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Immunological effect of local ablation combined with immunotherapy on solid malignancies

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Chinese Journal of Cancer 2017年第6期36卷 252-257页

作者： Yusuke Takahashi Noriyuki Matsutani Takashi Nakayama hitoshi Dejima Hirofumi Uehara Masafumi Kawamura Department of General Thoracic Surgery Teikyo University School of Medicine

Recent comprehensive investigations clarified that immune microenvironment surrounding tumor cells are deeply involved in tumor progression,metastasis,and response to ***,several immunotherapeutic trials have achieved successful results,and the immunotherapeutic agents are available in clinical *** enhance their demonstrated efficacy,combination of immunotherapy and ablation has begun to *** ablations have considerable advantages as an alternative therapeutic option,especially its minimal *** addition,local ablations have shown immune-regulatory effect in preclinical and clinical *** the corresponding mechanisms are still unclear,the local ablations combined with immunotherapy have been suggested in the treatment of several solid *** article aims to review the published data on the immune-regulatory effects of local ablations including stereotactic body radiotherapy,cryoablation,radiofrequency ablation,and high-intensityfocused *** also discuss the value of local ablations combined with *** ablations have the potential to improve future patient outcomes;however,the effectiveness and safety of local ablations combined with immunotherapy should be further investigated.

关键词：免疫治疗剂免疫效应实体瘤免疫调节作用高强度聚焦超声肿瘤细胞临床实践综合调查

Strategies for gastric cancer in the modern era

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World Journal of Gastrointestinal Oncology 2010年第9期2卷 335-341页

作者： Satoru Takayama Takehiro Wakasugi hitoshi Funahashi Hiromitsu Takeyama Department of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences

Gastric cancer is one of the most common neoplasms in Japan, and it is also the second leading cause of cancer-related deaths worldwide. Nowadays, infection with Helicobacter pylori (H. pylori) is a known risk factor for the development of gastric cancer. Therefore, gastric cancer should be considered as an infectious disease, and in fact, prophylactic eradication of H. pylori may prevent the development of metachronous gastric carcinoma. Before the role of H. pylori was understood, a different approach was used. Recently even after the cancer has developed, some newer therapeutic approaches have been pursued. These newer treatments have been summarized as "minimally invasive therapies" and use endoscopic or laparoscopic techniques. In addition, robotic approaches are being developed that seem to hold a great potential to change the surgical approach. Since basic understanding and treatment of the disease have both changed signif icantly over the last decade, we present a review of current advances in gastric cancer research and therapy.

关键词： Helicobacter pylori Endoscopic submucosal dissection Laparoscopy-assisted distal gastrectomy Gastric cancer Robot

Questionnaire survey regarding the current status of superextended lymph node dissection in Japan

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World Journal of Gastrointestinal Oncology 2016年第9期8卷 707-714页

作者： Shinji Morita Takeo Fukagawa Hisataka Fujiwara hitoshi Katai Department of Surgical Oncology National Cancer Center HospitalChuo-kuTokyo

AIM To verify the current status of super-extended lymph node dissection for advanced gastric cancer according to a questionnaire *** One-hundred and five institutions responded to the *** survey included the following items: Number of experiences,whether performed prophylactically and/or therapeutically,whether preoperative chemotherapy was provided,number of preoperative chemotherapy rounds,and therapeutic options after *** Eighty-seven of the 105 institutions(83%) had performed D3 gastrectomy in the past or continued to perform D3 gastrectomy at ***,D3 gastrectomy was rarely performed prophylactically in clinical ***-eight institutions(74%) indicated that preoperative chemotherapy with curative intent was required for patients suspected of having para-aortic node(PAN) *** chemotherapy,a D3 gastrectomy was scheduled for patients with a complete or partial response,stable disease,and progressive disease at 36(46%),28(36%),and 13(17%) of the institutions,*** For patients with apparent PAN metastasis,a D3 gastrectomy is typically planned if a few courses of preoperative chemotherapy yield at least a stable disease condition.

关键词： Questionnaire survey Advanced gastric cancer Radical surgery Para-aortic nodal dissection Preoperative chemotherapy

Ablation for Benign Liver Tumors:Current Concepts and Limitations

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Journal of Clinical and Translational Hepatology 2023年第1期11卷 244-252页

作者： hitoshi Maruyama Maki Tobari Hiroaki Nagamatsu Tadashi Yamaguchi Shuichiro Shiina Department of Gastroenterology Juntendo UniversityTokyoJapan Center for Frontier Medical Engineering Chiba UniversityChibaJapan

Percutaneous ablation under imaging guidance is a curative treatment that can induce complete tumor necrosis with advantages of minimal invasiveness and a low risk of *** ablation,which includes radiofrequency ablation and microwave ablation,is a representative technique that has sufficient antitumor effects in cases of hepatocellular carcinoma with≤3 lesions measuring≤3 cm and preserved liver *** short-and long-term outcomes of patients are comparable with those achieved with surgical *** their nonmalignant nature,some benign liver tumors require treatment for symptoms caused by the presence of the tumor and/or continuous *** may be the treatment of choice because it has lower burden on patients than surgical *** review describes the recent concepts,progress,and limitations of ablation-based treatment for benign liver tumors.

