203 results on '"Totsuka, M."'
Search Results
2. The first integration test of the ATLAS end-cap muon level 1 trigger system
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Hasuko, K., Kano, H., Matsumoto, Y., Nakamura, Y., Sakamoto, H., Takemoto, T., Fukunaga, C., Ishida, Y., Komatsu, S., Tanaka, K., Ikeno, M., Nakayoshi, K., Sasaki, O., Yasu, Y., Totsuka, M., Hasegawa, Y., Mizouchi, K., Tsuji, S., Ichimiya, R., Kurashige, H., and Maeno, T.
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Custom integrated circuits -- Research ,Application-specific integrated circuits -- Research ,Custom IC ,Application-specific integrated circuit ,Business ,Electronics ,Electronics and electrical industries - Abstract
A slice test system has been constructed for the ATLAS end-cap muon level-I trigger. ATLAS is one of the four Large Hadron Collider (LHC) experiment. Although the system has been constructed using prototype application specific integrated circuits (ASICs) and electronics modules, the design scheme of the trigger, readout as well as control logic applied to the system is the final one. The size is about 1/300 of the whole number of channels. The purpose of the slice test is to demonstrate the system design and performance in detail prior to production commitment. In this paper, we discuss the validity of the logic through the comparison of the simulation results, the latency measurement and long run tests. Index Terms--Application specific integrated circuits (ASICs), data acqusisition, triggering.
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- 2003
3. Upregulation of Polymeric Immunoglobulin Receptor Expression by the Heat-Inactivated Potential Probiotic Bifidobacterium bifidum OLB6378 in a Mouse Intestinal Explant Model
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Nakamura, Y., Terahara, M., Iwamoto, T., Yamada, K., Asano, M., Kakuta, S., Iwakura, Y., and Totsuka, M.
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- 2012
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4. Aminopeptidase and caseinolytic activites ofMycoplasma salivarium
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Watanabe, T., Shibata, K., and Totsuka, M.
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- 1984
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5. Studies on disease due to intestinal anastmosis (7) some properties of glycerinated intestinal smooth muscle fibers and its homogenates on blind pouch formation
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Uchida, I., Akanuma, M., Totsuka, M., Kuwana, K., Hayasaka, H., and Takayama, T.
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- 1969
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6. Effects of Exhaustive Endurance Exercise and its One-Week Daily Repetition on Neutrophil Count and Functional Status in Untrained Men.
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Suzuki, K., Naganuma, S., Totsuka, M., Suzuki, K.-J., Mochizuki, M., Shiraishi, M., Nakaji, S., and Sugawara, K.
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- 1996
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7. Branched-chain amino acids metabolic support in surgical patients: a randomized, controlled trial in patients with subtotal or total gastrectomy in 16 Japanese institutions.
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Okada, Akira, Mori, Shozo, Totsuka, Morio, Okamoto, Kazumi, Usui, Sadahito, Fujita, Hideharu, Itakura, Takeo, Mizote, Hiroyoshi, Okada, A, Mori, S, Totsuka, M, Okamoto, K, Usui, S, Fujita, H, Itakura, T, and Mizote, H
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- 1988
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8. Aminopeptidase and caseinolytic activites of Mycoplasma salivarium.
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Watanabe, T., Shibata, K., and Totsuka, M.
- Abstract
Aminopeptidase activity was demonstrated in Mycoplasma salivarium (ATCC 23064) cells disrupted by sonic vibrations and lyophilized (crude enzymes), and weak endopeptidase or carboxypeptidase activity was also suggested. The crude enzymes were suspended in 0.1 M borate buffer, pH 8.0, containing 0.5% (w/v) sodium deoxycholate, and then the suspensions were centrifuged at 100,000 g for 2 h. Thus separated, the supernatants were applied to a column of Sephacryl S-300. As a result, aminopeptidase activity was separated from caseinolytic activity, which had already been demonstrated in this organism. The aminopeptidase activity was inhibited by o-phenanthroline and stimulated by Mn, and the enzyme exhibited a strong affinity for leucine and arginine. On the other hand, the caseinolytic activity was inhibited considerably by o-phenanthroline and Ni and slightly by diisopropyl fluorophosphate and Co. The caseinolytic activity was therefore believed to be due mainly to metalloproteinases and partly to serine proteinases. [ABSTRACT FROM AUTHOR]
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- 1984
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9. Two Types of Ca Channels in Mammalian Intestinal Smooth Muscle Cells.
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YABU, H., YOSHINO, M., SOMEYA, T., and TOTSUKA, M.
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- 1989
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10. 7-ketocholesterol-induced apoptosis of vascular smooth muscle cells enhanced under diabetic condition
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Miyashita, Y, Oyama, T, Totsuka, M, Watanabe, H, and Shirai, K
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- 2000
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11. Observation of Biological Tissues Using Common Path Optical Coherence Tomography with Gold Coated Conical Tip Lens Fiber.
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Taguchi, K., Sugiyama, J., Totsuka, M., and Imanaka, S.
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- 2012
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12. Isolation of bacteriophages specific for the genus Veillonella
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Hiroki, H., Shiiki, J., Handa, A., Totsuka, M., and Nakamura, O.
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- 1976
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13. Noradrenergic excitation of a subpopulation of GABAergic cells in the basolateral amygdala via both activation of nonselective cationic conductance and suppression of resting K+ conductance: A study using glutamate decarboxylase 67–green fluorescent protein knock-in mice
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Kaneko, K., Tamamaki, N., Owada, H., Kakizaki, T., Kume, N., Totsuka, M., Yamamoto, T., Yawo, H., Yagi, T., Obata, K., and Yanagawa, Y.
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NORADRENERGIC mechanisms , *GABA , *AMYGDALOID body , *NORADRENERGIC neurons , *GLUTAMATE decarboxylase , *GREEN fluorescent protein , *CHOLECYSTOKININ - Abstract
Abstract: GABAergic interneurons play central roles in the regulation of neuronal activity in the basolateral nucleus of the amygdala (BLA). They are also suggested to be the principal targets of the brainstem noradrenergic afferents which are involved in the enhancement of the BLA-related memory. In addition, behavioral stress has been shown to impair noradrenergic facilitation of GABAergic transmission. However, the noradrenaline (NA) effects in the BLA have not been differentiated among medium- to large-sized GABAergic neurons and principal cells, and remain to be elucidated in terms of their underlying mechanisms. Glutamate decarboxylase 67 (GAD67) is a biosynthetic enzyme of GABA and is specifically expressed in GABAergic neurons. To facilitate the study of the NA effects on GABAergic neurons in live preparations, we generated GAD67–green fluorescent protein (GFP) knock-in mice, in which GFP was expressed under the control of an endogenous GAD67 gene promoter. Here, we show that GFP was specifically expressed in GABAergic neurons in the BLA of this GAD67–GFP knock-in mouse. Under whole-cell patch-clamp recordings in vitro, we identified a certain subpopulation of GABAergic neurons in the BLA chiefly on the basis of the electrophysiological properties. When depolarized by a current injection, these neurons, which are referred to as type A, generated action potentials at relatively low frequency. We found that NA directly excited type-A cells via α1-adrenoceptors, whereas its effects on the other types of neurons were negligible. Two ionic mechanisms were involved in this excitability: the activation of nonselective cationic conductance and the suppression of the resting K+ conductance. NA also increased the frequency of spontaneous IPSCs in the principal cells of the BLA. It is suggested that the NA-dependent excitation of type-A cells attenuates the BLA output for a certain period. [Copyright &y& Elsevier]
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- 2008
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14. Transitional cell papilloma arising from the oral mucosa. A case report
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Fukuta, Y., Totsuka, M., Tamura, K., Hokari, R., and Kudo, K.
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- 1997
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15. Effect of valine on energy — protein metabolism in rat liver under stressed condition
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Shimazu, Y., Totsuka, M., and Hayasaka, H.
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- 1990
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16. Liver biopsy as a useful diagnostic tool for hepatic sarcoidosis: A case report.
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Uehara K, Kanda T, Arima S, Totsuka M, Honda M, Masuzaki R, Sasaki-Tanaka R, Matsumoto N, Ogawa M, and Kogure H
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In certain cases, it is difficult to distinguish hepatic sarcoidosis from malignant lymphoma or drug-induced liver injury and to select the proper treatment for this condition. The present study describes the case of a female patient in her 30s who was referred to the hospital due to fever, arthralgia, myalgia and abnormal liver function test results for 4 months. A laboratory examination revealed elevated levels of serum angiotensin-converting enzyme (ACE) and soluble interleukin-2 receptor (sIL-2R), as well as an increase in serum hepatic and biliary tract enzymes. Gallium scintigraphy revealed a marked uptake in the liver, as well as an uptake in the mediastinal, inguinal and external iliac lymph nodes. Magnetic resonance imaging revealed extensive hepatosplenomegaly with multiple non-enhancing splenic nodules. Hepatic sarcoidosis was diagnosed by a liver biopsy as non-caseating hepatic granulomas, and multinucleated giant cells were observed. The patient responded to treatment with 20 mg prednisolone daily, and exhibited an improvement in her symptoms. An improvement was also observed in her serum levels of ACE, sIL-2R, and serum hepatic and biliary tract enzymes; decreased gallium uptake in the liver was also observed. On the whole, the present case report reconfirms that liver biopsy is a useful diagnostic tool for hepatic sarcoidosis., Competing Interests: The authors declare that they have no competing interests., (Copyright: © 2024 Uehara et al.)
