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DEGUCHI MasashiGraduate School of Medicine / Faculty of Medical SciencesProfessor
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■ Award- Jul. 2006 兵庫県産科婦人科学会, 兵庫県産科婦人科学会学術奨励賞, Lack of association between endometriosis and N-acetyl transferase 1 (NAT1) and 2 (NAT2) polymorphisms in a Japanese population.
- INTRODUCTION: Anti-β2-glycoprotein I (β2GPI)/human leukocyte antigen (HLA)-DR antibodies may be a risk factor for recurrent pregnancy loss (RPL). The therapeutic modality for women with RPL and anti-β2GPI/HLA-DR antibody positivity has not been evaluated. This prospective, multicenter, observational study aimed to assess whether low-dose aspirin (LDA) and/or heparin therapies improve pregnancy outcomes in women with RPL who tested positive for anti-β2GPI/HLA-DR antibodies. METHODS: Between August 2019 and December 2021, 462 women with RPL underwent anti-β2GPI/HLA-DR antibody measurements and risk assessments for RPL. Each attending physician decided the treatment modality for women with RPL who tested positive for anti-β2GPI/HLA-DR antibodies, and their pregnancy outcomes were followed up until December 2023. Finally, 47 pregnancies in 47 women with RPL and anti-β2GPI/HLA-DR antibody positivity were included in the analysis and were divided into two groups regarding whether they were treated with LDA and/or unfractionated heparin (UFH) (LDA/UFH group, n = 39) or with neither of them (non-LDA/non-UFH group, n = 8). The rates of live birth and pregnancy complications (i.e., preeclampsia and preterm delivery before 34 gestational weeks due to placental insufficiency) were compared between the two groups. RESULTS: The live birth rate in the LDA/UFH group was higher than that in the non-LDA/non-UFH group (87.2% vs 50.0%, p = 0.03). The pregnancy complication rate in the LDA/UFH group was significantly lower than that in the non-LDA/non-UFH group (5.9% vs 50.0%, p = 0.048). Among 21 women who tested positive for anti-β2GPI/HLA-DR antibodies and had no other risk factors for RPL, the live birth rate in the LDA/UFH group (n = 14) was much higher than that in the non-LDA/non-UFH group (n = 7) (92.9% vs 42.9%, p = 0.03). DISCUSSION: This study, for the first time, demonstrated that LDA and/or UFH therapies are effective in improving pregnancy outcomes in women with RPL and aβ2GPI/HLA-DR antibody positivity.2024, Frontiers in immunology, 15, 1445852 - 1445852, English, International magazineScientific journal
- Elsevier BV, Dec. 2023, Journal of Reproductive Immunology, 160, 104142 - 104142Scientific journal
- The aim was to evaluate whether natural killer (NK) cells and regulatory T (Treg) cells were involved in mechanisms underlying beneficial effects of a high dose of intravenous immunoglobulin (IVIG) on recurrent pregnancy losses (RPL) of unexplained etiology. In a double-blind, randomized, placebo-controlled trial of IVIG (400 mg/kg, for 5 days in 4-6 weeks of gestation) in women with RPL, blood samples were collected pre-infusion, one week after infusion (1 w), and eight weeks of gestation/when miscarried (8 w). Levels of NK and Treg cells in peripheral blood were compared between women with IVIG (n = 50) and placebo (n = 49), and between women with IVIG who gave live birth (n = 29) and those who had miscarriage with normal chromosome (n = 12). Effector Treg cell percentages in IVIG group at 1 w (mean 1.43 % vs. 1.03 %) and at 8 w (1.91 % vs. 1.18 %) were higher than those in placebo group (p < 0.01). Total Treg cell percentages in IVIG group at 1 w (4.75 % vs. 4.08 %) and at 8 w (5.55 % vs. 4.47 %) were higher than those in placebo group (p < 0.05). In women with live birth, total Treg cell percentages increased at 8 w (5.52 %, p < 0.001) compared with pre-infusion (4.54 %) and 1 w (4.47 %), while NK cell activity decreased at 1 w (20.18 %, p < 0.001) compared with pre-infusion (26.59 %). IVIG increased Treg cell percentages and suppressed NK cell activity very early in pregnancy, and these were associated with subsequent live birth. Stimulation of Treg cells and suppression of NK cell activity very early in pregnancy may be a mechanism of pharmacological effects of high dose IVIG.Aug. 2023, Journal of reproductive immunology, 158, 103977 - 103977, English, International magazineScientific journal
- Jul. 2023, International Journal of Molecular Sciences, 24(13) (13)Scientific journal
- (一社)日本遺伝カウンセリング学会, Jun. 2023, 日本遺伝カウンセリング学会誌, 44(2) (2), 156 - 156, Japanese
- 日本生殖免疫学会, Nov. 2022, Reproductive Immunology and Biology, 37(1-2) (1-2), 94 - 94, Japanese4回以上流産を繰り返す原因不明の不育症を対象とした静注免疫グロブリンの二重盲検ランダム化プラセボ対照群間比較試験の成果
- 日本生殖免疫学会, Nov. 2022, Reproductive Immunology and Biology, 37(1-2) (1-2), 94 - 94, Japanese4回以上流産を繰り返す原因不明の不育症を対象とした静注免疫グロブリンの二重盲検ランダム化プラセボ対照群間比較試験の成果
- 「産婦人科の進歩」編集室, Aug. 2022, 産婦人科の進歩, 74(3) (3), 466 - 468, Japanese
- Background: There is no effective treatment for women with unexplained recurrent pregnancy loss (RPL). We aimed to investigate whether treatment with a high dose of intravenous immunoglobulin (IVIG) in early pregnancy can improve pregnancy outcomes in women with unexplained RPL. Methods: In a double-blind, randomised, placebo-controlled trial, women with primary RPL of unexplained aetiology received 400 mg/kg of IVIG daily or placebo for five consecutive days starting at 4-6 weeks of gestation. They had experienced four or more miscarriages except biochemical pregnancy loss and at least one miscarriage of normal chromosome karyotype. The primary outcome was ongoing pregnancy rate at 22 weeks of gestation, and the live birth rate was the secondary outcome. We analysed all women receiving the study drug (intention-to-treat, ITT) and women except those who miscarried due to fetal chromosome abnormality (modified-ITT). This study is registered with ClinicalTrials.gov number, NCT02184741. Findings: From June 3, 