关键词： Liver tumor Radiofrequency ablation Microwave ablation Benign

Study on adsorption behavior of cesium using ammonium tungstophosphate(AWP)-calcium alginate microcapsules

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Science China Chemistry 2012年第9期55卷 1719-1725页

作者： WU Yan MIMURA hitoshi NIIBORI Yuichi OHNISHI Takashi KOYAMA Shinichi WEI YueZhou School of Nuclear Science and Engineering Shanghai Jiao Tong UniversityShanghai 200240China Graduate School of Engineering Tohoku University Aramaki-Aza-Aoba 6-6-01-2Sendai980-8579Japan Japan Atomic Energy Agency 4002 NaritaO-arai-machiIbaraki311-1393Japan

A functional microcapsule was prepared by encapsulating the fine crystalline ammonium tungstophosphate （AWP） in calcium alginate polymer （CaALG）. The characterization of AWP-CaALG microcapsule was examined by SEM and EPMA. The ad- sorption behavior of Cs（Ⅰ）, Rb（Ⅰ）, Sr（Ⅱ）, Pd（II）, Ru（Ⅲ）, Rh（Ⅲ）, La（Ⅲ）, Ce（Ⅲ）, Dy（Ⅲ） and Zr（IV） was investigated by the batch method. The batch experiments were carried out by varying the shaking times, HNO3 concentration, and initial concen- tration of metal ions. Relatively large K＋ values above 105 cm3/g for Cs（I） were obtained in the range of 0.1-5 M HNO3, re- sulting in a separation factor of Cs/Rb exceeding 102. In contrast, the K＋ values of Sr（II）, Pd（II）, Ru（Ⅲ）, La（Ⅲ）, Dy（Ⅲ）, Ce（Ⅲ） and Zr（IV） were considerably lower than 50 cm3/g. The K＋ value of Cs（1） decreased in the order of the coexisting ions, H＋〉 Na＋〉〉 NH4＋, and a linear relationship with a slop of about -1 was obtained between log Kd and log [NH4＋] （[NH4＋] 〉 0.01 M） The adsorption of Cs（I） was found to be controlled by chemisorption mechanism, and followed a Langmuir-type adsorption equation. A high uptake percentage of 99.4% for Cs（I） was obtained by using the dissolved solutions of spent fuel from FBR-JOYO （JAEA）.

关键词： cesium high level liquid waste (HLLW) ammonium tungstophosphate alginate microcapsule adsorption

Improving conditional random field model for prediction of protein-RNA residue-base contacts

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Frontiers of Electrical and Electronic Engineering in China 2018年第2期6卷 155-162页

作者： Morihiro Hayashida Noriyuki Okada Mayumi Kamada hitoshi Koyano Department of Electrical Engineering and Computer Science National Institute of Technology Matsue College Shimane 690- 8518 Japan Graduate School of Medicine Kyoto University Kyoto 606-8507 Japan Riken Quantitative Biology Center Hyogo 650-0047 Japan

Background： For understanding biological cellular systems, it is important to analyze interactions between protein residues and RNA bases. A method based on conditional random fields （CRFs） was developed for predicting contacts between residues and bases, which receives multiple sequence alignments for given protein and RNA sequences, respectively, and learns the model with many parameters involved in relationships between neighboring residue-base pairs by maximizing the pseudo likelihood function. Methods： In this paper, we proposed a novel CRF-based model with more complicated dependency relationships between random variables than the previous model, but which takes less parameters for the sake of avoidance of overfitting to training data. Results： We performed cross-validation experiments for evaluating the proposed model, and took the average of AUC （area under receiver operating characteristic curve） scores. The result suggests that the proposed CRF-based model without using Ll-norm regularization （lasso） outperforms the existing model with and without the lasso under several input observations to CRFs. Conclusions： We proposed a novel stochastic model for predicting protein-RNA residue-base contacts, and improved the prediction accuracy in terms of the AUC score. It implies that more dependency relationships in a CRF could be controlled by less parameters.

