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Photodynamic therapy (PDT) is a minimally invasive treatment that elicits tumor apoptosis using laser light exclusively applied to the tumor site. IR-783, a heptamethine cyanine (HMC) dye, impedes the proliferation of breast cancer cells, even without light. Although studies have investigated the efficacy of IR-783 in cell and animal studies, its efficacy in clinical settings remains unknown. Therefore, we aimed to determine the efficacy of PDT using IR-783 liposomes. An HMC dye, excited by long-wavelength infrared light and with high tissue permeability, was used for PDT after liposomization to enhance tumor tissue accumulation. PDT was performed using IR-783 in two patients with either tongue or breast cancer, one each. IR-783 liposomes inhibited cell proliferation in tongue cancer cells even when not excited by light. Tumor size was markedly reduced in both cases, with no significant adverse events. Furthermore, the patient with tongue cancer exhibited improved respiratory, swallowing, and speech functions, which were attributed not only to the shrinkage of the tumor but also to the improvement in airway narrowing. In conclusion, PDT using IR-783 liposomes effectively reduces tumor size in tongue and breast cancers.

An elevated serum β2-microglobulin (β2M) level is indicative of impaired glomerular filtration and prerenal diseases, such as malignant tumors, autoimmune disorders, and liver diseases. An elevated serum β2M level has been shown to promote metastasis via the induction of epithelial–mesenchymal transition (EMT) in cancer cells. However, the therapeutic potential of targeting β2M remains unclear. Here, we aimed to investigate the efficacy of Filtor, a small polymethyl methacrylate fiber-based β2M removal column, in reducing the β2M level and suppressing cancer cell-induced EMT and metastasis. We assessed the effects of Filtor on the changes in metastasis based on the number of circulating tumor cells (CTCs), which reflects the post-EMT cancer cell population. We performed therapeutic apheresis using Filtor on a male patient with sinonasal neuroendocrine carcinoma, a female patient with a history of colorectal cancer, and another female patient with a history of pancreatic ductal adenocarcinoma. Significantly low serum β2M levels and CTC counts were observed immediately and 4 weeks after treatment compared with those in the pretreatment phase. Moreover, the CTC count immediately after therapeutic intervention was markedly reduced, likely because Filtor had trapped CTCs directly. These findings suggest that therapeutic apheresis with Filtor can prevent cancer metastasis and recurrence by directly removing CTCs.

Coronary artery calcification (CAC) is associated with cardiovascular disease (CVD). CAC might contain calcium oxalate, and a high serum oxalate (S Ox ) concentration is associated with cardiovascular mortality in dialysis patients. We assessed the associations between S Ox and CAC or CVD events in Japanese hemodialysis patients. This cross-sectional and retrospective cohort study was done in 2011. Seventy-seven hemodialysis patients’ Agatston CAC score was measured, and serum samples were collected. S Ox concentrations were measured in 2021 by using frozen samples. Also, new-onset CVD events in 2011–2021 were retrospectively recorded. The association between S Ox concentration and CAC score ≥ 1000, and new-onset CVD events were examined. Median S Ox concentration and CAC score were 266.9 (229.5–318.5) µmol/L and 912.5 (123.7–2944), respectively. CAC score ≥ 1000 was associated with S Ox [adjusted odds ratio (OR) 1.01, 95% confidence interval (CI), 1.00–1.02]. The number of new-onset CVD events was significantly higher in patients with S Ox  ≥ median value [hazard ratio (HR) 2.71, 95% CI 1.26–6.16]. By Cox proportional hazard models, new-onset CVD events was associated with S Ox  ≥ median value (adjusted HR 2.10, 95% CI 0.90–4.91). S Ox was associated with CAC score ≥ 1000 and new-onset CVD events in Japanese hemodialysis patients.

Panel sequencing of susceptibility genes for hereditary breast and ovarian cancer (HBOC) syndrome has uncovered numerous germline variants; however, their pathogenic relevance and ethnic diversity remain unclear. Here, we examined the prevalence of germline variants among 568 Japanese patients with BRCA1/2-wildtype HBOC syndrome and a strong family history. Pathogenic or likely pathogenic variants were identified on 12 causal genes for 37 cases (6.5%), with recurrence for 4 SNVs/indels and 1 CNV. Comparisons with non-cancer east-Asian populations and European familial breast cancer cohorts revealed significant enrichment of PALB2, BARD1, and BLM mutations. Younger onset was associated with but not predictive of these mutations. Significant somatic loss-of-function alterations were confirmed on the wildtype alleles of genes with germline mutations, including PALB2 additional somatic truncations. This study highlights Japanese-associated germline mutations among patients with BRCA1/2 wildtype HBOC syndrome and a strong family history, and provides evidence for the medical care of this high-risk population.