2014 to Jan 29, 2020, 102 women were randomly assigned to receive IVIG (n = 53) or placebo (n = 49). Three women were excluded; therefore 50 women received IVIG and 49 women received placebo in the ITT population. The ongoing pregnancy rate at 22 weeks of gestation (31/50 [62·0%] vs. 17/49 [34·7%]; odds ratio [OR] 3·07, 95% CI 1·35-6·97; p = 0·009) and the live birth rate (29/50 [58·0%] vs. 17/49 [34·7%]; OR 2·60, 95% CI 1·15-5·86; p = 0·03) in the IVIG group were higher than those in the placebo group in the ITT population. The ongoing pregnancy rate at 22 weeks of gestation (OR 6·27, 95% CI 2·21-17·78; p < 0·001) and the live birth rate (OR 4·85, 95% CI 1·74-13·49; p = 0·003) significantly increased in women who received IVIG at 4-5 weeks of gestation as compared with placebo, but these increases were not evident in women who received IVIG at 6 weeks of gestation. Four newborns in the IVIG group and none in the placebo group had congenital anomalies (p = 0·28). Interpretation: A high dose of IVIG in very early pregnancy improved pregnancy outcome in women with four or more RPLs of unexplained aetiology. Funding: The Japan Blood Products Organization.Aug. 2022, EClinicalMedicine, 50, 101527 - 101527, English, International magazineScientific journal
- Jul. 2022, Journal of Obstetrics and Gynaecology Research, 48(7) (7), 1561 - 1569Scientific journal
- 日本女性栄養・代謝学会, May 2022, 日本女性栄養・代謝学会誌, 27(2) (2), 131 - 131, Japanese
- AIM: The aim of this prospective cohort study was to evaluate the risk factors for postpartum glucose intolerance (GI) in women with gestational diabetes mellitus (GDM). METHOD: A total of 140 women with GDM were enrolled. Of these, 115 underwent a 75-g oral glucose tolerance test (OGTT) at 12 weeks after delivery. Clinical factors and parameters in the antepartum 75-g OGTT associated with postpartum GI were evaluated by logistic regression analyses. RESULTS: Twenty-two (19.1%) of the 115 women with GDM developed postpartum GI. The univariate and multivariable logistic regression analyses revealed that low oral disposition index (DI) was a risk factor for postpartum GI (OR, 0.2; 95% CI, 0.04-0.7; p < 0.05), and that no clinical factors were associated with postpartum GI. CONCLUSIONS: Lower oral DI on the antepartum 75-g OGTT may be a useful marker for identifying GDM women who are at high risk for postpartum GI.Jan. 2022, The journal of obstetrics and gynaecology research, English, International magazineScientific journal
- INTRODUCTION: The aims were to investigate the clinical characteristics of Toxoplasma gondii (T. gondii) immunoglobulin (Ig) M-positive mothers and to clarify the incidences of serum T. gondii IgM or blood T. gondii DNA positivity in newborns born to the mothers and the actual congenital T. gondii infection. METHODS: Mothers with T. gondii IgM positivity and newborns born to the mothers from 2013 to 2020 were prospectively investigated. Serum T. gondii IgG and IgM were measured by enzyme-linked immunosorbent assay. Blood T. gondii DNA was detected by semi-nested polymerase chain reaction. Congenital T. gondii infection was diagnosed based on clinical characteristic manifestations with serum T. gondii IgG positivity at any age or T. gondii IgG positivity after 12 months of age. RESULTS: Among 71 T. gondii IgM-positive mothers, including one with triplets, 41% had low T. gondii IgG avidity index and 73% received maternal therapy. Among 73 newborns who were examined for serum T. gondii IgG and IgM at birth, none had clinical manifestations, and one (1.4%) had T. gondii IgM positivity. Among 32 newborns who were examined for blood T. gondii DNA at birth, two (6.3%) were positive. All patients with serum T. gondii IgM or blood T. gondii DNA positivity showed T. gondii IgG negativity within 12 months of age. CONCLUSIONS: A few newborns born to T. gondii IgM-positive mothers were suspected of having congenital T. gondii infection based on serum T. gondii IgM or blood T. gondii DNA testing at birth. However, none developed congenital T. gondii infection.Dec. 2021, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 28(4) (4), 486 - 491, English, International magazineScientific journal
- INTRODUCTION: Placenta accreta spectrum (PAS) is a life-threating obstetric complication, and prenatal prediction of PAS can decrease maternal morbidity and mortality. The aim of this prospective cohort study was to determine the clinical factors associated with PAS. METHODS: Pregnant women who delivered at a university hospital were enrolled. Clinical data were collected from medical records, and logistic regression analyses were performed to determine which clinical factors were associated with PAS. RESULTS: Eighty-seven (2.1%) of the 4146 pregnant women experienced PAS. Multivariable analyses revealed that a prior history of cesarean section (CS) (OR 3.3; 95% CI 1.9-5.7; p < 0.01), dilation and curettage (D&C) (OR 2.8; 95% CI 1.7-4.6; p < 0.01), hysteroscopic surgery (OR 5.7; 95% CI 2.3-14.4; p < 0.01), uterine artery embolization (UAE) (OR 44.1; 95% CI 13.8-141.0; p < 0.01), current pregnancy via assisted reproductive technology (ART) (OR 4.1; 95% CI 2.4-7.1; p < 0.01), and the presence of placenta previa in the current pregnancy (OR 13.1; 95% CI 7.9-21.8; p < 0.01) were independently associated with the occurrence of PAS. CONCLUSION: Pregnant women who have a prior history of CS, D&C, hysteroscopic surgery, UAE, current pregnancy via ART, and the presence of placenta previa in the current pregnancy are high risk for PAS.Sep. 2021, Placenta, 112, 180 - 184, English, International magazineScientific journal
- (一社)日本周産期・新生児医学会, Jun. 2021, 日本周産期・新生児医学会雑誌, 57(Suppl.) (Suppl.), P163 - P163, Japanese非初感染母体から出生した重篤な症候性先天性サイトメガロウイルス感染症児の一例
- (一社)日本周産期・新生児医学会, Jun. 2021, 日本周産期・新生児医学会雑誌, 57(Suppl.) (Suppl.), P177 - P177, Japanese胎児治療と新生児治療の併用は先天性サイトメガロウイルス感染症児の予後を改善する
