論文 - 齋藤　豪

Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy.

Mina Umemoto, Shinichi Ishioka, Yuko Mizugaki, Yuya Fujibe, Tasuku Mariya, Akari Kawamata, Masahito Mizuuchi, Miyuki Morishita, Tsuyoshi Baba, Tsuyoshi Saito

The journal of obstetrics and gynaecology research   45 ( 6 ) 1167 - 1172  2019年06月  [国際誌]

　概要を見る

AIM: Radical trachelectomy (RT) with pelvic lymphadenectomy has become an option for young patients with early invasive uterine cervical cancer who decide to maintain their fertility. However, this operative method entails a high risk for the following pregnancy due to its radicality. Therefore, RT for pregnant patients can be a challenge both for gynecologic oncologists and obstetricians. METHODS: We have performed vaginal RT for five pregnant patients with uterine cervical cancer stage 1B1 according to the method of Dargent et al. The operations were performed between 16 and 26 weeks of pregnancy, and the patients were followed up carefully according to the follow-up methods we reported previously. RESULTS: Vaginal RT was performed for five patients without any troubles. Four of the patients continued their pregnancies until almost 34 weeks or longer under our previously published follow-up schedule. The pregnancy of one patient was terminated at 26 weeks due to recurrence of the cancer. CONCLUSION: Expansion of vaginal RT for pregnant patients with uterine cervical cancer could be a practical option for pregnant patients with early invasive uterine cervical cancer.

DOI PubMed

リステリア菌血症により流産に至った1例

藤部 佑哉, 真里谷 奨, 嶋田 浩志, 山中 郁仁, 水内 将人, 寺本 瑞絵, 石岡 伸一, 齋藤 豪

日本周産期・新生児医学会雑誌 ( (一社)日本周産期・新生児医学会 )  55 ( 2 ) 530 - 530  2019年06月

子宮体部漿液性癌18例の検討

寺田 倫子, 松浦 基樹, 西村 庸子, 玉手 雅人, 郷久 晴朗, 岩崎 雅宏, 寺本 瑞絵, 齋藤 豪

日本臨床細胞学会雑誌 ( (公社)日本臨床細胞学会 )  58 ( Suppl.1 ) 276 - 276  2019年05月

子宮体癌におけるKRAS変異の意義

松浦 基樹, 西村 庸子, 玉手 雅人, 寺田 倫子, 郷久 晴朗, 岩崎 雅宏, 齋藤 豪

日本臨床細胞学会雑誌 ( (公社)日本臨床細胞学会 )  58 ( Suppl.1 ) 319 - 319  2019年05月

子宮頸部原発大細胞神経内分泌癌の細胞像

寺本 瑞絵, 西村 庸子, 秋元 太志, 玉手 雅人, 磯山 響子, 小川 万梨絵, 寺田 倫子, 松浦 基樹, 郷久 晴朗, 岩崎 雅宏, 齊藤 豪

日本臨床細胞学会雑誌 ( (公社)日本臨床細胞学会 )  58 ( Suppl.1 ) 270 - 270  2019年05月

子宮内膜癌細胞におけるタイト結合分子claudin-2の関与

郷久 晴朗, 嶋田 浩志, 玉手 雅人, 秋元 太志, 西村 庸子, 寺田 倫子, 松浦 基樹, 岩崎 雅宏, 小島 隆, 齋藤 豪

日本臨床細胞学会雑誌 ( (公社)日本臨床細胞学会 )  58 ( Suppl.1 ) 320 - 320  2019年05月

早期子宮体癌における腹腔細胞診に関する検討

西村 庸子, 松浦 基樹, 玉手 雅人, 寺田 倫子, 郷久 晴朗, 寺本 瑞絵, 岩崎 雅宏, 齋藤 豪

日本臨床細胞学会雑誌 ( (公社)日本臨床細胞学会 )  58 ( Suppl.1 ) 225 - 225  2019年05月

Androgen potentiates the expression of FSH receptor and supports preantral follicle development in mice.

Yuya Fujibe, Tsuyoshi Baba, Sachiko Nagao, Sayaka Adachi, Keiko Ikeda, Miyuki Morishita, Yoshika Kuno, Masahiro Suzuki, Masahito Mizuuchi, Hiroyuki Honnma, Toshiaki Endo, Tsuyoshi Saito

Journal of ovarian research   12 ( 1 ) 31 - 31  2019年04月  [国際誌]

　概要を見る

Hyperandrogenism is one of the cardinal symptoms in polycystic ovary syndrome and plays a key role in the pathogenesis of polycystic ovary syndrome. However, the precise effects and mechanisms of excess androgen during follicular development are still unclear. Here we investigated the effects of androgen on mouse follicle development in vitro. Androgen did not affect the growth of follicles smaller than 160-180 μm in the presence of follicle-stimulating hormone (FSH). However, in the presence of low FSH, androgen supported the growth of follicles larger than 160-180 μm, a size at which growing follicles acquire FSH-dependency. Androgen did not change the mRNA expression of various growth-promoting factors but did increase mRNA expression of the FSH receptor. We suggest that androgen has a positive impact on follicle development by augmentation of the actions of FSH. Therefore, FSH-responsive but FSH-independent follicles grow in the presence of a certain level of FSH or androgen, and androgen compensates for FSH deficiency in FSH-dependent follicles.

