higher visual quality and lower level of wilting as compared to the control sample until 4 days of storage at 20℃. However, higher butt discoloration ratings were observed for 1 or 2-week stored samples. Higher hue angle value was observed in the 1-week sample until 4 days of storage as compared to the control or 2-week samples. No significant difference in textural quality was found between the control and 1℃ stored samples. In general, 1-week sample exhibited slightly higher puncture force and breaking energy value as compared with the control and 2-week samples. At the end of the storage, soluble sugar content declined by 52, 45 and 54% in the outer leaves and 70, 62 and 65% in the inner leaves of the control, 1 and 2-week stored samples, respectively. The heads with prior storage at 1℃ for 1 week showed a little higher sugar contents than those with 2-week or the control samples. In general, the outer leaves contained higher amount of sucrose, whereas the inner leaves contained higher amount of glucose and fructose. Although citric acid was found in trace amount, malic acid was the main component in organic acid fractions. Results suggest that iceberg lettuce could be stored at 1℃ for 2 weeks without affecting quality and that a better quality could be maintained at 20℃ with prior storage at 1℃ than continuous storage at 20℃.
Dulal Chandra,Toshiyuki Matsui,Haruo Suzuki,Yusuke Kosugi,Koichi Fujimura 한국작물학회 2009 Journal of crop science and biotechnology Vol.12 No.2
The changes in ammonia content as well as activity and gene expression of glutamate dehydrogenase (GDH; EC 1.4.1.2) were investigated in lettuce during storage. GDH amination activity increased with the increases in ammonia content in the outer leaf portion after 24 h of storage. GDH amination activity was substantially higher than deamination activity. The isolated partial cDNA clone referred to as LsGDH (Lactuca sativa glutamate dehydrogenase; AB334207) consisted of 757 nucleotides and was highly homologous with the GDH genes of other plants. Although the transcript of LsGDH was found in both the outer and inner leaves, the level of transcript gradually increased in the outer leaves with the progress of storage, but was only expressed in the inner leaves when higher enzyme activity was observed. Results suggest that GDH expression in lettuce is controlled by tissue specific manner and/or multiple levels of regulations. The changes in ammonia content as well as activity and gene expression of glutamate dehydrogenase (GDH; EC 1.4.1.2) were investigated in lettuce during storage. GDH amination activity increased with the increases in ammonia content in the outer leaf portion after 24 h of storage. GDH amination activity was substantially higher than deamination activity. The isolated partial cDNA clone referred to as LsGDH (Lactuca sativa glutamate dehydrogenase; AB334207) consisted of 757 nucleotides and was highly homologous with the GDH genes of other plants. Although the transcript of LsGDH was found in both the outer and inner leaves, the level of transcript gradually increased in the outer leaves with the progress of storage, but was only expressed in the inner leaves when higher enzyme activity was observed. Results suggest that GDH expression in lettuce is controlled by tissue specific manner and/or multiple levels of regulations.
Chandra, Dulal,Matsui, Toshiyuki,Suzuki, Haruo,Kosugi, Yusuke,Fujimura, Koichi 한국작물학회 2009 Journal of crop science and biotechnology Vol.12 No.2
The changes in ammonia content as well as activity and gene expression of glutamate dehydrogenase (GDH; EC 1.4.1.2) were investigated in lettuce during storage. GDH amination activity increased with the increases in ammonia content in the outer leaf portion after 24 h of storage. GDH amination activity was substantially higher than deamination activity. The isolated partial cDNA clone referred to as LsGDH (Lactuca sativa glutamate dehydrogenase; AB334207) consisted of 757 nucleotides and was highly homologous with the GDH genes of other plants. Although the transcript of LsGDH was found in both the outer and inner leaves, the level of transcript gradually increased in the outer leaves with the progress of storage, but was only expressed in the inner leaves when higher enzyme activity was observed. Results suggest that GDH expression in lettuce is controlled by tissue specific manner and/or multiple levels of regulations.
( Akihiro Koga ),( Toshiyuki Matsui ),( Noritaka Takatsu ),( Yasumichi Takada ),( Masahiro Kishi ),( Yutaka Yano ),( Takahiro Beppu ),( Yoichiro Ono ),( Kazeo Ninomiya ),( Fumihito Hirai ),( Takashi N 대한장연구학회 2018 Intestinal Research Vol.16 No.2
Background/Aims: Decreased trough levels of infliximab (TLI) and antibodies to infliximab (ATI) are associated with loss of response (LOR) in Crohn’s disease. Two prospective studies were conducted to determine whether TLI or ATI better correlates with LOR (Study 1), and whether TLI could become a predictor of mucosal healing (MH) (Study 2). Methods: Study 1 was conducted in 108 patients, including those with LOR and remission to compare ATI and TLI in discriminating the 2 conditions based on receiver operating characteristic (ROC) curve analyses. Study 2 involved 35 patients who were evaluated endoscopically. Results: In Study 1, there were no differences between the 2 assays in ROC curve analyses; the TLI cutoff value for LOR was 2.6 μg/mL (sensitivity, 70.9%; specificity, 79.2%), and the ATI cutoff value was 4.9 μg/mL (sensitivity, 65.5%; specificity, 67.9%). The AUROC (area under the ROC curve) of TLI was greater than that of ATI. AUROC was useful for discriminating between the 2 conditions. In Study 2, the TLI was significantly higher in the colonic MH group than in the non-MH group (2.7 μg/mL vs. 0.5 μg/mL, P=0.032). Conclusions: TLI is better than ATI for clinically diagnosing LOR, and a correlation was observed between TLI and colonic MH. (Intest Res 2018;16:223-232)