- 「産婦人科の進歩」編集室, May 2021, 産婦人科の進歩, 73(2) (2), 152 - 152, Japanese
- (一社)日本産婦人科感染症学会, May 2021, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 37回, 53 - 53, Japaneseトキソプラズマ-IgG avidity index高値母体から発生した先天性トキソプラズマ感染疑いの1例
- We have found that a novel autoantibody against β2-glycoprotein I (β2GPI)/human leukocyte antigen (HLA) class II complexes (anti-β2GPI/HLA-DR) is involved in the pathogenesis of antiphospholipid syndrome (APS). It was also found that many APS patients who were negative for conventional antiphospholipid antibodies (aPLs) possessed anti-β2GPI/HLA-DR. These results suggested that anti-β2GPI/HLA-DR measurements may be more sensitive for diagnosing APS than conventional aPLs tests. Recurrent pregnancy loss (RPL) is one of the clinical manifestations of APS. Therefore, a prospective, multicenter, cross-sectional study were conducted to assess whether anti-β2GPI/HLA-DR is also associated with RPL. This study of 227 couples with RPL revealed that 22.9% (52/227) of RPL women tested positive for anti-β2GPI/HLA-DR, and 24 (19.8%) of the 121 couples with unexplained RPL tested positive for anti-β2GPI/HLA-DR. Interestingly, thirty-five of the 52 (67.3%) RPL patients who were positive for anti-β2GPI/HLA-DR possessed no conventional aPLs of criteria. This novel autoantibody against β2GPI/HLA class II complexes may be a major risk factor for RPL, and it may be a promising biomarker for diagnosing APS.IntechOpen, Apr. 2021, Antiphospholipid Syndrome - Recent Advances in Basic and Clinical Aspects [Working Title]In book
- 金原出版(株), Apr. 2021, 臨床放射線, 66(4) (4), 381 - 385, Japanese
- Fetal Goitrous Hyperthyroidism in a Pregnant Woman with Triiodothyronine-Predominant Graves' Disease.Triiodothyronine (T3)-predominant Graves' disease is characterized by increased serum free T3 (FT3) levels after free thyroxine (FT4) levels become normal or even low during antithyroid drug treatment. We encountered a 34-year-old pregnant woman, gravida 5 para 4, who was complicated by T3-predominant Graves' disease. She was diagnosed with Graves' disease at 20 years old, and had received methimazole. Methimazole was changed to potassium iodide to reduce the risk of congenital anomalies during the first trimester. The dose of antithyroid drugs was adjusted based on maternal FT4 levels, so that maternal Graves' disease deteriorated and fetal goitrous hyperthyroidism appeared during the second trimester. Since the fetus presented goiter and tachycardia at 27-28 gestational weeks, doses of methimazole and potassium iodide were increased. A male newborn weighing 2604 g was delivered by a cesarean section at 35 gestational weeks. The newborn was diagnosed with neonatal hyperthyroidism, and received methimazole for six months. He developed normally with normal thyroid function at 1 year old. In pregnancies complicated by T3-predominant Graves' disease, the kinds and doses of antithyroid drugs have to be carefully selected to maintain maternal levels of FT4 as well as FT3 within the normal range, considering trimesters of pregnancy, teratogenicity of medication, and maternal levels of thyroid-stimulating hormone receptor antibody.Feb. 2021, The Kobe journal of medical sciences, 66(4) (4), E153-E158, English, Domestic magazineScientific journal
- Infants with symptomatic congenital cytomegalovirus infection (cCMV) suffer from long-term sequelae. This study aimed at evaluating the efficacy of combining immunoglobulin (Ig) fetal therapy (FT) and neonatal therapy (NT) with antiviral drugs to improve neurological outcomes of affected infants. Women whose fetuses had symptomatic cCMV received Ig injection into the fetal peritoneal cavity and/or maternal blood as FT, while affected newborns received oral valganciclovir or intravenous ganciclovir as NT. We compared the neurological outcomes at ≥18 months old between infants receiving FT with or without NT (FT group) and those receiving NT only (NT group). From 2009-2019, 15 women whose fetuses had symptomatic cCMV received FT, while 19 newborns received NT only. In FT group, two newborns died, and two were <18 months old. Neurological outcomes of the remaining 11 infants in FT group were as follows: normal 45.5 %, mild impairments 36.4 %, and severe impairments 18.2 %. In NT group, one newborn died, one's parents refused the follow-up, one was <18 months old, and two had only chorioretinitis as symptoms. Neurological outcomes of the remaining 14 infants in NT group were as follows: normal 21.4 %, mild impairments 14.3 %, and severe impairments 64.3 %. The proportion of infants with severe impairments in FT group was significantly lower than that in NT group (18.2 % vs 64.3 %, p < 0.05). This is the first trial demonstrating that the combination of Ig FT and NT with antiviral drugs may be more effective in improving neurological outcomes of newborns with symptomatic cCMV as compared to NT only.Dec. 2020, Journal of reproductive immunology, 143, 103263 - 103263, English, International magazineScientific journal
- 金原出版(株), Dec. 2020, 産婦人科の実際, 69(13) (13), 1605 - 1614, Japanese
- This prospective cohort study aimed to determine clinical factors associated with congenital cytomegalovirus (CMV) infection in pregnancy. Newborns born at a perinatal medical center received PCR analyses for CMV-DNA in their urine with informed consent. Clinical data, including age, maternal fever or flu-like symptoms, complications, ultrasound fetal abnormality, gestational weeks at delivery, and birth weight, were collected. Logistic regression analyses determined clinical findings associated with congenital CMV infection (cCMV). cCMV was diagnosed in 32 of 4380 pregnancies. Univariate and multivariable analyses revealed that age < 25 years old (OR 2.7, 95% CI 1.1-6.6; p < 0.05), the presence of maternal fever or flu-like symptoms (5.4, 2.6-11.2; p < 0.01), ultrasound fetal abnormalities (12.7, 5.8-27.7; p < 0.01), and preterm delivery at less than 34 gestational weeks (2.6, 1.1-6.0; p < 0.05) were independent clinical findings associated with cCMV. A combination of maternal fever/flu-like symptoms, ultrasound fetal abnormalities, or preterm delivery at less than 34 gestational weeks as optimal predictive factors showed 90.6% sensitivity, 66.4% specificity, and a maximum Youden index of 0.57. CMV-DNA tests in the urine of newborns born to mothers with these clinical manifestations may be an effective method in detecting cCMV as a targeted screening with a high sensitivity.Nov. 2020, Scientific reports, 10(1) (1), 19706 - 19706, English, International magazineScientific journal