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- 2024
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17. Elderly patient with unresectable advanced‑stage hepatocellular carcinoma who received atezolizumab plus bevacizumab and achieved a complete response: A case report.
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Arima S, Kanda T, Totsuka M, Honda M, Kanezawa S, Sasaki-Tanaka R, Matsumoto N, Masuzaki R, Yamagami H, Ogawa M, and Kogure H
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Hepatocellular carcinoma (HCC) is a common malignancy with a poor prognosis, particularly in patients with advanced-stage disease, elderly individuals and/or in those with poor liver function. Immune checkpoint inhibitor-containing therapies, such as atezolizumab, an anti-programmed death ligand-1 monoclonal antibody, plus bevacizumab, an anti-vascular endothelial growth factor monoclonal antibody, may be effective and safe therapeutic options for elderly patients with advanced-stage HCC. The present study reports the case of a male patient his 80s who consumed alcohol with unresectable advanced-stage HCC who received combination therapy comprising atezolizumab plus bevacizumab for 6 months. The patient achieved a complete response despite the discontinuation of treatment due to nephrotoxicity. It is critical for patients with HCC and a Child-Pugh A grade to continue therapy for HCC, even if they are older. The development of more effective therapies is required for patients with advanced-stage HCC with a worse liver function than those with a Child-Pugh A grade. The case described in the present study demonstrates the need for obtaining further evidence regarding the efficacy and safety of the combination therapy including atezolizumab plus bevacizumab for elderly patients with advanced-stage HCC., Competing Interests: The authors declare that they have no competing interests., (Copyright: © 2024 Arima et al.)
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- 2024
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18. Severe hepatitis E virus genotype 3b in a patient with alcohol‑associated liver disease: A case report.
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Kanda T, Arima S, Sasaki-Tanaka R, Totsuka M, Honda M, Masuzaki R, Matsumoto N, Ogawa M, Takahashi M, Okamoto H, and Kogure H
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Hepatitis E virus (HEV) infection occasionally causes acute-on-chronic liver failure in patients with alcohol-associated cirrhosis. These reports have been published mainly from highly HEV genotype 1-endemic countries. The present study describes the case of a patient with severe HEV genotype 3b infection and alcohol-associated liver disease. A male patient in his 70s who consumed alcohol, and who had begun consuming alcohol at the age of 12, had high levels of alanine aminotransferase (ALT) and total bilirubin. The peak levels of ALT and total bilirubin were 1,067 IU/l and 26.3 mg/dl, respectively. A computed tomography scan revealed an atrophic liver. Upon admission, both anti-HEV immunoglobulin A and HEV RNA were positive, and his HEV was genotype 3b. He also had chronic kidney disease, as his estimated glomerular filtration rate was <45 ml/min/1.73 m
2 , and ribavirin could not be used. The abnormal levels of the liver function parameters of the patient gradually improved due to conservative treatment, and he was discharged on day 43. On the whole, the present study demonstrates that careful attention should be paid to patients with viral hepatitis, including hepatitis E, when alcohol-associated liver disease is present. Novel anti-HEV drugs need to be developed for severe HEV infections with chronic kidney disease., Competing Interests: The authors declare that they have no competing interests., (Copyright: © 2024 Kanda et al.)- Published
- 2024
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19. Muscle Cramps in Outpatients with Liver Diseases in Tokyo, Japan.
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Kanda T, Sasaki-Tanaka R, Matsumoto N, Arima S, Kanezawa S, Honda M, Totsuka M, Ishii T, Masuzaki R, Ogawa M, Yamagami H, and Kogure H
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- Humans, Japan epidemiology, Tokyo, Outpatients, Retrospective Studies, Muscle Cramp epidemiology, Muscle Cramp etiology, Liver Diseases
- Abstract
Background and Objectives: Muscle cramps are often observed in patients with liver diseases, especially advanced liver fibrosis. The exact prevalence of muscle cramps in outpatients with liver diseases in Japan is unknown. Patients and Methods: This study examined the prevalence of, and therapies for, muscle cramps in outpatients with liver diseases in Tokyo, Japan. A total of 238 outpatients with liver diseases were retrospectively examined. We investigated whether they had muscle cramps using a visual analog scale (VAS) (from 0, none, to 10, strongest), and also investigated their therapies. Results: Muscle cramps were observed in 34 outpatients with liver diseases (14.3%); their mean VAS score was 5.53. A multivariate analysis demonstrated that older age (equal to or older than 66 years) was the only significant factor as-sociated with muscle cramps. The prevalence of muscle cramps among patients with liver diseases seemed not to be higher. The problem was that only 11 (32.4%) of 34 outpatients received therapy for their muscle cramps. Conclusions: Only age is related to muscle cramps, which is rather weak, and it is possible that this common symptom may not be limited to liver disease patients.
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- 2023
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20. Site-specific glycosylation and single amino acid substitution dramatically reduced the immunogenicity of β-lactoglobulin.
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Endo M, Yoshida T, Ishii K, Iwamoto T, Totsuka M, and Hattori M
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- Animals, Mice, Glycosylation, Amino Acid Substitution, Mice, Inbred C57BL, Saccharomyces cerevisiae metabolism, Lactoglobulins genetics, Mannose
- Abstract
To reduce the immunogenicity of β-lactoglobulin (BLG), we prepared recombinant BLG which has both site-specific glycosylation and single amino acid substitution (D28N/P126A), and expressed it in the methylotrophic yeast Pichia pastoris by fusion of the cDNA to the sequence coding for the α-factor signal peptide from Saccharomyces cerevisiae. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) analysis indicated that the D28N/P126A was conjugated with a ∼4 kDa high-mannose chain. D28N/P126A retained ∼61% of the retinol-binding activity of BLG. Structural analyses by circular dichroism (CD) spectra, intrinsic fluorescence, and Enzyme-linked immunosorbent assay (ELISA) with monoclonal antibodies indicated that the surface structure of BLG was slightly changed by using protein engineering techniques, but D28N/P126A was covered by high-mannose chains and substituted amino acid without substantial disruption of native conformation. Antibody responses to the D28N/P126A considerably reduced in C57BL/6 mice. We conclude that inducing both site-specific glycosylation and single amino acid substitution simultaneously is an effective method to reduce the immunogenicity of BLG., (© The Author(s) 2022. Published by Oxford University Press on behalf of Japan Society for Bioscience, Biotechnology, and Agrochemistry.)
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- 2023
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21. Reduced immunogenicity of β-lactoglobulin by single amino acid substitution.
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Yoshida T, Kume C, Sachi A, Yuyama F, Tomiyama N, Kodama R, Yamada K, Totsuka M, and Hattori M
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To reduce the immunogenicity of β-lactoglobulin (BLG), we prepared single amino acid substituted recombinant BLG mutants (BLG/P126A, BLG/V128D and BLG/D129A) in the methylotrophic yeast Pichia Pastris by fusion of the cDNA to the sequence coding for the α-factor signal peptide from Saccharomyces cerevisiae . Isoelectric points of single amino acid substituted BLGs were lower than that of native BLG. CD spectra indicated that the secondary structure of BLG had maintained native structure in single amino acid substituted BLGs. Fluorescence studies indicated that the conformation around Trp had not changed in single amino acid substituted BLGs. Anti-BLG antibody response was evaluated after immunization to C57BL/6 mice. Antibody response was reduced after immunization with BLG/P126A, BLG/V128D and BLG/D129A. And novel immunogenicity was not observed in the experiments. T cell proliferative response was evaluated in C57BL/6 mice, and it was clarified that BLG mutants also showed low response. Methods employed in this study was considered to be very effective to reduce immunogenicity of BLG., Competing Interests: Conflict of interestThe authors have no conflicts of interest to declare., (© The Author(s), under exclusive licence to Springer Nature B.V. 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
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- 2022
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22. A pediatric case of Stevens-Johnson syndrome with acute liver failure, resulting in liver transplantation.
