肝移植後リンパ増殖性疾患（PTLD）の発症頻度、臨床病理学的特徴と予後規定因子

京都大学新制・課程博士博士(医学)甲第23421号医博第4766号新制||医||1053(附属図書館)京都大学大学院医学研究科医学専攻(主査)教授 小濱 和貴, 教授 妹尾 浩, 教授 川口 義弥学位規則第4条第1項該当Doctor of Medical ScienceKyoto UniversityDFA

Experiments on pocket-type rockfall protective nets at a real slope

Although pocket-type rockfall protective nets are more economical and easier to install, the amount of rockfall energy they can absorb and the locations where they can be used are limited. Because of this, in recent years, a new rockfall protective net, which has built-in shock absorbers to prevent anchor rods from breaking and to absorb considerable rockfall energy due to their function, has been designed. This study was conducted to determine the effective range of implementation for a new pocket-type rockfall protective net, and to confirm the net\u27s reaction and energy absorption capacity upon the introduction of rotational energy approximating the actual behavior of a rockfall

Experiments on pocket-type rockfall protective nets at a real slope

Although pocket-type rockfall protective nets are more economical and easier to install, the amount of rockfall energy they can absorb and the locations where they can be used are limited. Because of this, in recent years, a new rockfall protective net, which has built-in shock absorbers to prevent anchor rods from breaking and to absorb considerable rockfall energy due to their function, has been designed. This study was conducted to determine the effective range of implementation for a new pocket-type rockfall protective net, and to confirm the net\u27s reaction and energy absorption capacity upon the introduction of rotational energy approximating the actual behavior of a rockfall

Major Causes of Death among Older Adults after the Great East Japan Earthquake : A Retrospective Study

This retrospective study investigated the 3-year impact of the Great East Japan Earthquake (GEJE) of 2011 on deaths due to neoplasm, heart disease, stroke, pneumonia, and senility among older adults in the primarily affected prefectures compared with other prefectures, previous investigations having been more limited as regards mortality causes and geographic areas. Using death certificates issued between 2006 and 2015 (n = 7,383,253), mortality rates (MRs) and risk ratios (RRs) were calculated using a linear mixed model with the log-transformed MR as the response variable. The model included interactions between the area category and each year of death from 2010 to 2013. The RRs in the interaction significantly increased to 1.13, 1.17, and 1.28 for deaths due to stroke, pneumonia, and senility, respectively, in Miyagi Prefecture in 2011, but did not significantly increase for any of the other areas affected by the GEJE. Moreover, increased RRs were not reported for any of the other years. The risk of death increased in 2011; however, this was only significant for single-year impact. In 2013, decreased RRs of pneumonia in the Miyagi and Iwate prefectures and of senility in Fukushima Prefecture were observed. Overall, we did not find evidence of strong associations between the GEJE and mortality

Complement-5 Inhibition Deters Progression of Fulminant Hepatitis to Acute Liver Failure in Murine Models

BACKGROUND & AIMS: Acute liver failure (ALF) is a life-threatening condition with limited treatment alternatives. ALF pathogenesis seemingly involves the complement system. However, no complement-targeted intervention has been clinically applied. In this study, we aimed to investigate the potential of Complement-5 (C5)-targeted ALF treatment. METHODS: ALF was induced in C5-knockout (KO, B10D2/oSn) mice and their wild-type (WT) counterparts (B10D2/nSn) through intraperitoneal lipopolysaccharide (LPS) and d-galactosamine (D-GalN) administration. Thereafter, monoclonal anti-C5 antibody (Ab) or control immunoglobulin was administered intravenously. Furthermore, a selective C5a-receptor (C5aR) antagonist was administered to WT mice to compare its efficacy with that of anti-C5-Ab-mediated total C5 inhibition. We clarified the therapeutic effect of delayed anti-C5-Ab administration after LPS/D-GalN challenge. We also assessed the efficacy of anti-C5-Ab in another ALF model, using concanavalin-A. RESULTS: Liver injury was evident 6 hours after LPS/D-GalN administration. C5-KO and anti-C5-Ab treatment significantly improved overall animal survival and significantly reduced serum transaminase and high-mobility group box-1 release with decreased histological tissue damage. This improvement was characterized by significantly reduced CD41+ platelet aggregation, maintained F4/80+ cells, and less infiltration of CD11+/Ly6-G+ cells with lower cytokine/chemokine expression. Furthermore, C5-KO and anti-C5-Ab downregulated tumor necrosis factor-α production by macrophages before inducing marked liver injury. Moreover, single-stranded-DNA cells and caspase activation were reduced, indicating significant attenuation of apoptosis. Anti-C5-Ab treatment protected the liver more effectively than the C5aR antagonist, and its delayed doses were hepatoprotective. In addition, anti-C5-Ab treatment was effective against concanavalin-A-induced ALF. CONCLUSIONS: C5 inhibition effectively suppresses progression to ALF in mice models of fulminant hepatitis, serving as a new potential treatment strategy for ALF