- Nov. 2020, ARTHRITIS & RHEUMATOLOGY, 72(11) (11), 1882 - 1891, EnglishScientific journal
- OBJECTIVE: The clinical manifestations of antiphospholipid syndrome (APS) include vascular thrombosis and pregnancy morbidity as well as recurrent pregnancy loss (RPL). However, in more than half of patients with RPL, the cause is never determined. Recently, β2 -glycoprotein I (β2 GPI) complexed with HLA class II molecules (β2 GPI/HLA-DR) was found to be a major autoantibody target in APS. The present study was undertaken to assess the serum levels of autoantibodies against the β2 GPI/HLA II complex as a potential risk factor for RPL in women. METHODS: Serum levels of antiphospholipid antibodies (aPLs), including IgG/IgM anticardiolipin antibodies, IgG/IgM anti-β2 GPI antibodies, and lupus anticoagulant as well as anti-β2 GPI/HLA-DR antibodies, were measured in 227 women with RPL. In this prospective, multicenter, cross-sectional study, women with RPL and their partners underwent HLA-DR immunotyping and analysis to identify potential causes and risk factors associated with RPL. The normal range for anti-β2 GPI/HLA-DR antibody levels was determined using serum samples obtained from a control population of female subjects (208 women of childbearing potential). RESULTS: Of the 227 women with RPL, aPL antibodies were detected in 19.8%, and 52 (22.9%) tested positive for anti-β2 GPI/HLA-DR antibodies. Among the 227 women, 121 (53.3%) had no risk factors for RPL, and among these women with unexplained RPL, 24 (19.8%) were positive for anti-β2 GPI/HLA-DR antibodies. Of the 112 women who had clinical symptoms of APS but did not have levels of aPLs that met the diagnostic criteria for APS, 21 (18.8%) were positive for anti-β2 GPI/HLA-DR antibodies. CONCLUSION: The anti-β2 GPI/HLA-DR antibody is frequently associated with RPL. Detection of these autoantibodies is useful in understanding the pathogenesis of RPL. Our findings may provide potential new therapeutic strategies for addressing RPL in patients with obstetric APS.Nov. 2020, Arthritis & rheumatology (Hoboken, N.J.), 72(11) (11), 1882 - 1891, English, International magazineScientific journal
- OBJECTIVES: This prospective cohort study aimed to evaluate the efficacy of the universal neonatal urine screening, followed by diagnosis, workup and antiviral therapy for symptomatic congenital cytomegalovirus (CMV) infection to reduce neurological impairments and sequelae. METHODS: Neonates born in three facilities underwent the universal urine screening of PCR analyses for CMV-DNA. Neonates with symptomatic congenital CMV infection (cCMV) received oral valganciclovir (VGCV) of 32 mg/kg/day for six weeks or six months, and were evaluated for neurological outcomes including developmental quotient (DQ) and hearing function at around 18 months of corrected age. RESULTS: cCMV was diagnosed in 56 (0.48%) of 11,736 neonates, consisting of 23 neonates with symptomatic and 33 with asymptomatic cCMV. The incidence of cCMV in the general perinatal medical center (0.69%) was higher than that in the primary maternity hospital (0.23%, p<0.01%). Twenty of the 23 infants with symptomatic cCMV received VGCV therapy, and 19 underwent neurological assessment. Eight neonates (42%) had severe sequelae of DQ < 70, bilateral hearing dysfunction, and/or epilepsy. Four neonates (21%) had mild sequelae of DQ 70-79 or unilateral hearing dysfunction only, and seven (37%) showed normal development without any impairment. CONCLUSIONS: This study on a large scale demonstrated that a series of universal neonatal urine screening, diagnosis, workup, and VGCV therapy for neonates with symptomatic cCMV may decrease neurological impairments, because 58% of the treated infants had normal development or mild sequelae. The universal urine screening likely identifies subclinical symptomatic cCMV. Mothers with fetuses of cCMV seem to be selectively transferred to perinatal medical centers before deliveries.Apr. 2020, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 26(8) (8), 790 - 794, English, International magazine[Refereed]Scientific journal
- (公社)日本婦人科腫瘍学会, Apr. 2020, 日本婦人科腫瘍学会雑誌, 38(2) (2), 193 - 199, Japanese
- Primary peritoneal carcinosarcomas which arise from extragenital locations are extremely rare. Carinosarcomas contain both carcinomatous and sarcomatous elements and can be mainly detected in the female genital tract. We herein report a case of primary peritoneal carcinosarcoma diagnosed by laparoscopic surgery and treated with olaparib. A 62-year-old woman referred to our hospital due to abdominal distension. From imaging findings, we suspected advanced primary peritoneal carcinoma, and laparoscopic surgery was thereafter performed. The pathological diagnosis was carcinosarcoma, and the patient received chemotherapy with docetaxel and carboplatin. After three cycles of chemotherapy, the interval debulking surgery was attempted but resulted in suboptimal results. Because the bilateral ovaries were observed with a normal size and normal findings, we considered that the most likely diagnosis was primary peritoneal carcinosarcoma. After the additional chemotherapy and a 6-month observation period, the tumor relapsed. The patient received chemotherapy again, and the peritoneal carcinosarcoma was judged to be a platinum-sensitive tumor. Oral administration of olaparib was thus initiated. Although a dose reduction was needed due to anemia, olaparib was effective, and the patient could continue the drug for another 7 months. This is the first report of primary peritoneal carcinosarcoma treated with olaparib and shows that it could be a treatment option for platinum-sensitive tumors.2020, Case reports in obstetrics and gynecology, 2020, 9106390 - 9106390, English, International magazine