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Totsuka M, Watanabe T, Takamura N, Watanabe Y, Kumamoto T, Honda Y, Yoneda M, Saito S, Yamanaka S, and Aihara M
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- Acetaminophen adverse effects, Adolescent, Child, Female, Humans, Skin, Liver Failure, Acute etiology, Liver Failure, Acute surgery, Liver Transplantation adverse effects, Stevens-Johnson Syndrome complications, Stevens-Johnson Syndrome diagnosis
- Abstract
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are fatal adverse skin reactions characterized by high fever, epidermal detachment, and mucositis. It is well known that SJS/TEN occasionally affects various organs, leading to permanent damage and death in some patients. Although acute liver dysfunction is a relatively common complication of SJS/TEN, severe acute liver dysfunction requiring liver transplantation is rare. We present the case of a 14-year-old girl with SJS complicated by severe and rapidly progressive liver dysfunction, specifically, acute liver failure (ALF) requiring liver transplantation. A lymphocyte transformation test showed positive results for acetaminophen and cefdinir. Furthermore, human leukocyte antigen (HLA) genotyping revealed the presence of the HLA-A*02:06 genotype, which is reported to be strongly associated with acetaminophen-related SJS/TEN with severe ocular complications. These results suggested that our patient may have presented with acetaminophen-induced SJS complicated by ALF, but no ocular complications. This is the first report of a pediatric patient with SJS who required liver transplantation. In rare instances, severe liver dysfunction requiring liver transplantation should be considered as a possible complication of SJS/TEN., (© 2021 Japanese Dermatological Association.)
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- 2021
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23. A chemical genomics-aggrephagy integrated method studying functional analysis of autophagy inducers.
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Kataura T, Tashiro E, Nishikawa S, Shibahara K, Muraoka Y, Miura M, Sakai S, Katoh N, Totsuka M, Onodera M, Shin-Ya K, Miyamoto K, Sasazawa Y, Hattori N, Saiki S, and Imoto M
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- AMP-Activated Protein Kinases metabolism, Animals, Autophagy physiology, Diphenylamine pharmacology, Endoplasmic Reticulum Stress drug effects, Endoribonucleases drug effects, Endoribonucleases metabolism, Lysosomes drug effects, Lysosomes metabolism, Protein Serine-Threonine Kinases drug effects, Rats, Autophagy drug effects, Diphenylamine analogs & derivatives, Macroautophagy drug effects, Sulfonamides pharmacology
- Abstract
Macroautophagy/autophagy plays a critical role in the pathogenesis of various human diseases including neurodegenerative disorders such as Parkinson disease (PD) and Huntington disease (HD). Chemical autophagy inducers are expected to serve as disease-modifying agents by eliminating cytotoxic/damaged proteins. Although many autophagy inducers have been identified, their precise molecular mechanisms are not fully understood because of the complicated crosstalk among signaling pathways. To address this issue, we performed several chemical genomic analyses enabling us to comprehend the dominancy among the autophagy-associated pathways followed by an aggresome-clearance assay. In a first step, more than 400 target-established small molecules were assessed for their ability to activate autophagic flux in neuronal PC12D cells, and we identified 39 compounds as autophagy inducers. We then profiled the autophagy inducers by testing their effect on the induction of autophagy by 200 well-established signal transduction modulators. Our principal component analysis (PCA) and clustering analysis using a dataset of "autophagy profiles" revealed that two Food and Drug Administration (FDA)-approved drugs, memantine and clemastine, activate endoplasmic reticulum (ER) stress responses, which could lead to autophagy induction. We also confirmed that SMK-17, a recently identified autophagy inducer, induced autophagy via the PRKC/PKC-TFEB pathway, as had been predicted from PCA. Finally, we showed that almost all of the autophagy inducers tested in this present work significantly enhanced the clearance of the protein aggregates observed in cellular models of PD and HD. These results, with the combined approach, suggested that autophagy-activating small molecules may improve proteinopathies by eliminating nonfunctional protein aggregates. Abbreviations: ADK: adenosine kinase; AMPK: AMP-activated protein kinase; ATF4: activating transcription factor 4; BECN1: beclin-1; DDIT3/CHOP: DNA damage inducible transcript 3; EIF2AK3/PERK: eukaryotic translation initiation factor 2 alpha kinase 3; EIF2S1/eIF2α: eukaryotic translation initiation factor 2 subunit alpha; ER: endoplasmic reticulum; ERN1/IRE1α: endoplasmic reticulum to nucleus signaling 1; FDA: Food and Drug Administration; GSH: glutathione; HD: Huntington disease; HSPA5/GRP78: heat shock protein family A (Hsp70) member 5; HTT: huntingtin; JAK: Janus kinase, MAP1LC3B/LC3: microtubule associated protein 1 light chain 3 beta; MAP2K/MEK: mitogen-activated protein kinase kinase; MAP3K8/Tpl2: mitogen-activated protein kinase kinase kinase 8; MAPK: mitogen-activated protein kinase; MPP
+ : 1-methyl-4-phenylpyridinium; MTOR: mechanistic target of rapamycin kinase; MTORC: MTOR complex; NAC: N-acetylcysteine; NGF: nerve growth factor 2; NMDA: N-methyl-D-aspartate; PCA: principal component analysis; PD: Parkinson disease; PDA: pancreatic ductal adenocarcinoma; PIK3C3: phosphatidylinositol 3-kinase catalytic subunit type 3; PMA: phorbol 12-myristate 13-acetate; PRKC/PKC: protein kinase C; ROCK: Rho-associated coiled-coil protein kinase; RR: ribonucleotide reductase; SIGMAR1: sigma non-opioid intracellular receptor 1; SQSTM1/p62: sequestosome 1; STK11/LKB1: serine/threonine kinase 11; TFEB: Transcription factor EB; TGFB/TGF-β: Transforming growth factor beta; ULK1: unc-51 like autophagy activating kinase 1; XBP1: X-box binding protein 1.- Published
- 2021
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24. Japanese Man with HCV Genotype 4 Infection and Cirrhosis Who Was Successfully Treated by the Combination of Glecaprevir and Pibrentasvir.
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Totsuka M, Honda M, Kanda T, Ishii T, Matsumoto N, Yamana Y, Kaneko T, Mizutani T, Takahashi H, Kumagawa M, Sasaki R, Masuzaki R, Kanezawa S, Nirei K, Yamagami H, Matsuoka S, Ohnishi H, Okamoto H, and Moriyama M
- Subjects
- Adult, Aged, Antiviral Agents therapeutic use, Benzimidazoles, Drug Combinations, Drug Therapy, Combination, Genotype, Humans, Japan, Liver Cirrhosis drug therapy, Male, Pyrrolidines, Quinoxalines, Sulfonamides, Hepacivirus genetics, Hepatitis C, Chronic complications, Hepatitis C, Chronic drug therapy
- Abstract
A 74-year-old man with a history of transfusion at 35 years old in Egypt was referred to our hospital. He was infected with hepatitis C virus (HCV) genotype 4 (GT4), which is a rare HCV GT in Japan, and was also diagnosed with hepatic compensated cirrhosis. We safely treated the patient for 12 weeks with the combination of glecaprevir and pibrentasvir, and a sustained virologic response (SVR) was achieved. This is the first report of HCV GT4 infection in a treatment-naïve Japanese patient with cirrhosis in whom SVR was achieved with the combination treatment of glecaprevir and pibrentasvir.
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- 2021
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25. Mortality and risk factors on admission in toxic epidermal necrolysis: A cohort study of 59 patients.
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Watanabe T, Go H, Saigusa Y, Takamura N, Watanabe Y, Yamane Y, Totsuka M, Ishikawa H, Nakamura K, Matsukura S, Kambara T, Takaki S, Yamaguchi Y, and Aihara M
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- Adolescent, Adrenal Cortex Hormones therapeutic use, Adult, Aged, Aged, 80 and over, Anti-Bacterial Agents adverse effects, Anti-Inflammatory Agents, Non-Steroidal adverse effects, Anticonvulsants adverse effects, Child, Child, Preschool, Cohort Studies, Female, Humans, Japan epidemiology, Male, Middle Aged, Prognosis, Risk Factors, Severity of Illness Index, Stevens-Johnson Syndrome drug therapy, Young Adult, Stevens-Johnson Syndrome mortality
- Abstract
Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare but life-threatening disorders characterized by widespread epidermal necrosis of the skin and mucosa. The severity-of-illness scoring system for TEN (SCORTEN) was widely used since 2000 as a standard prognostic tool consisting of seven clinical values., Methods: To evaluate the prognosis using current treatments and risk factors for mortality, we retrospectively analyzed 59 cases of TEN, including SJS/TEN overlap treated in two university hospitals from January 2000 to March 2020., Results: The mortality rate of TEN was 13.6% (8/59). All patients treated with high-dose steroid administration in combination with plasma exchange and/or immunoglobulin therapy recovered. Logistic regression analysis showed nine clinical composite scores, namely: heart rate (≧120 bpm), malignancy present, percentage of body surface area with epidermal detachment (>10%), blood urea nitrogen (>28 mg/dL), serum bicarbonate level (<20 mEq/L), serum glucose level (>252 mg/dL), age (≧71 years), the interval between disease onset and treatment initiation at the specialty hospital (≧8 days), and respiratory disorder within 48 h after admission. The receiver operating characteristic curves confirmed a high potential for predicting the prognosis of TEN., Conclusions: Recent developments in treatment strategies have contributed to the improved prognosis of TEN patients. A modified severity scoring model composed of nine scores may be helpful in the prediction of TEN prognosis in recent patients. Further large-scale studies are needed to confirm mortality findings to improve prognostication in patients with TEN., (Copyright © 2020 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.)