关键词： protein-RNA interaction residue-base contact conditional random field

Effects of 0.4% ripasudil hydrochloride hydrate on morphological changes in rabbit eyes

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International Journal of Ophthalmology(English edition) 2019年第10期12卷 1637-1642页

作者： Bundit Limratchatamorn Ken Asakawa Kimiyo Mashimo Shigekazu Uga hitoshi Ishikawa Department of Ophthalmology Priest HospitalDepartment ofMedical ServicesMinistry of Public HealthBangkok10400Thailand Department of Ophthalmology School of MedicineKitasatoUniversityKanagawa252-0374Japan Department of Orthoptics and Visual Science School of AlliedHealth SciencesKitasato UniversityKanagawa252-0373Japan

We evaluated the cellular structure changes after continuous use of ripasudil hydrochloride hydrate in rabbit eyes which might affect its own efficacy and adverse effects. Two pigmented Dutch rabbits and 1 Japanese white rabbit were instilled with 0.4% ripasudil hydrochloride hydrate to the left eye twice daily. The right eye was observed as the control. Both eyes of all 3 rabbits were then enucleated for histopathologic examination by light and electron microscope at 1 mo in 1 of the pigmented Dutch rabbits, 3 mo in the other pigmented Dutch rabbit, and in the Japanese white rabbit after instillation. Microscopic observations showed increase intercellular space in trabecular meshwork, ciliary body, and iris stoma, increase pigmented granule number and size in iris epithelial cells, and decrease actin filament in iris muscle fiber cells. Consequently, ripasudil hydrochloride hydrate decreases the intraocular pressure by improving the conventional outflow and may also facilitate the unconventional outflow via intercellular space widening without serious side effects.

关键词： ripasudil hydrochloride hydrate actin filament side effect rabbit

Development of cancer-initiating cells and immortalized cells with genomic instability

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World Journal of Stem Cells 2015年第2期7卷 483-489页

作者： Ken-ichi Yoshioka Yuko Atsumi hitoshi Nakagama Hirobumi Teraoka Division of Carcinogenesis and Cancer Prevention National Cancer Center Research Institute Department of Pathological Biochemistry Medical Research InstituteTokyo Medical and Dental University

Cancers that develop after middle age usually exhibit genomic instability and multiple mutations. This is in direct contrast to pediatric tumors that usually develop as a result of specific chromosomal translocations andepigenetic aberrations. The development of genomic instability is associated with mutations that contribute to cellular immortalization and transformation. Cancer occurs when cancer-initiating cells(CICs), also called cancer stem cells, develop as a result of these mutations. In this paper, we explore how CICs develop as a result of genomic instability, including looking at which cancer suppression mechanisms are abrogated. A recent in vitro study revealed the existence of a CIC induction pathway in differentiating stem cells. Under aberrant differentiation conditions, cells become senescent and develop genomic instabilities that lead to the development of CICs. The resulting CICs contain a mutation in the alternative reading frame of CDKN2A(ARF)/p53 module, i.e., in either ARF or p53. We summarize recently established knowledge of CIC development and cellular immortality, explore the role of the ARF/p53 module in protecting cells from transformation, and describe a risk factor for genomic destabilization that increases during the process of normal cell growth and differentiation and is associated with the downregulation of histone H2 AX to levels representative of growth arrest in normal cells.

关键词： ARF/p53 module Cancer stem cells Cancerinitiatingcells Differentiation Genomic instability H2AX

Clinical outcomes of endoscopic ultrasonography-guided transmural drainage using plastic stent and nasocystic drain for pancreatic and peripancreatic collections

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Hepatobiliary & Pancreatic Diseases International 2019年第1期18卷 96-99页

作者： Katsuya Kitamura Akira Yamamiya Yu Ishii Yuta Mitsui hitoshi Yoshida Division of Gastroenterology Department of Medicine Showa University School of Medicine

To the Editor:Pancreatic and peripancreatic collections(PCs)develop from acute pancreatitis(AP),chronic pancreatitis,surgery,or *** 2012 revised Atlanta classification[1]of AP classified local complications into the following 4 PC types:acute peripancreatic fluid collection(<4 weeks after the onset of acute interstitial edematous pancreatitis),acute necrotic collection(<4 weeks after the onset of acute necrotizing pancreatitis),pancreatic pseudocyst(PPC;≥4 weeks after the onset of acute interstitial edematous pancreatitis),and walled-off necrosis(WON;≥4 weeks after the onset of acute necrotizing pancreatitis).Endoscopic ultrasonographyguided transmural drainage(EUS-TD)has been reported to be a minimally invasive procedure for patients with PCs[2–4].This study aimed to investigate the clinical outcomes of EUS-TD for PCs.

关键词： peripancreatic EUS-TD