- OBJECTIVE: This study aimed to evaluate the neurodevelopmental outcomes of infants with symptomatic congenital cytomegalovirus (SCCMV) disease after antiviral treatment and investigate the symptoms at birth associated with a developmental quotient (DQ) < 70. METHODS: In this prospective study conducted from 2009 to 2018, infants with SCCMV disease who received oral valganciclovir (VGCV; 32 mg/kg/day) for 6 weeks (November 2009 to June 2015) or 6 months (July 2015 to March 2018) were evaluated for their neurodevelopmental outcomes at around 18 months of corrected age. Sequelae were categorized as follows: no impairment with a DQ ≥ 80 and no hearing dysfunction; mild sequelae including unilateral hearing dysfunction or a DQ of 70-79; and severe sequelae with a DQ < 70, bilateral hearing dysfunction requiring hearing aids, blindness or epilepsy requiring anti-epileptic drugs. DQ was assessed using the Kyoto Scale of Psychological Development. Symptoms at birth associated with a DQ < 70 were determined using univariate and receiver operating characteristic curve analyses. RESULTS: Of the 24 treated infants, 21 reached > 18 months of corrected age. Six (29%) were no impairment, 4 (19%) had mild sequelae, and 11 (52%) developed severe sequelae. The symptoms at birth associated with a DQ < 70 were microcephaly and/or small for gestational age. CONCLUSION: In our cohort of infants with SCCMV disease after VGCV treatment, the incidence of severe sequelae at 18 months of corrected age was around 50%. When microcephaly and/or small for gestational age are seen at birth, a low DQ may appear even after oral VGCV treatment.Oct. 2019, Brain & development, 41(9) (9), 743 - 750, English, International magazine[Refereed]Scientific journal
- (一社)日本産婦人科感染症学会, Sep. 2019, 日本産婦人科感染症学会誌, 3(1) (1), 87 - 87, Japanese症候性先天性サイトメガロウイルス感染症に対する胎児治療と新生児治療の有効性
- The aims of this study were to assess the effect of maternal screening for hepatitis B (HB) virus and a perinatal prevention program of mother-to-child transmission, and to identify clinical characteristics and findings associated with HB exacerbation during pregnancy. This prospective cohort study enrolled 3796 pregnant women and their neonates with informed consent. Pregnant women underwent maternal universal screening for HBs antigen (Ag) in the first trimester. If HBs Ag was positive, serum levels of HBe Ag, alanine transaminase (AST), aspartate aminotransferase (ALT), and HB virus (HBV) DNA were measured. All neonates delivered from HBs Ag-positive women were given HB immune globulin and HB vaccine based on the guidelines of the perinatal prevention program. Of the 3796 pregnant women, 40 (1.05%) tested positive for HBs Ag. Three (7.5%) of the 40 HBs Ag-positive women experienced exacerbation of HBV infection during pregnancy. Serum levels of AST (median 776 vs. 22 mIU/ml, p < 0.01), ALT (median 325 vs. 15 mIU/ml, p < 0.01), and HBV-DNA (median 9.1 vs. 5.4 log copies/ml, p < 0.05), and frequencies of HBe Ag-positive (100% vs. 29.7%, p < 0.05) and symptoms of itching or general fatigue (66.7% vs. 0%, p < 0.01) in three women with exacerbation of HBV infection were significantly higher than those in 37 women without exacerbation. There was no case of mother-to-child transmission, suggesting the perinatal HBV prevention program was effective. Levels of HBe Ag, liver enzymes, and HBV-DNA as well as symptoms of itching and general fatigue should be carefully monitored for HBs Ag-positive women during pregnancy and the postpartum period.Aug. 2019, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 25(8) (8), 621 - 625, English, International magazine[Refereed]Scientific journal
- 日本女性栄養・代謝学会, Jun. 2019, 日本女性栄養・代謝学会誌, 25(1) (1), 49 - 50, Japanese
- Primary infection with Toxoplasma gondii (T. gondii) during pregnancy may cause congenital infection of the infant. This study evaluated whether screening using IgG avidity and multiplex-nested polymerase chain reaction (PCR) methods was effective for detecting a high-risk pregnancy for congenital T. gondii infection. In a prospective cohort study serum T. gondii IgG avidity was measured in 469 pregnant women who had a positive test for T. gondii antibody plus a positive or equivocal test for IgM. Multiplex-nested PCR for T. gondii DNA on amniotic fluid, maternal blood, and neonatal blood was performed with informed consent. Low (<30%), borderline (30-35%), and high (>35%) IgG avidity indices were found in 104 (22.2%), 30 (6.4%), and 305 (71.4%), respectively. A total of 12 cases had a positive PCR test for amniotic fluids of the prenatal amniocentesis or at birth, or neonatal blood. Seven of the 12 cases were diagnosed as having congenital T. gondii infection, and they had low IgG avidity indices. Congenital T. gondii infection screening using of IgG avidity and multiplex-nested PCR methods for pregnant women with a positive test for T. gondii antibody plus a positive or equivocal test for T. gondii IgM was useful for detecting a high-risk pregnancy and diagnosing congenital T. gondii infection.Jun. 2019, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 25(6) (6), 427 - 430, English, International magazine[Refereed]Scientific journal