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- 2021
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26. Relationships between body composition and pulmonary function in a community-dwelling population in Japan.
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Kawabata R, Soma Y, Kudo Y, Yokoyama J, Shimizu H, Akaike A, Suzuki D, Katsuragi Y, Totsuka M, and Nakaji S
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- Adult, Aged, Aged, 80 and over, Body Mass Index, Cross-Sectional Studies, Female, Humans, Insulin Resistance, Interleukin-6 analysis, Intra-Abdominal Fat physiology, Japan, Male, Middle Aged, Muscle, Skeletal physiology, Waist Circumference, Waist-Hip Ratio, Young Adult, Body Composition physiology, Vital Capacity physiology
- Abstract
Pulmonary diseases, including chronic obstructive pulmonary disease (COPD), are major chronic diseases that result in decreased pulmonary function. Relationships between body composition and pulmonary function have been reported. However, few epidemiological studies have used the visceral fat area (VFA) to measure body composition. This study aimed to examine the relationship between body composition and pulmonary function. A cross-sectional study was conducted between 2015 and 2016, using data obtained from 1,287 residents aged between 19 and 91 years living in the Iwaki area of Hirosaki City, a rural region in Aomori Prefecture, Japan. Pulmonary function was evaluated using the forced vital capacity (FVC) as a percentage of the predicted value (predicted FVC%) and the ratio of forced expiratory volume in one second (FEV1) to FVC. The measurements for evaluating body composition included the body fat percentage (BFP) of the whole body and trunk, skeletal muscle index (SMI), body mass index (BMI), VFA, waist circumference (WC) at the navel level, and waist-to-hip ratio (WHR). To adjust for potential confounders, Spearman's partial correlation analysis was used to examine the relationship between the measurements of body composition and pulmonary function. There were significant correlations between the predicted FVC% and the following parameters: BFP (whole body and trunk) in younger males; SMI in older males; WC, VFA, BMI, and SMI in younger females; and BFP (whole body and trunk) and VFA in older females. Contrastingly, WC and VFA in younger males and WC in younger females were correlated with the FEV1/FVC ratio. VFA was correlated with the FEV1/FVC ratio in younger males and predicted FVC% in older females. These findings suggest that visceral fat accumulation may increase the development of obstructive pulmonary disease in young males and accelerate the decline of pulmonary function (predicted FVC%) in older females., Competing Interests: The author Y.K. received funding from Health Care Food Research Laboratories, Kao Corporation, Tokyo, Japan, a commercial company, in the form of salary and research materials. There are no patents, products in development or marketed products to declare. This does not alter our adherence to all the PLOS ONE policies on sharing data and materials.
- Published
- 2020
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27. Plum anaphylaxis induced by sensitization to gibberellin-regulated protein: Possibility of cross-reactivity with Pru p 7 and Pru m 7.
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Totsuka M, Inomata N, Yamakawa K, Watanabe T, Kanaoka M, and Aihara M
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- Allergens, Antigens, Plant, Cross Reactions, Gibberellins, Humans, Plant Proteins, Anaphylaxis chemically induced, Anaphylaxis diagnosis, Food Hypersensitivity diagnosis, Food Hypersensitivity etiology, Prunus domestica
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- 2020
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28. Case of severe bullous erythema including intertrigo-like eruptions with angioedema induced by pegylated liposomal doxorubicin.
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Totsuka M, Watanabe Y, Asai C, Takahashi S, Ishikawa H, Takamura N, Hagiwara M, and Aihara M
- Subjects
- Administration, Oral, Angioedema chemically induced, Angioedema diagnosis, Angioedema drug therapy, Angioedema pathology, Blister chemically induced, Blister diagnosis, Blister drug therapy, Blister pathology, Doxorubicin adverse effects, Drug Eruptions diagnosis, Drug Eruptions drug therapy, Drug Eruptions pathology, Erythema chemically induced, Erythema diagnosis, Erythema drug therapy, Erythema pathology, Female, Humans, Intertrigo chemically induced, Intertrigo diagnosis, Intertrigo drug therapy, Intertrigo pathology, Middle Aged, Ovarian Neoplasms drug therapy, Polyethylene Glycols adverse effects, Skin drug effects, Skin pathology, Treatment Outcome, Antibiotics, Antineoplastic adverse effects, Doxorubicin analogs & derivatives, Drug Eruptions etiology, Prednisolone administration & dosage
- Abstract
Pegylated liposomal doxorubicin (PLD) is an anthracycline anticancer agent used in ovarian cancer and a form of doxorubicin enclosed in pegylated liposomes. There are only a few reports on intertrigo-like eruptions caused by PLD. We describe the first case of severe bullous erythema, including intertrigo-like eruptions with angioedema, induced by PLD in Japan. We present the case of a 53-year-old woman who was diagnosed with stage IIIC ovarian cancer. After receiving three cycles of PLD, the patient developed swelling of the upper lip and painful erythema with blisters and erosions on the axilla, upper back, flank and wrists. The patient was diagnosed with angioedema and severe skin lesions, including intertrigo-like eruptions induced by PLD. Although treatment with oral prednisolone and topical steroids was effective against these eruptions, the administration of PLD was discontinued because of its ineffectiveness against the primary disease. Several risk factors, such as obesity, perspiration and racial differences, may contribute toward a severe manifestation such as that seen in our patient. Moreover, our case was the first accompanied by angioedema. The mechanism of coexistence of intertrigo-like eruptions and angioedema is not clear; further studies are required to clarify the pathological mechanism of intertrigo-like eruptions., (© 2019 Japanese Dermatological Association.)
- Published
- 2019
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29. Addendum: A FRET biosensor for necroptosis uncovers two different modes of the release of DAMPs.
- Author
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Murai S, Yamaguchi Y, Shirasaki Y, Yamagishi M, Shindo R, Hildebrand JM, Miura R, Nakabayashi O, Totsuka M, Tomida T, Adachi-Akahane S, Uemura S, Silke J, Yagita H, Miura M, and Nakano H
- Abstract
The cDNA sequence of human SMART described in this Article was misreported, as described in the accompanying Addendum. This error does not affect the results or any conclusion of the Article.
- Published
- 2019
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30. A FRET biosensor for necroptosis uncovers two different modes of the release of DAMPs.
- Author
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Murai S, Yamaguchi Y, Shirasaki Y, Yamagishi M, Shindo R, Hildebrand JM, Miura R, Nakabayashi O, Totsuka M, Tomida T, Adachi-Akahane S, Uemura S, Silke J, Yagita H, Miura M, and Nakano H
- Subjects
- Animals, Cell Membrane metabolism, Cells, Cultured, Endosomal Sorting Complexes Required for Transport genetics, Endosomal Sorting Complexes Required for Transport metabolism, Gene Silencing, HMGB1 Protein metabolism, Histones metabolism, Humans, Luminescent Proteins genetics, Mice, Molecular Imaging, Necrosis physiopathology, Phosphorylation, Protein Kinases genetics, Protein Transport, Receptor-Interacting Protein Serine-Threonine Kinases genetics, Time Factors, Alarmins metabolism, Apoptosis physiology, Biosensing Techniques, Necrosis metabolism, Protein Kinases metabolism, Receptor-Interacting Protein Serine-Threonine Kinases metabolism
- Abstract
Necroptosis is a regulated form of necrosis that depends on receptor-interacting protein kinase (RIPK)3 and mixed lineage kinase domain-like (MLKL). While danger-associated molecular pattern (DAMP)s are involved in various pathological conditions and released from dead cells, the underlying mechanisms are not fully understood. Here we develop a fluorescence resonance energy transfer (FRET) biosensor, termed SMART (a sensor for MLKL activation by RIPK3 based on FRET). SMART is composed of a fragment of MLKL and monitors necroptosis, but not apoptosis or necrosis. Mechanistically, SMART monitors plasma membrane translocation of oligomerized MLKL, which is induced by RIPK3 or mutational activation. SMART in combination with imaging of the release of nuclear DAMPs and Live-Cell Imaging for Secretion activity (LCI-S) reveals two different modes of the release of High Mobility Group Box 1 from necroptotic cells. Thus, SMART and LCI-S uncover novel regulation of the release of DAMPs during necroptosis.
- Published
- 2018
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31. Towards Objective Olfactory Evaluation Based On Peripheral Arterial Stiffness And Heart Rate Variability Indices.