DOI PubMed

自然消失した子宮動脈仮性動脈瘤の超音波パワードップラー法所見の変化

嶋田 浩志, 野藤 五沙, 鈴木 美紀, 幅田 周太朗, 藤部 佑哉, 水内 将人, 馬場 剛, 石岡 伸一, 齋藤 豪

超音波医学 ( (公社)日本超音波医学会 )  46 ( Suppl. ) S719 - S719  2019年04月

出血リスクが高い症例における帝王切開術の工夫

岡田 匡永, 玉手 雅人, 長尾 沙智子, 黒川 晶子, 鈴木 利理, 田渕 雄大, 松浦 基樹, 水内 将人, 岡村 直樹, 齋藤 豪

北海道産科婦人科学会会誌 ( 北海道産科婦人科学会 )  63 ( 1 ) 71 - 71  2019年03月

TLHにおいてどうすれば尿管、子宮動脈は簡単に同定できるのか

山下 真祐子, 松浦 基樹, 玉手 雅人, 野呂 薫, 寺田 倫子, 寺本 瑞絵, 齋藤 豪

北海道産科婦人科学会会誌 ( 北海道産科婦人科学会 )  63 ( 1 ) 67 - 67  2019年03月

胸郭低形成を契機に診断した6番染色体短腕部分欠失かつ11番染色体部分重複の一例

寺田 倫子[竹田], 寺本 瑞絵, 長尾 沙智子, 玉手 雅人, 磯山 響子, 染谷 真行, 寺田 光次郎, 岡村 直樹, 齋藤 豪

北海道産科婦人科学会会誌 ( 北海道産科婦人科学会 )  63 ( 1 ) 33 - 39  2019年03月

　概要を見る

胸郭低形成は、骨系統疾患や羊水過少が原因となって生じることが多い。骨系統疾患では四肢短縮を認めるが、今回胸郭低形成以外に骨所見はなく、羊水過少もない染色体不均衡型転座の症例を経験したので報告する。症例の母体は30歳、7妊2産。妊娠28週で胎児発育不全(fetal growth restriction:FGR)のため近医産婦人科より紹介となった。胎児エコーでは四肢短縮は認めないものの、ベル型の胸郭のため胸郭低形成が疑われた。羊水インデックス(amniotic fluid index:AFI)は5～7cmであった。他、エコースクリーニングでは心房中隔欠損(Atrial septal defect:ASD)疑いとなったが、致死的疾患は認めなかった。TORCH検索では異常は認められなかった。妊娠38週に帝王切開で2,011gの男児が出生し、アプガースコア4/9点、臍帯動脈血ガスpH=7.039であった。出生後、胸郭低形成、ASD、PDA(patent ductus arteriosus)、埋没陰茎、両側難聴などの診断となり、染色体検査に提出したところ46,XY,add(6)(p25)と診断された。両親の染色体を検査に提出したところ、母親が46,XX,t(6;11)(p25;q21)であり、母親由来の染色体不均衡型転座と判明した。児はPDAに対し開胸手術を必要としたが、術後経過順調であり自宅退院となり、3歳の時点で発達の遅れは伴うものの致死的疾患は生じていない。本症例は、6p25欠失と11q部分重複からなる不均衡型転座である。四肢短縮など他の骨所見のない胸郭低形成の症例は、染色体不均衡型転座も考慮する必要がある。(著者抄録)

Clonal analysis revealed functional heterogeneity in cancer stem-like cell phenotypes in uterine endometrioid adenocarcinoma.

Tabuchi Y, Hirohashi Y, Hashimoto S, Mariya T, Asano T, Ikeo K, Kuroda T, Mizuuchi M, Murai A, Uno S, Kawai N, Kubo T, Nakatsugawa M, Kanaseki T, Tsukahara T, Saito T, Torigoe T

Experimental and molecular pathology   106   78 - 88  2019年02月  [査読有り]

DOI PubMed

Recurrent Massive Uterine Bleeding from a Cesarean Scar Treated Successfully by Laparoscopic Surgery.

Tasuku Mariya, Mina Umemoto, Naoko Sugita, Masahiro Suzuki, Tsuyoshi Saito

Gynecology and minimally invasive therapy   8 ( 1 ) 36 - 39  2019年  [国際誌]

　概要を見る

A cesarean scar can cause abnormal uterine bleeding including prolonged menstruation or postmenstrual spotting. Our patient showed massive uterine bleeding from a cesarean scar and needed blood transfusion for hemorrhagic shock. A cesarean section had only been performed once for delivery stop 9 years ago. Recurrent hemorrhage could not be controlled by conservative treatment, and we performed laparoscopic scar resection and repair. The abnormal uterine bleeding was successfully stopped, and the menstrual cycle was normalized after surgical treatment. We should be aware that even an uneventful cesarean section may have a risk of massive hemorrhage postoperatively as in the present case.