Complement 5 Inhibition Ameliorates Hepatic Ischemia/reperfusion Injury in Mice, Dominantly via the C5a-mediated Cascade

[Background. ] Hepatic ischemia/reperfusion injury (IRI) is a serious complication in liver surgeries, including transplantation. Complement activation seems to be closely involved in hepatic IRI; however, no complement-targeted intervention has been clinically applied. We investigated the therapeutic potential of Complement 5 (C5)-targeted regulation in hepatic IRI. [Methods. ] C5-knockout (B10D2/oSn) and their corresponding wild-type mice (WT, B10D2/nSn) were exposed to 90-minute partial (70%) hepatic ischemia/reperfusion with either anti-mouse-C5 monoclonal antibody (BB5.1) or corresponding control immunoglobulin administration 30 minutes before ischemia. C5a receptor 1 antagonist was also given to WT to identify which cascade, C5a or C5b-9, is dominant. [Results. ] C5-knockout and anti-C5-Ab administration to WT both significantly reduced serum transaminase release and histopathological damages from 2 hours after reperfusion. This improvement was characterized by significantly reduced CD41+ platelet aggregation, maintained F4/80+ cells, and decreased high-mobility group box 1 release. After 6 hours of reperfusion, the infiltration of CD11+ and Ly6-G+ cells, cytokine/chemokine expression, single-stranded DNA+ cells, and cleaved caspase-3 expression were all significantly alleviated by anti-C5-Ab. C5a receptor 1 antagonist was as effective as anti-C5-Ab for reducing transaminases. [Conclusions. ] Anti-C5 antibody significantly ameliorated hepatic IRI, predominantly via the C5a-mediated cascade, not only by inhibiting platelet aggregation during the early phase but also by attenuating the activation of infiltrating macrophages/neutrophils and hepatocyte apoptosis in the late phase of reperfusion. Given its efficacy, clinical availability, and controllability, C5-targeted intervention may provide a novel therapeutic strategy against hepatic IRI

Iodine containing porous organosilica nanoparticles trigger tumor spheroids destruction upon monochromatic X-ray irradiation: DNA breaks and K-edge energy X-ray

アインシュタインの光電効果をがん細胞の中で再現　放射線治療への新展開. 京都大学プレスリリース. 2021-07-14.Quantum physics helps destroy cancer cells. 京都大学プレスリリース. 2021-07-14.X-ray irradiation of high Z elements causes photoelectric effects that include the release of Auger electrons that can induce localized DNA breaks. We have previously established a tumor spheroid-based assay that used gadolinium containing mesoporous silica nanoparticles and synchrotron-generated monochromatic X-rays. In this work, we focused on iodine and synthesized iodine-containing porous organosilica (IPO) nanoparticles. IPO were loaded onto tumor spheroids and the spheroids were irradiated with 33.2 keV monochromatic X-ray. After incubation in CO₂ incubator, destruction of tumor spheroids was observed which was accompanied by apoptosis induction, as determined by the TUNEL assay. By employing the γH2AX assay, we detected double strand DNA cleavages immediately after the irradiation. These results suggest that IPO first generate double strand DNA breaks upon X-ray irradiation followed by apoptosis induction of cancer cells. Use of three different monochromatic X-rays having energy levels of 33.0, 33.2 and 33.4 keV as well as X-rays with 0.1 keV energy intervals showed that the optimum effect of all three events (spheroid destruction, apoptosis induction and generation of double strand DNA breaks) occurred with a 33.2 keV monochromatic X-ray. These results uncover the preferential effect of K-edge energy X-ray for tumor spheroid destruction mediated by iodine containing nanoparticles