To identify the region in which a root perceives a decrease in the ambient water potential and changes its elongation rate, we applied two agar blocks (1 x 1 x 1 mm³) with low water potential bilaterally to primary roots of maize (Zea mays) at various positions along the root. When agar blocks with a water potential of -1.60 MPa (-1.60-MPa blocks) or lower were attached to a root tip, the rate of elongation decreased. This decrease did not result from any changes in the water status of elongating cells and was not reversed when the -1.60-MPa blocks were replaced by -0.03-MPa blocks. The rate decreased slightly and was unaffected, respectively, when -1.60-MPa blocks were applied to the so-called decelerating region of the elongating zone and the mature region. However, the rate decreased markedly and did not recover for several hours at least when such blocks were attached to the accelerating region. In this case, the turgor pressure of the elongating cells decreased immediately after the application of the blocks and recovered thereafter. The decrease in elongation rate caused by -1.60-MPa blocks applied to the root tip was unaffected by additional -0.03-MPa blocks applied to the accelerating region and vice versa. We concluded that a significant reduction in root growth could be induced by water stress at the root tip, as well as in the accelerating region of the elongating zone, and that transmission of some signal from these regions to the decelerating region might contribute to the suppression of cell elongation in the elongation region.

ORAI1 encodes a calcium channel essential in the store-operated calcium entry mechanism. A previous genetic association study identified a rare in-frame insertion variant of ORAI1 conferring Kawasaki disease (KD). To deepen our understanding of the involvement of rare variants of ORAI1 in KD pathogenesis, we investigated 3812 patients with KD and 2644 healthy individuals for variations in the protein-coding region of ORAI1. By re-sequencing the study participants' DNA, 27 variants with minor allele frequencies (MAFs) < 0.01 that had not been examined in the previous study were identified. Although no significant association with KD was observed either in single-variant analyses or in a collapsing method analysis of the 27 variants, stratification by MAFs, variant types, and predicted deleteriousness revealed that six rare, deleterious, missense variants (MAF < 0.001, CADD C-score ≥ 20) were exclusively present in KD patients, including three refractory cases (OR = ∞, P = 0.046). The six missense variants include p.Gly98Asp, which has been demonstrated to result in gain of function leading to constitutive Ca entry. Conversely, five types of frameshift variants, all identified near the N terminus and assumed to disrupt ORAI1 function, showed an opposite trend of association (OR = 0.35, P = 0.24). These findings support our hypothesis that genetic variations causing the upregulation of the Ca /NFAT pathway confer susceptibility to KD. Our findings also provide insights into the usefulness of stratifying the variants based on their MAFs and on the direction of the effects on protein function when conducting association studies using the gene-based collapsing method.

An amendment to this paper has been published and can be accessed via a link at the top of the paper.An amendment to this paper has been published and can be accessed via a link at the top of the paper.

To identify the region in which a root perceives a decrease in the ambient water potential and changes its elongation rate, we applied two agar blocks (1 x 1 x 1 mm(3)) with low water potential bilaterally to primary roots of maize (Zea mays) at various positions along the root. When agar blocks with a water potential of -1.60 MPa (-1.60-MPa blocks) or lower were attached to a root tip, the rate of elongation decreased. This decrease did not result from any changes in the water status of elongating cells and was not reversed when the -1.60-MPa blocks were replaced by -0.03-MPa blocks. The rate decreased slightly and was unaffected, respectively, when -1.60-MPa blocks were applied to the so-called decelerating region of the elongating zone and the mature region. However, the rate decreased markedly and did not recover for several hours at least when such blocks were attached to the accelerating region. In this case, the turgor pressure of the elongating cells decreased immediately after the application of the blocks and recovered thereafter. The decrease in elongation rate caused by -1.60-MPa blocks applied to the root tip was unaffected by additional -0.03-MPa blocks applied to the accelerating region and vice versa. We concluded that a significant reduction in root growth could be induced by water stress at the root tip, as well as in the accelerating region of the elongating zone, and that transmission of some signal from these regions to the decelerating region might contribute to the suppression of cell elongation in the elongation region.