DOI PubMed

The roles of metformin and pravastatin on Placental endoplasmic reticulum stress and Placental growth factor in human villous-like trophoblastic BeWo cells

Masahiro Suzuki, Masahito Mizuuchi, Tsuyoshi Baba, Yuya Fujibe, Yoshihiko Ino, Shinichi Ishioka, Tsuyoshi Saito

Sapporo Medical journal ( Sapporo Medical University )  87 ( 1-6 ) 75 - 84  2018年12月

　概要を見る

Preeclampsia (PE) is related to an imbalance of angiogenic factors. Placental growth factor (P1GF) is reduced in early onset PE. Recent evidence indicates that metformin and statins may suppress endoplasmic reticulum (ER) stress. We previously reported that the unfolded protein response activated by ER stress down-regulated P1GF protein expression and predicted these drugs could prevent placental ER stress and up-regulate P1GF protein expression in trophoblast-like cells. In this study, we aimed to establish the effects of these drugs on P1GF and activating transcription factor 4 (ATF4) protein expression. We confirmed that P1GF messenger RNA (mRNA) levels were decreased under ER stress induced by thapsigargin and that ATF4 mRNA was increased under the same conditions and then administered metformin to it. Transcript analysis showed increased P1GF mRNA compared with thapsigargin only treatment and that this was dependent on metformin levels. Under ER stress, western blot showed high levels of ATF4 and phosphorylated-eukaryotic initiation factor 2 subunit a (p-eIF2a) but low levels of P1GF protein. By contrast, compared with thapsigargin alone, ATF4 and p-eIF2a levels were low and P1GF levels were high when metformin and thapsigargin were given, but these were again dependent on metformin concentrations. Western blot also confirmed that pravastatin attenuated ER stress and increased P1GF protein expression. In conclusion, metformin and pravastatin suppressed ER stress and restored P1GF levels in trophoblastlike cells. However, although these results indicate that these drugs have a potential for preventing or treating PE, the lack of clarity on the mechanism requires further study.

DOI

Efficacy of liquid-based genetic diagnosis of endometrial cancer.

Matsuura M, Yamaguchi K, Tamate M, Satohisa S, Teramoto M, Iwasaki M, Sugita S, Hasegawa T, Koubo R, Takane K, Ikenoue T, Furukawa Y, Saito T

Cancer science   109 ( 12 ) 4025 - 4032  2018年12月  [査読有り]

DOI PubMed

TLHにおけるデバイスの選択について

西村 庸子, 松浦 基樹, 石堂 茉泉, 長尾 沙智子, 玉手 雅人, 齋藤 豪

日本内視鏡外科学会雑誌 ( (一社)日本内視鏡外科学会 )  23 ( 7 ) OS139 - 3  2018年12月

子宮体癌に対するロボット支援下子宮全摘術を円滑に行うために

松浦 基樹, 石堂 茉泉, 長尾 沙智子, 西村 庸子, 玉手 雅人, 齋藤 豪

日本内視鏡外科学会雑誌 ( (一社)日本内視鏡外科学会 )  23 ( 7 ) OS142 - 5  2018年12月

Cytotoxicity of Clostridium perfringens enterotoxin depends on the conditions of claudin-4 in ovarian carcinoma cells.

Satoshi Tanaka, Tomoyuki Aoyama, Marie Ogawa, Akira Takasawa, Masaki Murata, Makoto Osanai, Tsuyoshi Saito, Norimasa Sawada

Experimental cell research   371 ( 1 ) 278 - 286  2018年10月  [国際誌]

　概要を見る

Currently, Clostridium perfringens enterotoxin (CPE) is being investigated as an anti-cancer drug for tumors expressing the tight junction (TJ) transmembrane proteins claudin-3 and/or claudin-4. However, the optimal conditions for CPE cytotoxicity are still unclear. Our objectives were to determine the optimal conditions for CPE as an anti-cancer drug for treating ovarian cancer in vitro and in vivo. In our experiments, cells at low culture density showed higher sensitivity to CPE, suggesting that claudins at TJs were poorly accessible to CPE compared with those at the edge of cell colonies. Ovarian cancer cells cultured under calcium-depleted pretreatment conditions to disrupt TJs and to knock-down TJ proteins and E-cadherin production altered CPE cytotoxicity, which was mainly dependent on claudin-4 expression. These results suggest that the condition of claudin-4 at the cell surface is important for CPE cytotoxicity. Our in vivo experiments showed that a high dose of CPE is required for the effective treatment of peritoneal dissemination of ovarian cancer cells. Here, we suggest that the accessibility of CPE to claudins is important for its cytotoxicity and depends on the conditions of claudin-4 in vitro. In addition, E-cadherin expression in ovarian cancer cells affects the efficiency of CPE in vivo.

DOI PubMed

Treatment and prognosis of recurrent uterine leiomyosarcomas in last 5 years

Saito Tsuyoshi, Tanaka Rhoichi, Satohisa Seiro, Abe Shuetsu, Iwasaki Masahiro, Teramoto Mizue, Matsuura Motoki, Tamate Masato

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER   28   50  2018年10月  [査読有り]