Properdin inhibition ameliorates hepatic ischemia/reperfusion injury without interfering with liver regeneration in mice

Hepatic ischemia/reperfusion injury (IRI) often causes serious complications in liver surgeries, including transplantation. Complement activation seems to be involved in hepatic IRI; however, no complement-targeted intervention has been clinically applied. We investigated the therapeutic potential of Properdin-targeted complement regulation in hepatic IRI. Male wild-type mice (B10D2/nSn) were exposed to 90-minute partial hepatic IRI to the left and median lobes with either monoclonal anti-Properdin-antibody (Ab) or control-immunoglobulin (IgG) administration. Since the complement system is closely involved in liver regeneration, the influence of anti-Properdin-Ab on liver regeneration was also evaluated in a mouse model of 70% partial hepatectomy. Anti-Properdin-Ab significantly reduced serum transaminases and histopathological damages at 2 and 6 hours after reperfusion (P <0.001, respectively). These improvements at 2 hours was accompanied by significant reductions in CD41+ platelet aggregation (P =0.010) and ssDNA+ cells (P <0.001), indicating significant amelioration in hepatic microcirculation and apoptosis, respectively. Characteristically, F4/80+ cells representing macrophages, mainly Kupffer cells, were maintained by anti-Properdin-Ab (P <0.001). Western blot showed decreased phosphorylation of only Erk1/2 among MAPKs (P =0.004). After 6 hours of reperfusion, anti-Properdin-Ab significantly attenuated the release of HMGB-1, which provokes the release of proinflammatory cytokines/chemokines (P =0.002). Infiltration of CD11b+ and Ly6-G+ cells, representing infiltrating macrophages and neutrophils, respectively, were significantly alleviated by anti-Properdin-Ab (both P <0.001). Notably, anti-Properdin-Ab did not affect remnant liver weight and BrdU+ cells at 48 hours after 70% partial hepatectomy (P =0.13 and 0.31, respectively). In conclusion, Properdin inhibition significantly ameliorates hepatic IRI without interfering with liver regeneration

In-Plane Anisotropy and Temperature Dependence of Oxygen Phonon Modes in YBa₂Cu₃O₆.₉₅

Inelastic pulsed neutron scattering measurements on YBa2Cu3O6.95 single crystals indicate that the sample has a distinct a-b plane anisotropy in the oxygen vibrations. The Cu-O bond-stretching-type phonons, which are suspected to interact strongly with charge, are simultaneously observed along the a and b directions due to a 7-meV splitting arising from the orthorhombicity, even though the sample is twinned. The bond-stretching LO branch with the polarization along a (perpendicular to the chain) loses intensity beyond the middle of the zone, indicating branch splitting as seen in doped nickelates, with the second branch being located at 10 meV below. The mode along b has a continuous dispersion. These modes show temperature dependence, which parallels that of superconductive order parameter, suggesting significant involvement of phonons in the superconductivity of this compound

Research on the factors impact on “IBASHO” consciousness, self-affirmation and life satisfaction in adolescents. : From attitude survey for youth in Tokushima

Cognition, social skill and environment are associated with mental health in adolescents. It is an important task to improve their cognition, social skill and environment in their adaptation. In this study, we examined the factors impact on “IBASHO (existential place)” consciousness, self-affirmation and life satisfaction in middle and high school students. One thousand one hundred and forty-five(study I), one thousand one hundred and eighty-two(study II) adolescents completed the questionnaire “attitude survey for youth in Tokushima”. In the study I, we analyzed the relation between “IBASHO” consciousness in the family and presence or absence of the experience at home. In study II, we analyzed the relation between the self-affirmation, life satisfaction and the question of history of life. Multiple regression analyses resulted rejected or regulative parenting had negative influence on “IBASHO” consciousness in the family. Accepted parenting had positive influence on “IBASHO” consciousness in the family. Existential destress decreased self-affirmation and life satisfaction in middle and high school students. We concluded it will be necessity to improve “IBASHO” consciousness, self-affirmation and life satisfaction in middle and high school students by means of cultivating parenting and stress coping skills