- Author
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Totsuka M, Soh Z, Sasaoka T, Yamawaki S, and Tsuji T
- Subjects
- Humans, Odorants, Arteries physiology, Heart Rate, Smell, Vascular Stiffness
- Abstract
This paper proposes an olfactory stimulation-biological response measurement system aiming for quantitative and objective evaluation the odor quality. The system calculates arterial stiffness index $\beta $ proposed by our group, the low frequency/high frequency (LF/HF), and heart rate (HR) during presenting odor stimuli. An experiment of olfactory sensory assessment using the proposed system is conducted. The experiment results showed that unpleasant odor increases arterial stiffness index $\beta $ and (LF/HF).
- Published
- 2018
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32. Anserine/Carnosine Supplementation Preserves Blood Flow in the Prefrontal Brain of Elderly People Carrying APOE e4.
- Author
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Ding Q, Tanigawa K, Kaneko J, Totsuka M, Katakura Y, Imabayashi E, Matsuda H, and Hisatsune T
- Abstract
In a previously reported double-blind, randomized controlled trial (RCT), we demonstrated that daily supplementation with anserine (750 mg) and carnosine (250 mg) improves brain blood flow and memory function in elderly people. Here, we conducted a sub-analysis of MRI data and test scores from the same RCT to determine whether anserine/carnosine supplementation specifically benefits elderly people carrying the APOE e4 allele, which is a risk gene for accelerated brain aging and for the onset of Alzheimer's Disease. We collected data from 68 participants aged 65 years or older who received anserine/carnosine supplementation (ACS) or placebo for 12 months. Subjects were assessed at the start and end of the trial using several neuropsychological tests, including the Wechsler Memory Scale-Logical Memory (WMS-LM). We also collected two types of MRI data, arterial spin labeling (ASL) and diffusion tensor imaging (DTI) at the start and end of the trial. We found that ACS significantly preserved verbal memory (WMS-LM, F[1,65] = 4.2003, p = 0.0445) and blood flow at frontal areas of the brain (FWE
cluster level , p < 0.001). Sub-analysis based on the APOE4 genotype showed a significant preservation of blood flow ( p = 0.002, by ASL analysis) and white-matter microstructure ( p = 0.003, by DTI analysis) at prefrontal areas in APOE4+ subjects in the active group, while there was no significant difference between APOE4- subjects in the active and placebo groups. The effect of ACS in preserving brain structure and function in elderly people carrying APOE4 should be verified by further studies., Competing Interests: Conflict of Interest NH Food Ltd., provided the supplements free of charge. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.- Published
- 2018
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33. Immunomodulation by food: impact on gut immunity and immune cell function.
- Author
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Hachimura S, Totsuka M, and Hosono A
- Subjects
- Amino Acids administration & dosage, Amino Acids pharmacology, Animals, Bacteria metabolism, Fatty Acids administration & dosage, Fatty Acids pharmacology, Gastrointestinal Microbiome, Humans, Hypersensitivity immunology, Hypersensitivity prevention & control, Immunity, Cellular, Inflammation immunology, Inflammation prevention & control, Intestines microbiology, Minerals administration & dosage, Minerals pharmacology, Polysaccharides metabolism, Prebiotics, Probiotics, Vitamins administration & dosage, Vitamins pharmacology, Food, Immunomodulation, Intestines immunology
- Abstract
Recent studies have revealed that various food components affect the immune response. These components act on various immune cells, and their effects are mediated through the intestinal immune system and, in some cases, the intestinal microbiota. In this review, we describe the immunomodulating effects of various food components, including probiotics, prebiotics, polysaccharides, vitamins, minerals, fatty acids, peptides, amino acids and polyphenols. Some of these components enhance immune responses, leading to host defense against infection, whereas others inhibit immune responses, thus suppressing allergy and inflammation.
- Published
- 2018
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34. Anserine/Carnosine Supplementation Suppresses the Expression of the Inflammatory Chemokine CCL24 in Peripheral Blood Mononuclear Cells from Elderly People.
- Author
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Katakura Y, Totsuka M, Imabayashi E, Matsuda H, and Hisatsune T
- Subjects
- Adult, Age Factors, Aged, Anserine adverse effects, Biomarkers blood, Carnosine adverse effects, Chemokine CCL24 genetics, Cognition drug effects, Double-Blind Method, Down-Regulation, Drug Combinations, Female, Humans, Leukocytes, Mononuclear immunology, Leukocytes, Mononuclear metabolism, Male, Memory Disorders blood, Memory Disorders diagnosis, Memory Disorders psychology, Memory, Episodic, Middle Aged, Time Factors, Tokyo, Treatment Outcome, Aging blood, Aging immunology, Aging psychology, Anserine administration & dosage, Carnosine administration & dosage, Chemokine CCL24 blood, Dietary Supplements adverse effects, Inflammation Mediators blood, Leukocytes, Mononuclear drug effects, Memory Disorders prevention & control
- Abstract
Our goal was to determine whether anserine/carnosine supplementation (ACS) suppresses chemokine levels in elderly people. In a double-blind randomized controlled trial, volunteers were assigned to the ACS or placebo group (1:1). Sixty healthy elderly volunteers (active, n = 30; placebo, n = 30) completed the study. The ACS group was administered 1.0 g of anserine/carnosine (3:1) for 3 months. A microarray analysis and subsequent quantitative real-time polymerase chain reaction (qRT-PCR) analysis of peripheral blood mononuclear cells (PBMCs) showed decreased expression of CCL24, an inflammatory chemokine ( p < 0.05). Verbal memory, assessed using the Wechsler memory scale-logical memory, was preserved in the ACS group. An age-restricted sub-analysis showed significant verbal memory preservation by ACS in participants who were in their 60s (active, n = 12; placebo, n = 9; p = 0.048) and 70s (active, n = 7; placebo, n = 11; p = 0.017). The suppression of CCL24 expression was greatest in people who were in their 70s ( p < 0.01). There was a significant correlation between the preservation of verbal memory and suppression of CCL24 expression in the group that was in the 70s (Poisson correlation, r = 0.46, p < 0.05). These results suggest that ACS may preserve verbal episodic memory, probably owing to CCL24 suppression in the blood, especially in elderly participants., Competing Interests: The authors declare no conflict of interest.
- Published
- 2017
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35. RNA and a cell wall component of Enterococcus faecalis IC-1 are required for phagocytosis and interleukin 12 production by the mouse macrophage cell line J774.1.
- Author
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Nakase J, Ukawa Y, Takemoto S, Kubo T, Sagesaka YM, Aoki-Yoshida A, and Totsuka M
- Subjects
- Animals, Cell Line, Cell Wall chemistry, Cell Wall drug effects, Coculture Techniques, Enterococcus faecalis chemistry, Enterococcus faecalis drug effects, Gene Expression, Interleukin-12 biosynthesis, Macrophages cytology, Macrophages drug effects, Membrane Glycoproteins antagonists & inhibitors, Membrane Glycoproteins genetics, Membrane Glycoproteins immunology, Mice, Muramidase chemistry, Muramidase pharmacology, Oligonucleotides pharmacology, Phagocytosis drug effects, RNA, Bacterial chemistry, Ribonucleases chemistry, Ribonucleases pharmacology, Toll-Like Receptor 7 antagonists & inhibitors, Toll-Like Receptor 7 genetics, Toll-Like Receptor 7 immunology, Cell Wall immunology, Enterococcus faecalis immunology, Interleukin-12 immunology, Macrophages immunology, RNA, Bacterial immunology
- Abstract
Enterococcus faecalis is a resident lactic acid bacterium in the human intestine. Its immunostimulatory action was reported to be enhanced by heat sterilization. To investigate its beneficial actions, we evaluated the ability of 10 E. faecalis strains to induce interleukin-12 (IL-12) production in a mouse macrophage cell line, J774.1 and found that the strain, E. faecalis IC-1, had a potent IL-12-inducing ability. Furthermore, we investigated the underlying mechanism by treating IC-1 cells with RNase or lysozyme. Its activity almost disappeared and an antagonist of Toll-like receptor (TLR) 7 inhibited this activity. Moreover, lysozyme-treated IC-1 bacteria were not phagocytized by J774.1 cells, and did not induce IL-12 production. Based on our results, we propose that macrophages recognize the cell wall components of IC-1, leading to phagocytosis. The IC-1 RNA is then recognized by TLR7, which induces the production of IL-12.
- Published
- 2017
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36. Catechol Groups Enable Reactive Oxygen Species Scavenging-Mediated Suppression of PKD-NFkappaB-IL-8 Signaling Pathway by Chlorogenic and Caffeic Acids in Human Intestinal Cells.