- The aim of this prospective cohort study was to evaluate clinical factors associated with pregnancy outcomes in women with recurrent pregnancy loss (RPL). Women with a history of two or more pregnancy losses underwent workups for clinical factors of RPL and their pregnancies were followed-up with informed consent. Two hundred eleven (81.5%) of 259 women with RPL became pregnant. The multivariable analyses demonstrated that age (p < .01, OR 0.9, 95%CI 0.97-0.83), uterine abnormality (p < .05, OR 0.3, 95%CI 0.11-0.8), and protein C (PC) deficiency (p < .01, OR 0.14, 95%CI 0.03-0.6) were independent factors for becoming pregnancy in women with RPL. The number of previous pregnancy loss (p < .01, OR 0.57, 95%CI 0.43-0.75) and natural killer (NK) cell activity ≥33% (p < .01, OR 0.31, 95%CI 0.13-0.73) were independent factors for live birth in the subsequent pregnancy. Advanced age, the presence of uterine abnormality, and PC deficiency were risk factors for reduced pregnancy rate in women with RPL. Increased number of previous pregnancy loss and high NK cell activity were risk factors for miscarriage in the subsequent pregnancy. These results involve important information and are helpful for clinical practitioners.Apr. 2019, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 35(10) (10), 1 - 6, English, International magazine[Refereed]Scientific journal
- Although earlier studies have shown that antiviral treatment regimens using valganciclovir (VGCV) improved hearing function in some infants with congenital cytomegalovirus (CMV) infection; its efficacy on the severity of hearing dysfunction is unclear. We conducted a prospective study among 26 infants with congenital CMV infections from 2009 to 2018. Oral VGCV (32 mg/kg/day) was administered for 6 weeks (November 2009 to June 2015; n = 20) or 6 months (July 2015 to March 2018, n = 6). Hearing function was evaluated by measuring the auditory brainstem response before VGCV treatment and at 6 months. Hearing dysfunction, defined as a V-wave threshold >40 dB, was categorized into: most severe, ≥91 dB; severe, 61⁻90 dB; and moderate, 41⁻60 dB. Hearing improvement was defined as a decrease of ≥20 dB from the pretreatment V-wave threshold. Of 52 ears in 26 infants with congenital CMV infection, 29 (56%) had hearing dysfunction, and of 29 ears, 16 (55%) improved after VGCV treatment. Although, 16 (84%) of 19 ears with moderate or severe hearing dysfunction improved after treatment (p < 0.001), 10 ears with the most severe form did not. In conclusion, VGCV treatment is effective in improving moderate and severe hearing dysfunction in infants with congenital CMV infection.Mar. 2019, International journal of molecular sciences, 20(6) (6), English, International magazine[Refereed]Scientific journal
- Neonatal Alloimmune Thrombocytopenia: A Report of Four Cases.Antibodies against fetal platelet alloantigens in maternal blood cause neonatal alloimmune thrombocytopenia (NAIT). We encountered four newborns with NAIT from three women. A woman carried anti-human platelet antigen (HPA)-1a antibody, and vaginally delivered a newborn who had subarachnoid hemorrhage and platelet transfusions. She delivered the second newborn by a cesarean section who had no symptom. The second woman carried anti-human leukocyte antigen-A2 antibody and vaginally delivered a newborn who had no symptom. The third woman with a history of recurrent pregnancy losses carried anti-HPA-4b antibody, and delivered a newborn by a cesarean section who received platelet transfusions and immunoglobulin infusions. Antiplatelet antibody screening may be helpful in women who have a history of blood transfusion, or previous neonates with thrombocytopenia or intracranial hemorrhage.Mar. 2019, The Kobe journal of medical sciences, 64(6) (6), E197 - E199, English, Domestic magazine[Refereed]Scientific journal
- (株)診断と治療社, Feb. 2019, 産科と婦人科, 86(2号) (2号), 223 - 229, Japanese[Invited]
- Fetal Primary Small Bowel Volvulus Associated with Acute Gastric Dilatation Detected by Ultrasonography.Fetal intestinal volvulus is a rare condition, and fetal diagnosis of this disease is still challenging, especially in primary cases not accompanied by other comorbidities, such as intestinal malformations. Herein, we report a case of fetal primary small bowel volvulus associated with acute gastric dilatation detected by ultrasonography. We speculate that the mechanism of acute gastric dilatation in our case was peristatic malfunction of the whole intestine caused by a strangulated ileus resulting from fetal intestinal volvulus. In conclusion, acute gastric dilatation detected by fetal ultrasound can indicate the fetal intestinal volvulus.Jan. 2019, The Kobe journal of medical sciences, 64(4) (4), E157-E159 - E159, English, Domestic magazine[Refereed]Scientific journal
- INTRODUCTION: Cytomegalovirus (CMV) infection is the most common cause of congenital viral infections in humans. The unusual structure of the placenta plays a pivotal role in CMV transmission from mothers to fetuses. The aim of this study was to evaluate the histopathological findings of placentas with congenital CMV infections. METHODS: We obtained placental specimens from 35 women who had newborns with congenital CMV infections. Placental specimens, extraplacental membranes, and umbilical cords were stained with hematoxylin and eosin, and subjected to immunohistochemical analysis. We evaluated the localization of CMV-infected cells and other histological parameters. RESULTS: Thirty (86%) of the 35 placentas tested positive for CMV-infected cell proteins by immunohistochemistry. A majority of CMV-positive cells were present in fibroblasts and endothelial cells in the villi. The number of CMV-infected cells was inversely correlated to gestational age at delivery. The frequency of chronic villitis (65% vs. 11%; p < 0.01) and changes of the villi (38% vs. 0%; p < 0.05) in the placentas from mothers with symptomatic congenital CMV infections was higher than those observed in samples from mothers with asymptomatic congenital infections. The frequency of changes of the decidua (43% vs. 5%; p < 0.01) in the placentas from mothers with non-primary CMV infections was higher than those from mothers with primary infections. DISCUSSION: Chronic villitis and changes of the villi were associated with symptomatic congenital CMV infections. The changes of the decidua were associated with congenital CMV infections, in mothers with non-primary CMV infections.Jan. 2019, Placenta, 75, 62 - 67, English, International magazine[Refereed]Scientific journal
