Integrated cosmic muon flux in the zenith angle range 0<cosθ<0.370 < \text{cos}\theta < 0.37 for momentum threshold up to 11.6 GeV/c

We have measured the cosmic muon flux in the zenith angle range<cosθ<0.37 with a detector comprising planes of scintillator hodoscope bars and iron blocks inserted between them. The muon ranges for up to 9.5 m-thick iron blocks allow the provision of muon flux data integrated over corresponding threshold momenta up to 11.6 GeV/c. Such a dataset covering the horizontal direction is extremely useful for a technique called muon radiography, where the mass distribution inside a large object is investigated from the cosmic muon distribution measured behind the object

Case report: Posterior reversible encephalopathy syndrome, an adverse effect of lenvatinib and pembrolizumab combination therapy, in a patient with advanced endometrial cancer

BackgroundLenvatinib-pembrolizumab combination (LEAP) is an approved therapy in Japan for advanced endometrial cancer, based on the data from the KEYNOTE-775 clinical trial. We report a case of posterior reversible encephalopathy syndrome (PRES) in a patient who received LEAP therapy for advanced endometrial cancer.Case presentationA 53-year-old patient with stage IVB endometrial cancer having rectal metastases, after four cycles of paclitaxel-carboplatin therapy, was found to have increased rectal invasion, peritoneal dissemination, and multiple paraaortic lymph node metastases. She was treated with LEAP therapy and discharged on day 12 without adverse events, except for mild anemia on day 11 of treatment. She was carefully managed in the outpatient department, but on day 18, she was admitted to the emergency department with severely impaired consciousness and generalized seizures. Computed tomography of the head and lumbar tap showed no abnormal findings, and the seizures resolved with anticonvulsant medication alone. Based on a thorough physical examination and findings on magnetic resonance imaging (MRI), which showed high signal intensity in the left occipital lobe, encephalopathy, rather than encephalitis, was the likely diagnosis. Symptomatic improvement was observed, and pembrolizumab monotherapy was resumed.ConclusionsIf consciousness is impaired during LEAP treatment, it is necessary to differentiate between immunogenic encephalitis caused by pembrolizumab or encephalopathy caused by lenvatinib. MRI and lumbar tap can help in distinguishing between the two and diagnosing the responsible drug

Detection of on-surface objects with an underground radiography detector system using cosmic-ray muons

We have developed a compact muon radiography detector to investigate the status of the nuclear debris in the Fukushima Daiichi Reactors. Our previous observation showed that a large portion of the Unit-1 Reactor fuel had fallen to floor level. The detector must be located underground to further investigate the status of the fallen debris. To investigate the performance of muon radiography in such a situation, we observed 2 m cubic iron blocks located on the surface of the ground through different lengths of ground soil. The iron blocks were imaged and their corresponding iron density was derived successfully

Imaging the inner structure of a nuclear reactor by cosmic muon radiography

We studied the inner structure of the nuclear reactor of the Japan Atomic Power Company (JAPC) at Tokai, Japan, by muon radiography. Muon detectors were placed outside the reactor building. By detecting cosmic muons penetrating the wall of the reactor building, we could successfully identify objects such as the containment vessel, pressure vessel, and other structures of the reactor. We also observed a concentration of heavy material which can be attributed to the nuclear fuel assemblies stored in the nuclear fuel storage pool

A Genome-Wide Association Study Identified AFF1 as a Susceptibility Locus for Systemic Lupus Eyrthematosus in Japanese

Systemic lupus erythematosus (SLE) is an autoimmune disease that causes multiple organ damage. Although recent genome-wide association studies (GWAS) have contributed to discovery of SLE susceptibility genes, few studies has been performed in Asian populations. Here, we report a GWAS for SLE examining 891 SLE cases and 3,384 controls and multi-stage replication studies examining 1,387 SLE cases and 28,564 controls in Japanese subjects. Considering that expression quantitative trait loci (eQTLs) have been implicated in genetic risks for autoimmune diseases, we integrated an eQTL study into the results of the GWAS. We observed enrichments of cis-eQTL positive loci among the known SLE susceptibility loci (30.8%) compared to the genome-wide SNPs (6.9%). In addition, we identified a novel association of a variant in the AF4/FMR2 family, member 1 (AFF1) gene at 4q21 with SLE susceptibility (rs340630; P = 8.3×10−9, odds ratio = 1.21). The risk A allele of rs340630 demonstrated a cis-eQTL effect on the AFF1 transcript with enhanced expression levels (P<0.05). As AFF1 transcripts were prominently expressed in CD4+ and CD19+ peripheral blood lymphocytes, up-regulation of AFF1 may cause the abnormality in these lymphocytes, leading to disease onset