- Author
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Shin HS, Satsu H, Bae MJ, Totsuka M, and Shimizu M
- Subjects
- Anti-Inflammatory Agents pharmacology, Antioxidants pharmacology, Caco-2 Cells, Humans, Hydrogen Peroxide toxicity, Interleukin-8 genetics, NF-kappa B genetics, Oxidative Stress drug effects, Phosphorylation, Protein Kinase C genetics, Signal Transduction, Caffeic Acids pharmacology, Catechols pharmacology, Chlorogenic Acid pharmacology, Interleukin-8 metabolism, NF-kappa B metabolism, Protein Kinase C metabolism, Reactive Oxygen Species metabolism
- Abstract
Chlorogenic acid (CHA) and caffeic acid (CA) are phenolic compounds found in coffee, which inhibit oxidative stress-induced interleukin (IL)-8 production in intestinal epithelial cells, thereby suppressing serious cellular injury and inflammatory intestinal diseases. Therefore, we investigated the anti-inflammatory mechanism of CHA and CA, both of which inhibited hydrogen peroxide (H₂O₂)-induced IL-8 transcriptional activity. They also significantly suppressed nuclear factor kappa-light-chain-enhancer of activated B cells ( NF-κB ) transcriptional activity, nuclear translocation of the p65 subunit, and phosphorylation of IκB kinase (IKK). Additionally, upstream of IKK, protein kinase D (PKD) was also suppressed. Finally, we found that they scavenged H₂O₂-induced reactive oxygen species (ROS) and the functional moiety responsible for the anti-inflammatory effects of CHA and CA was the catechol group. Therefore, we conclude that the presence of catechol groups in CHA and CA allows scavenging of intracellular ROS, thereby inhibiting H₂O₂-induced IL-8 production via suppression of PKD-NF-κB signaling in human intestinal epithelial cells.
- Published
- 2017
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37. Enhancement of Oral Tolerance Induction in DO11.10 Mice by Lactobacillus gasseri OLL2809 via Increase of Effector Regulatory T Cells.
- Author
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Aoki-Yoshida A, Yamada K, Hachimura S, Sashihara T, Ikegami S, Shimizu M, and Totsuka M
- Subjects
- Administration, Oral, Animals, Antigens, CD immunology, Cell Differentiation, Cell Proliferation, Female, Interleukin-10 biosynthesis, Interleukin-2 biosynthesis, Mice, Mice, Inbred BALB C, Mice, Transgenic, Ovalbumin administration & dosage, T-Lymphocytes, Regulatory cytology, Immune Tolerance, Lactobacillus, T-Lymphocytes, Regulatory immunology
- Abstract
Food allergy is a serious problem for infants and young children. Induction of antigen-specific oral tolerance is one therapeutic strategy. Enhancement of oral tolerance induction by diet is a promising strategy to prevent food allergy in infants. Thus, in this study, we evaluate the effect of probiotic Lactobacillus gasseri OLL2809 (LG2809) on oral tolerance induction in a mouse model. The degree of oral tolerance induction was evaluated by measuring the proliferation and level of IL-2 production of splenic CD4+ T cells from DO11.10 mice fed ovalbumin (OVA) alone or OVA with LG2809. Oral administration of LG2809 significantly decreased the rate of proliferation and IL-2 production by CD4+ T cells from OVA-fed mice. LG2809 increased a ratio of CD4+ T-cell population, producing high levels of IL-10 and having strong suppressive activity. Moreover, LG2809 increased a ratio of plasmacytoid dendritic cells (pDCs) among the lamina propria (LP) in small intestine. When used as antigen presenting cells to naïve CD4+ T cells from DO11.10 mice, LP cells from BALB/c mice fed LG2809 induced higher IL-10 production and stronger suppressive activity than those from non-treated mice. These results suggest that oral administration of LG2809 increases the population of pDCs in the LP, resulting in the enhancement of oral tolerance induction by increasing the ratio of effector regulatory T cells. LG2809 could, therefore, act as a potent immunomodulator to prevent food allergies by promoting oral tolerance.
- Published
- 2016
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38. Effect of Anserine/Carnosine Supplementation on Verbal Episodic Memory in Elderly People.
- Author
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Hisatsune T, Kaneko J, Kurashige H, Cao Y, Satsu H, Totsuka M, Katakura Y, Imabayashi E, and Matsuda H
- Subjects
- Adult, Aged, Brain anatomy & histology, Brain drug effects, Cytokines blood, Cytokines genetics, Dietary Supplements, Double-Blind Method, Female, Gene Expression Regulation drug effects, Humans, Image Processing, Computer-Assisted, Male, Middle Aged, Neuropsychological Tests, Oligonucleotide Array Sequence Analysis, Aging, Anserine pharmacology, Carnosine pharmacology, Memory, Episodic, Verbal Learning drug effects
- Abstract
Our goal in this study was to determine whether or not anserine/carnosine supplementation (ACS) is capable of preserving cognitive function of elderly people. In a double-blind randomized controlled trial, volunteers were randomly assigned to an ACS or placebo group at a 1:1 ratio. The ACS group took 1.0 g of an anserine/carnosine (3:1) formula daily for 3 months. Participants were evaluated by psychological tests before and after the 3-month supplementation period. Thirty-nine healthy elderly volunteers (60-78 years old) completed the follow-up tests. Among the tests, delayed recall verbal memory assessed by the Wechsler Memory Scale-Logical Memory showed significant preservation in the ACS group, compared to the placebo group (p = 0.0128). Blood analysis revealed a decreased secretion of inflammatory cytokines, including CCL-2 and IL-8, in the ACS group. MRI analysis using arterial spin labeling showed a suppression in the age-related decline in brain blood flow in the posterior cingulate cortex area in the ACS group, compared to the placebo group (p = 0.0248). In another randomized controlled trial, delayed recall verbal memory showed significant preservation in the ACS group, compared to the placebo group (p = 0.0202). These results collectively suggest that ACS may preserve verbal episodic memory and brain perfusion in elderly people, although further study is needed.
- Published
- 2016
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39. Three cases of spontaneous isolated dissection of the superior mesenteric artery.
- Author
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Akuzawa N, Seki H, Oku Y, Totsuka M, Hatori T, Imai K, Kitahara Y, Aoki J, Tashiro M, and Kurabayashi M
- Subjects
- Abdominal Pain etiology, Adult, Anticoagulants therapeutic use, Heparin therapeutic use, Humans, Male, Mesenteric Artery, Superior diagnostic imaging, Mesenteric Ischemia etiology, Middle Aged, Rupture, Spontaneous diagnostic imaging, Tomography, Spiral Computed, Vascular Diseases complications, Warfarin therapeutic use, Mesenteric Artery, Superior injuries, Vascular Diseases diagnostic imaging, Vascular Diseases drug therapy
- Abstract
Background: Spontaneous isolated superior mesenteric artery dissection is a rare disease that may cause bowel ischemia or aneurysm rupture and subsequent death. Thus, the establishment of a correct diagnosis in the early stage is quite important., Objective: To describe the presentation of 3 patients diagnosed with spontaneous isolated supramesenteric artery dissection and briefly summarize the diagnostic procedure, treatment, and clinical course., Case Reports: We experienced three cases of isolated mesenteric artery dissection in the past 5 years. A definitive diagnosis was obtained by abdominal spiral computed tomography in two cases and angiography in one case. All patients were provided anticoagulation therapy., Conclusion: One patient died of bowel ischemia, 2 were discharged within 21 days without complications, and one was able to discontinue anticoagulation therapy 12 months after discharge. The remaining patient has continued warfarin, making it difficult to determine the end point of anticoagulation., (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Published
- 2015
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40. Anti-inflammatory effect of chlorogenic acid on the IL-8 production in Caco-2 cells and the dextran sulphate sodium-induced colitis symptoms in C57BL/6 mice.
- Author
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Shin HS, Satsu H, Bae MJ, Zhao Z, Ogiwara H, Totsuka M, and Shimizu M
- Subjects
- Animals, Anti-Inflammatory Agents pharmacology, Caco-2 Cells, Chlorogenic Acid pharmacology, Colitis chemically induced, Colitis immunology, Dextran Sulfate adverse effects, Female, Humans, Interleukin-1beta immunology, Intestines drug effects, Intestines immunology, Mice, Mice, Inbred C57BL, Tumor Necrosis Factor-alpha immunology, Anti-Inflammatory Agents administration & dosage, Chlorogenic Acid administration & dosage, Colitis drug therapy, Interleukin-8 immunology
- Abstract
Chlorogenic acid (CHA) is an antioxidant polyphenol prevalent in human diet, with coffee, fruits, and vegetables being its main source. Effects of CHA and CHA metabolites were evaluated on the IL-8 production in human intestinal Caco-2 cells induced by combined stimulation with tumour necrosis factor alpha (TNFα) and H2O2. CHA and caffeic acid (CA) inhibited TNFα- and H2O2-induced IL-8 production. We also examined the in vivo effects of CHA and CA using dextran sulphate sodium (DSS)-induced colitis in mice. CHA attenuated DSS-induced body weight loss, diarrhea, fecal blood, and shortening of colon and dramatically improved colitis histological scores. Furthermore, increases in the mRNA expression of colonic macrophage inflammatory protein 2 and IL-1β, which were induced by DSS, were significantly suppressed by CHA supplementation. These results suggest that dietary CHA use may aid in the prevention of intestinal inflammatory conditions., (Copyright © 2014 Elsevier Ltd. All rights reserved.)