- 妊婦のB型肝炎スクリーニングと垂直感染予防2008年から7月から2016年12月までにHBs抗原検査を行い、分娩した妊婦3796名とその新生児を対象に、前向き研究を実施した。B型肝炎(HBV)キャリア妊婦における妊娠中のB型肝炎増悪(Flare)の発生頻度および臨床的特徴、HBVスクリーニングによる母子感染予防対策の有用性も調査した。対象となったHBs抗原陽性40名を分析対象とした。HBs抗原陽性妊婦からの出生児40名中、転院5名を除く35名に垂直感染予防策が完遂されて、全例で垂直感染は見られなかった。分析対象40名のうち、3名(7.5%)でFlareがみられ、Flareがみられた3名中2名で皮膚そう痒感や全身倦怠感などの臨床症状を呈し、3名ともHBV-DNA量が増加した。HBVスクリーニングによる母子感染予防対策は有効であると考えられた。HBs抗原陽性妊婦がFlareを起こすことは稀ではなく、劇症化する場合もあり、内科のある高次施設での妊娠管理が望ましいと考えられた。兵庫県母性衛生学会, Dec. 2018, 兵庫県母性衛生学会雑誌, (27号) (27号), 67 - 68, Japanese[Refereed]
- The aim of this nested case-control study was to evaluate clinical factors associated with the occurrence of congenital cytomegalovirus (CMV) infection in pregnant women with non-primary CMV infection. In a cohort study of CMV screening for 2193 pregnant women and their newborns, seven newborns with congenital CMV infection were identified among 1287 pregnant women with non-primary CMV infection that was defined as negative IgM and positive IgG with IgG avidity index >45%. In the 1287 women with non-primary CMV infection, clinical findings and complications were compared between pregnancies with and without congenital CMV infection. Clinical factors associated with the occurrence of congenital CMV infection were evaluated. The birth weight of newborns with congenital CMV infection was less than that of newborns without congenital infection (p < 0.05). Univariate logistic regression analyses demonstrated that threatened premature delivery (OR 10.6, 95%CI 2.0-55.0; p < 0.01) and multiple pregnancy (OR 7.1, 95%CI 1.4-37.4; p < 0.05) were associated with congenital infection. Multivariable logistic regression analyses demonstrated that threatened premature delivery (OR 8.4, 95%CI 1.5-48.1; p < 0.05) was a single risk factor for congenital CMV infection in pregnant women with non-primary CMV infection. This study revealed for the first time that threatened premature delivery was associated with the occurrence of congenital CMV infection in pregnant women with non-primary CMV infection, the pathophysiology of which may be closely associated with CMV reactivation during pregnancy.Sep. 2018, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 24(9) (9), 702 - 706, English, International magazine[Refereed]Scientific journal
- 在胎30週未満の胎児発育不全児における予後不良に関連する因子の検討妊娠30週未満で分娩となった胎児発育不全児(FGR)16例を対象に、予後不良に関連する因子について検討した。その結果、後遺症なし生存中の予後良好群は8例、後遺症あり生存または、子宮内胎児死亡、新生児死亡の予後不良群は8例であった。予後良好群に比べ予後不良群では、妊娠回数が少なく、FGR診断時胎児推定体重のSD値が小さく、高度の胎児血流異常ありの割合が高かった。FGRの原因やリスク因子としては妊娠高血圧症候群が62.4%を占めていた。また、FGR診断後にHDP(妊娠高血圧症候群)を発症した症例もみられた。「産婦人科の進歩」編集室, Aug. 2018, 産婦人科の進歩, 70(3) (3), 270 - 277, Japanese[Refereed]
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 621 - 621, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 622 - 622, Japanese症候性先天性CMV感染児の1歳6ヵ月時点でのDQ<70と関連する周産期リスク因子の後方視的検討
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 622 - 622, Japanese尿サイトメガロウイルス(CMV)スクリーニングで同定した先天性CMV感染児の前方視的観察研究
- PURPOSE: To justify a classification system for angiographic images of uterine artery embolization (UAE) for postpartum hemorrhage (PPH) and identify new risk factors associated with failed embolization. MATERIALS AND METHODS: A retrospective analysis of 63 consecutive patients who underwent UAE for severe PPH was performed. Uterine artery angiography (UA) before embolization was classified into two types: type 1 was defined as complete staining and type 2 was defined as partial staining of the uterine arteries. The clinical outcome, UA classification, and other possible factors previously reported were evaluated. Univariate and multivariate analyses were performed to determine the factors related to clinical outcomes. RESULTS: Sixty-three patients were enrolled (type 1, 22; type 2, 41). The clinical success rates of the primary UAE session were 90.9% (20/22) for type 1 and 61.0% (25/41) for type 2 (p = 0.018). Univariate and multivariate analyses demonstrated that the only UA classification was significantly associated with primary UAE failure (p = 0.033). CONCLUSIONS: The UA classification is an independent predictive factor of the clinical success rate of the primary UAE session for PPH; thus, it is an intuitive and optimal predictor for interventional radiologists to decide whether additional therapy is necessary.Jun. 2018, Japanese journal of radiology, 36(6) (6), 394 - 400, English, Domestic magazine[Refereed]Scientific journal
- 「産婦人科の進歩」編集室, May 2018, 産婦人科の進歩, 70(2) (2), 234 - 234, Japanese
- 「産婦人科の進歩」編集室, May 2018, 産婦人科の進歩, 70(2) (2), 239 - 239, Japanese
- 「産婦人科の進歩」編集室, May 2018, 産婦人科の進歩, 70(2) (2), 218 - 218, JapanesePPAPスコアリングシステムを用いた前置胎盤の管理
