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Background: The purpose of this study was to report the basic profile of the Miyagi Prefecture part of a repeated center-based survey during the second period of the Tohoku Medical Megabank Community-Based Cohort Study (TMM CommCohort Study), as well as the participants’ characteristics based on their participation type in the baseline survey. Methods: The second period survey, conducted from June 2017 to March 2021, included participants of the TMM CommCohort Study (May 2013 to March 2016). In addition to the questionnaire, blood, urine, and physiological function tests were performed during the second period survey. There were three main ways of participation in the baseline survey: Type 1, Type 1 additional, or Type 2 survey. The second period survey was conducted in the same manner as the Type 2 survey, which was based on the community support center (CSC). Results: In Miyagi Prefecture, 29,383 (57.7%) of 50,967 participants participated in the second period survey. The participation rate among individuals who had visited the CSC was approximately 80%. Although some factors differed depending on the participation type in the baseline survey, the second period survey respondents in the Type 1 and Type 2 survey groups at baseline had similar traits. Conclusion: The second period survey of the TMM CommCohort Study provided detailed follow-up information. Following up on the health conditions of the participants will clarify the long-term effects of disasters and contribute to personalized prevention.

Abstract All-solid-state lithium–sulfur batteries exhibit high energy densities, operate safely, and suppress polysulfide shuttling. However, their electrochemical performance is restricted by the insulating nature of sulfur and Li2S, and by severe cathode-related volumetric changes during cycling. Here, we prepare a Li2S-based cathode composite with high mixed-conductivity and stability, by infiltrating a Li2S–LiI active material solution into a mesoporous carbon replica with ~10-nm-sized pores, followed by mixing with a liquid-phase-synthesized Li6PS5Br solid electrolyte and vapour-grown carbon fibres. Benefiting from a mechanically reinforced, three-dimensional ion/electron-conducting structure, the cathode exhibits high discharge capacity (1009 mAh g−1, 20 cycles, 298 K, 0.05 C) and high reversible capacity (650 mAh g−1, 100 cycles, 298 K, 0.1 C). These findings underscore the feasibility of developing high-performance all-solid-state lithium-sulfur batteries by designing three-dimensional mixed-conducting mechanically robust cathodes.

Sexual development disorders: Variant prevalence in the Japanese population Researchers in Japan have reported the frequency of mutations related to atypical sexual development in the Japanese population. A team led by Junichi Sugawara of Tohoku University, Sendai, analyzed whole-genome data collected by the Tohoku Medical Megabank Organization from 8380 healthy Japanese people. They screened the genomes for variations in 32 genes linked with central hypogonadism (CHG) and disorders of sex development (DSD), and used bioinformatics to predict the effect of the variants. This revealed 91 potentially pathogenic variants in 25 of the genes, including 28 new variants. The team also estimated the frequency of unaffected carriers of these variants. The analysis provides an overview of the prevalence of these variants in the general Japanese population and also offers valuable data for genetic diagnosis and counseling related to DSD and CHG.

The type 2 Ca2+-dependent activator protein for secretion (CAPS2/CADPS2) regulates dense-core vesicle trafficking and exocytosis and is involved in the regulated release of catecholamines, peptidergic hormones, and neuromodulators. CAPS2 is expressed in the pancreatic exocrine acinar cells that produce and secrete digestive enzymes. However, the functional role of CAPS2 in vesicular trafficking and/or exocytosis of non-regulatory proteins in the exocrine pancreas remains to be determined. Here, we analyzed the morpho-pathological indicators of the pancreatic exocrine pathway in Cadps2-deficient mouse models using histochemistry, biochemistry, and electron microscopy. We used whole exosome sequencing to identify CADPS2 variants in patients with chronic pancreatitis (CP). Caps2/Cadps2-knockout (KO) mice exhibited morphophysiological abnormalities in the exocrine pancreas, including excessive accumulation of secretory granules (zymogen granules) and their amylase content in the cytoplasm, deterioration of the fine intracellular membrane structures (disorganized rough endoplasmic reticulum, dilated Golgi cisternae, and the appearance of empty vesicles and autophagic-like vacuoles), as well as exocrine pancreatic cell injury, including acinar cell atrophy, increased fibrosis, and inflammatory cell infiltration. Pancreas-specific Cadps2 conditional KO mice exhibited pathological abnormalities in the exocrine pancreas similar to the global Cadps2 KO mice, indicating that these phenotypes were caused either directly or indirectly by CAPS2 deficiency in the pancreas. Furthermore, we identified a rare variant in the exon3 coding region of CADPS2 in a non-alcoholic patient with CP and showed that Cadps2-dex3 mice lacking CAPS2 exon3 exhibited symptoms similar to those exhibited by the Cadps2 KO and cKO mice. These results suggest that CAPS2 is critical for the proper functioning of the pancreatic exocrine pathway, and its deficiency is associated with a risk of pancreatic acinar cell pathology.