- Published
- 2015
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41. Effects of Food-Derived Collagen Peptides on the Expression of Keratin and Keratin-Associated Protein Genes in the Mouse Skin.
- Author
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Le Vu P, Takatori R, Iwamoto T, Akagi Y, Satsu H, Totsuka M, Chida K, Sato K, and Shimizu M
- Subjects
- Administration, Oral, Animals, Coculture Techniques, Collagen pharmacology, Dipeptides pharmacology, Epidermis drug effects, Epidermis metabolism, Female, Fibroblasts drug effects, Fibroblasts metabolism, Gene Expression Regulation drug effects, Keratinocytes drug effects, Keratinocytes metabolism, Keratins metabolism, Mice, Mice, Hairless, Peptides pharmacology, Skin metabolism, Swine, Up-Regulation drug effects, Collagen administration & dosage, Dipeptides administration & dosage, Peptides administration & dosage, Skin drug effects
- Abstract
Oral ingestion of collagen peptides (CP) has long been suggested to exert beneficial effects on the skin, but the molecular events induced by CP on the skin remain unclear. Here, we investigated the effects of oral CP administration on gene expression in hairless mouse skin and of prolyl-hydroxyproline (Pro-Hyp), a collagen-derived dipeptide, on gene expression in a coculture of mouse skin keratinocytes and fibroblasts. Using microarray analysis, we found that oral administration of CP to hairless mice for 6 weeks induced increased expression of Krtap and Krt genes in the skin. Annotation analysis using DAVID revealed that a group of the up-regulated genes, Gprc5d, Sprr2a1, Krt27 and Krtap16-7, is associated with the development of the epidermis and the hair cycle. In addition, the presence of Pro-Hyp (200 μM) induced an increase in the expression of Krtap16-7, Krtap15, Krtap14 and Krtap8-2 in keratinocytes in coculture, partially resembling the in vivo result. The Pro-Hyp-induced up-regulation of these genes was not observed when keratinocytes were cultured without fibroblasts, suggesting that the presence of fibroblasts is essential for the effects of Pro-Hyp. Our study presents new insights into the effects of CP on the skin, which might link to the hair cycle., (© 2015 S. Karger AG, Basel.)
- Published
- 2015
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42. Secondary brain abscess following simple renal cyst infection: a case report.
- Author
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Akuzawa N, Osawa T, Totsuka M, Hatori T, Imai K, Kitahara Y, and Kurabayashi M
- Subjects
- Aged, Brain Abscess diagnostic imaging, Brain Abscess pathology, Cysts diagnostic imaging, Cysts pathology, Empyema complications, Escherichia coli Infections microbiology, Escherichia coli Infections pathology, Female, Humans, Kidney Diseases diagnostic imaging, Kidney Diseases pathology, Radionuclide Imaging, Brain Abscess etiology, Cysts complications, Escherichia coli Infections etiology, Kidney Diseases complications
- Abstract
Background: Escherichia coli (E. coli) is the most common causative bacteria of neonatal meningitis, but hematogenous intracranial E. coli infection is rare in adults. Moreover, intracranial abscess formation owing to E. coli, including brain abscesses and subdural empyema formation, is extremely rare. We herein present a case involving a patient with a brain abscess owing to E. coli following a simple renal cyst infection. A review of the literature is also presented., Case Presentation: A 77-year-old Japanese woman with a history of polymyalgia rheumatica was admitted to our hospital because of persistent fever, right flank pain, and pyuria. Intravenous antibiotics were administered; however, her level of consciousness deteriorated 6 days after admission. Contrast-enhanced magnetic resonance imaging showed a brain abscess in the left occipital lobe and pyogenic ventriculitis. Enhanced abdominal computed tomography revealed a right renal cyst with heterogeneous content. Culture of urine, blood, and aspirated pus from the infected cyst revealed E. coli with identical antibiotic sensitivity in all sites, suggesting that the cyst infection and subsequent bacteremia might have caused the brain abscess. The patient recovered after a 6-week course of meropenem., Conclusion: The prognosis of patients with E. coli-associated intracranial abscess is usually poor. Advanced age and immunosuppression may be potent risk factors for intracranial abscess formation owing to the hematogenous spread of E. coli.
- Published
- 2014
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43. Myosin light chain kinase expression induced via tumor necrosis factor receptor 2 signaling in the epithelial cells regulates the development of colitis-associated carcinogenesis.
- Author
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Suzuki M, Nagaishi T, Yamazaki M, Onizawa M, Watabe T, Sakamaki Y, Ichinose S, Totsuka M, Oshima S, Okamoto R, Shimonaka M, Yagita H, Nakamura T, and Watanabe M
- Subjects
- Animals, Carcinogenesis drug effects, Carcinogenesis metabolism, Cell Line, Cell Proliferation drug effects, Colitis metabolism, Colon drug effects, Colon pathology, Colon ultrastructure, Cytokines metabolism, Disease Models, Animal, Epithelial Cells metabolism, Epithelial Cells pathology, Epithelial Cells ultrastructure, Female, Inflammation pathology, Inflammation Mediators metabolism, Interferon-gamma pharmacology, Intestinal Mucosa drug effects, Intestinal Mucosa pathology, Mice, Mice, Inbred BALB C, Mice, Inbred C57BL, Tight Junctions drug effects, Tight Junctions metabolism, Tumor Necrosis Factor-alpha pharmacology, Up-Regulation drug effects, Carcinogenesis pathology, Colitis pathology, Epithelial Cells enzymology, Myosin-Light-Chain Kinase metabolism, Receptors, Tumor Necrosis Factor, Type II metabolism, Signal Transduction drug effects
- Abstract
It has been suggested that prolonged inflammatory bowel diseases (IBD) may lead to colitis-associated carcinogenesis (CAC). We previously observed that the NF-κB activation in colonic epithelial cells is associated with increased tumor necrosis factor receptor 2 (TNFR2) expression in CAC development. However, the mechanism by which epithelial NF-κB activation leading to CAC is still unclear. Myosin light chain kinase (MLCK) has been reported to be responsible for the epithelial permeability associated with TNF signaling. Therefore we focused on the role of MLCK expression via TNFR2 signaling on CAC development. Pro-tumorigenic cytokines such as IL-1β, IL-6 and MIP-2 production as well as INF-γ and TNF production at the lamina propria were increased in the setting of colitis, and further in tumor tissues in associations with up-regulated TNFR2 and MLCK expressions in the epithelial cells of a CAC model. The up-regulated MLCK expression was observed in TNF-stimulated colonic epithelial cells in a dose-dependent fashion in association with up-regulation of TNFR2. Silencing TNFR2, but not TNFR1, resulted in restoration of epithelial tight junction (TJ) associated with decreased MLCK expression. Antibody-mediated blockade of TNF signaling also resulted in restoration of TJ in association with suppressed MLCK expression, and interestingly, similar results were observed with suppressing TNFR2 and MLCK expressions by inhibiting MLCK in the epithelial cells. Silencing of MLCK also resulted in suppressed TNFR2, but not TNFR1, expression, suggesting that the restored TJ leads to reduced TNFR2 signaling. Such suppression of MLCK as well as blockade of TNFR2 signaling resulted in restored TJ, decreased pro-tumorigenic cytokines and reduced CAC development. These results suggest that MLCK may be a potential target for the prevention of IBD-associated tumor development.
- Published
- 2014
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- View/download PDF
44. Prevention of allergic disease development and symptoms by food factors.
- Author
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Akiyama H, Katayama S, Kanda T, Maeda-Yamamoto M, Totsuka M, Takahashi S, Shoji T, Inakuma T, and Nakamura S
- Subjects
- Animals, Carotenoids isolation & purification, Carotenoids pharmacology, Humans, Oligosaccharides isolation & purification, Oligosaccharides pharmacology, Polyphenols isolation & purification, Polyphenols pharmacology, Polysaccharides isolation & purification, Polysaccharides pharmacology, Food, Hypersensitivity prevention & control
- Abstract
A fundamental means of allergic disease prevention, via the use of functional food factors, is desirable. A number of studies on the role of functional food factors in preventing allergic diseases have been reported. In this review, the preventive effects of polyphenols, carotenoids, polysaccharides, and non-digestible oligosaccharides on allergic diseases are discussed.
- Published
- 2014
- Full Text
- View/download PDF
45. Antigen presentation by small intestinal epithelial cells uniquely enhances IFN-γ secretion from CD4+ intestinal intraepithelial lymphocytes.
- Author
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Hatano R, Yamada K, Iwamoto T, Maeda N, Emoto T, Shimizu M, and Totsuka M
- Subjects
- Animals, Cells, Cultured, Epithelial Cells cytology, Female, Intestinal Mucosa cytology, Intestine, Small cytology, Mice, Mice, Inbred BALB C, Antigen Presentation immunology, CD4-Positive T-Lymphocytes immunology, Epithelial Cells immunology, Interferon-gamma immunology, Interleukins immunology, Intestinal Mucosa immunology, Intestine, Small immunology
- Abstract
Small intestinal epithelial cells (sIECs) express major histocompatibility complex class II molecules even in a normal condition, and are known to function as antigen presenting cells (APCs) at least in vitro. These findings raised the possibility that sIECs play an important role in inducing immune responses against luminal antigens, especially those of intestinal intraepithelial lymphocytes (IELs) and lamina propria lymphocytes (LPLs). We herein showed that antigenic stimulation with sIECs induced markedly greater secretion of interferon-gamma (IFN-γ) by CD4(+) IELs, but not interleukin (IL)-4, IL-10 and IL-17 although the proliferative response was prominently lower than that with T cell-depleted splenic APCs. In contrast, no enhanced IFN-γ secretion by CD4(+) LPLs and primed splenic CD4(+) T cells was observed when stimulated with sIECs. Taken together, these results suggest that sIECs uniquely activate CD4(+) IELs and induce remarkable IFN-γ secretion upon antigenic stimulation in vivo., (Copyright © 2013 Elsevier Inc. All rights reserved.)
- Published
- 2013
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46. Effects of oral administration of glucosylceramide on gene expression changes in hairless mouse skin: comparison of whole skin, epidermis, and dermis.
- Author
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Takatori R, Le Vu P, Iwamoto T, Satsu H, Totsuka M, Chida K, and Shimizu M
- Subjects
- Administration, Oral, Animal Feed adverse effects, Animal Feed analysis, Animals, Dietary Supplements, Female, Magnesium analysis, Mice, Mice, Hairless, Organ Specificity, Dermis drug effects, Dermis metabolism, Epidermis drug effects, Epidermis metabolism, Glucosylceramides administration & dosage, Glucosylceramides pharmacology, Transcriptome drug effects
- Abstract
The beneficial effects of dietary glucosylceramide on the barrier function of the skin have been increasingly reported, but the entire mechanism has not been clarified. By DNA microarray, we investigated changes in gene expression in hairless mouse skin when a damage-inducing AD diet and a glucosylceramide diet (GluCer) were imposed. GluCer administration potentially suppressed the upregulation of six genes and the downregulation of four genes in the AD group. Examination of the epidermal and/or dermal expression of Npr3, Cyp17a1, Col1a1, S100a9, Sprr2f, Apol7a, Tppp, and Scd3 revealed responses of various parts of the skin to the diets. In normal hairless mice, GluCer administration induced an increase in the dermal expression of Cyp17a1 and the epidermal expression of Tppp, and a decrease in the epidermal expression of S100a9. Our results provide information on gene expression not only in whole skin but also in the epidermis and dermis that should prove useful in the search for the mechanisms underlying the effects of GluCer on damaged and normal skin.
- Published
- 2013
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47. Effects of Enteric-coated Lactoferrin Tablets Containing Lactobacillus brevis subsp. coagulans on Fecal Properties, Defecation Frequency and Intestinal Microbiota of Japanese Women with a Tendency for Constipation: a Randomized Placebo-controlled Crossover Study.
- Author
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Suzuki N, Murakoshi M, Ono T, Morishita S, Koide M, Bae MJ, Totsuka M, Shimizu M, Sugiyama K, Nishino H, and Iida N
- Abstract
The effects of oral administration of enteric-coated tablets containing lactoferrin (LF; 100 mg/tablet) and heat-killed Lactobacillus brevis subsp. coagulans FREM BP-4693 (LB; 6×10(9) bacteria/tablet) on fecal properties were examined in 32 Japanese women (20-60 years of age) with a tendency for constipation (defecation frequency at equal to or less than 10 times/2 weeks) by a double-blind placebo-controlled crossover design. A significant increase in defecation days per week was obserbed in the subjects who ingested the tablets containing LF and LB compared with the placebo group. The number of bifidobacteria in feces also significantly increased compared with the placebo group. In an in vitro study, LF and tryptic hydrolysate of LF, but not peptic hydrolysate of LF, upregulated the growth of Bifidobacterium longum ATCC15707 when added to the culture. These results demonstrate the capability of the enteric-coated tablets containing LF and LB in improving intestinal function and suggest that they have a growth promoting function for bifidobacteria.
- Published
- 2013
- Full Text
- View/download PDF
48. Dietary flavonoid naringenin induces regulatory T cells via an aryl hydrocarbon receptor mediated pathway.
- Author
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Wang HK, Yeh CH, Iwamoto T, Satsu H, Shimizu M, and Totsuka M
- Subjects
- 3T3 Cells, Animals, Cell Proliferation drug effects, Female, Flavonoids pharmacology, Fluorescent Antibody Technique, Immune Tolerance drug effects, Lymphocyte Activation drug effects, Mice, Mice, Inbred BALB C, Receptors, Aryl Hydrocarbon agonists, Receptors, Aryl Hydrocarbon antagonists & inhibitors, T-Lymphocytes, Regulatory immunology, Transforming Growth Factor beta pharmacology, Diet, Flavanones administration & dosage, Receptors, Aryl Hydrocarbon physiology, T-Lymphocytes, Regulatory drug effects
- Abstract
The aryl hydrocarbon receptor (AhR), a transcription factor mediating xenobiotic detoxification, plays a considerable role in regulatory T cell (Treg) induction. Tregs regulate the immune system, thus suppressing allergies and autoimmune diseases. This study aims to identify new types of antiallergic dietary factors, with focus on the flavonoids with potential AhR agonistic activity. Among 25 dietary flavonoid samples tested using a reporter assay, 8 showed marked induction of AhR-dependent transcriptional activity. The subsequent T cell proliferation suppression assay identified naringenin as the only sample capable of stimulating Treg induction; notably, this induction was eliminated by cotreatment with AhR antagonists. Indeed, naringenin induced CD4(+)Foxp3(+) Tregs, irrespective of the presence of the transforming growth factor-β (TGF-β), indicating that the conventional TGF-β-dependent signaling pathway might not be involved.
- Published
- 2012
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49. Introducing site-specific glycosylation using protein engineering techniques reduces the immunogenicity of β-lactoglobulin.
- Author
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Tatsumi Y, Sasahara Y, Kohyama N, Ayano S, Endo M, Yoshida T, Yamada K, Totsuka M, and Hattori M
- Subjects
- Animals, Binding Sites, Cattle, Female, Glycosylation, Lactoglobulins chemistry, Lactoglobulins metabolism, Mice, Mutation, Protein Conformation, Substrate Specificity, Lactoglobulins genetics, Lactoglobulins immunology, Protein Engineering methods
- Abstract
To reduce the immunogenicity of β-lactoglobulin (BLG), we prepared wild-type bovine BLG variant A (wt) and three site-specifically glycosylated BLGs (D28N, D137N/A139S, and P153A), and expressed them in the methylotrophic yeast Pichia pastoris by fusion of the cDNA to the sequence coding for the α-factor signal peptide from Saccharomyces cerevisiae. Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) analysis indicated that the glycosylated BLGs were conjugated with a ~4 kDa high-mannose chain. Each glycosylated BLG retained ∼80% of the retinol-binding activity of BLG. Structural analyses by intrinsic fluorescence, CD spectra, and ELISA with monoclonal antibodies indicated that the surface structure was slightly changed by using protein engineering techniques, but that the site-specifically glycosylated BLGs were covered by high-mannose chains without substantial disruption of wt conformation. Antibody responses to the glycosylated BLGs tended to be weaker in BALB/c, C57BL/6, and C3H/He mice. We conclude that site-specific glycosylation is an effective method to reduce the immunogenicity of BLG, and that masking of epitopes by high-mannose chains is effective to reduce immunogenicity.
- Published
- 2012
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50. Two distinct epitopes on the ovalbumin 323-339 peptide differentiating CD4⁺T cells into the Th2 or Th1 phenotype.
- Author
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Nakajima-Adachi H, Koike E, Totsuka M, Hiraide E, Wakatsuki Y, Kiyono H, and Hachimura S
- Subjects
- Amino Acid Sequence, Animals, CD4-Positive T-Lymphocytes immunology, Epitopes chemistry, Food Hypersensitivity immunology, Mice, Molecular Sequence Data, Peptide Fragments chemistry, Phenotype, CD4-Positive T-Lymphocytes cytology, Cell Differentiation immunology, Epitopes immunology, Ovalbumin chemistry, Peptide Fragments immunology, Th1 Cells cytology, Th2 Cells cytology
- Abstract
The epitopes for OVA323-339-specific CD4⁺T cells from OVA23-3 food allergy model and DO11.10 tolerant induction model mice were analyzed. We found that OVA23-3 CD4⁺T cells recognized the N-terminal region, showing strong proliferation and the Th2-phenotype, and that DO11.10 CD4⁺T cells recognized the C-terminal region, showing milder proliferation and a Th1-skewed response. These differences may regulate the responses of those mice to OVA-feeding, inflammation and tolerance.
- Published
- 2012
- Full Text
- View/download PDF
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