- Purpose: This study aimed to assess the efficacy of high-dose i.v. immunoglobulin (HIVIg) therapy in pregnant women with antiphospholipid syndrome (APS) secondary to systemic lupus erythematosus with a history of pregnancy failure, despite receiving low-dose aspirin plus unfractionated heparin therapy, of which condition being designated as "aspirin-heparin-resistant APS" (AHRAPS). Methods: The HIVIg therapy (20 g/d, 5 days) was performed for the pregnancies of five women with AHRAPS. Results: Five of the eight pregnancies ended in live births. The gestational ages of delivery in four of the five pregnancies were extended, compared with previous pregnancies. The HIVIg therapy was considered to be successful for these four pregnancies. Excluding one pregnancy that ended in miscarriage with an abnormal chromosome karyotype of the villi, the HIVIg therapy was considered to be successful in four (57.1%) of the seven pregnancies of the women with AHRAPS. Although all the live newborns were prematurely delivered, no adverse effect of the HIVIg therapy was observed. Conclusions: The HIVIg therapy might be beneficial as an immune modifier for pregnant women with AHRAPS. However, the precise indication of which women with AHRAPS who should receive HIVIg therapy remains unknown.Apr. 2018, Reproductive medicine and biology, 17(2) (2), 149 - 154, English, Domestic magazine[Refereed]Scientific journal
- INTRODUCTION: Placenta previa (PP) is one of the most significant risk factors for adherent placenta (AP). The aim of this study was to evaluate the diagnostic efficacy of a novel scoring system for predicting AP in pregnant women with PP. METHODS: This prospective cohort study enrolled 175 women with PP. The placenta previa with adherent placenta score (PPAP score) is composed of 2 categories: (1) past history of cesarean section (CS), surgical abortion, and/or uterine surgery; and (2) ultrasonography and magnetic resonance imaging findings. Each category is graded as 0, 1, 2, or 4 points, yielding a total score between 0 and 24. When women with PP had PPAP score ≥8, they were considered to be at a high risk for AP and received placement of preoperative internal iliac artery occlusion balloon catheters. If they were found to have AP during CS, they underwent hysterectomy or placenta removal using advanced bipolar with balloon catheter occlusion. The predictive accuracy of PPAP score was evaluated. RESULTS: In total, 23 of the 175 women with PP were diagnosed as having AP, histopathologically or clinically. Twenty-one of 24 women with PPAP score ≥8 had AP, whereas two of 151 women with PPAP score <8 had AP. The scoring system yielded 91.3% sensitivity, 98.0% specificity, 87.5% positive predictive value, and 98.7% negative predictive value for predicting AP in women with PP. DISCUSSION: This prospective study demonstrated that PPAP scoring system may be useful for predicting AP in women with PP.Apr. 2018, Placenta, 64, 27 - 33, English, International magazine[Refereed]Scientific journal
- A Case of Congenital Complete Atrioventricular Block Treated with Transdermal TulobuterolCongenital complete atrioventricular block (CCAVB) is a condition in which the atria and ventricles beat independently of each other. CCAVB cases require permanent pacemaker implantation until adulthood. Nevertheless, consensus regarding postnatal medical therapy for bradycardia has not been reached. Here we report the case of a newborn with CCAVB, whose intractable bradycardia was successfully treated with transdermal tulobuterol. Tulobuterol is a selective β2-adrenoceptor agonist, widely used safely as bronchodilator in children. It also has positive inotropic and chronotropic effect via β1-adrenoceptors. We believe the tulobuterol patch can be used as an optional therapy for CCAVB where pacemaker implantation is not available.Apr. 2018, Kobe J Med Sci, 63(4) (4), E109 - E112, English, Domestic magazine[Refereed]Scientific journal
- The aim of this prospective study was to determine clinical factors associated with adverse pregnancy outcomes in women with systematic lupus erythematosus (SLE). Fifty-six pregnancies from 46 women with SLE were enrolled. Risk factors for pregnancy loss, premature delivery, hypertensive disorders of pregnancy (HDP), and light-for-date neonate (LFD), were evaluated. Univariate and multivariate logistic regression analyses revealed a history of two or more pregnancy losses before 10 gestational weeks (GW) (OR 11.5, 95%CI 1.72-76.8) as a risk factor for pregnancy loss; low levels of blood complements (OR 7.55, 95%CI 1.10-51.9) and antiphospholipid syndrome (OR 26.5, 95%CI 3.17-219) as risk factors for premature delivery before 37 GW; SLEDAI score at conception (OR 1.68, 95%CI 1.05-2.68) and positive tests for two or more antiphospholipid antibodies (OR 6.89, 95%CI 1.13-41.9) as risk factors for premature delivery before 34 GW; prednisolone therapy >14mg/day (OR 7.55, 95%CI 1.10-51.9) as a risk factor for HDP; and low dose aspirin therapy (OR 0.21, 95%CI 0.05-0.97) decreased the risk for LFD neonate. These results have important implications for clinicians managing SLE complicated pregnancy.Feb. 2018, Journal of reproductive immunology, 125, 39 - 44, English, International magazine[Refereed]Scientific journal
- PROBLEM: Is an abnormal increase or decrease of M1/M2 macrophages observed in the deciduae of miscarriages with normal fetal chromosome (MN)? METHODS OF STUDY: Deciduae of 18 MN and 26 miscarriages with abnormal fetal chromosome (MA) were obtained. Additionally, deciduae from 15 women whose pregnancies ended in induced abortions (IA) and endometriums at the mid-luteal phase from 19 non-pregnant women endomeriums of mid-luteal phases (EM) were obtained. Macrophages were analyzed by flow cytometry using monoclonal antibodies for CD68, HLA-DR, and CD163. RESULTS: M1 macrophages, defined as CD68+ HLA-DR+ CD163- cells, increased in MN compared with MA or IA. M2 macrophages, defined as CD68+ HLA-DR- CD163+ cells, increased in the deciduae of MA and IA compared with EM. However, this increase was not observed in the deciduae of MN. CONCLUSION: Our findings of phenotypic characters of decidual macrophages in MN provide additional evidence that M2 polarization is favorable for the maintenance of early stages of pregnancy.Feb. 2018, American journal of reproductive immunology (New York, N.Y. : 1989), 79(2) (2), English, International magazine[Refereed]Scientific journal
- 2018, 産婦人科感染症マニュアル, 263 - 270, Japaneseインフルエンザ[Refereed]Scientific journal
- Nov. 2017, FRONTIERS IN PEDIATRICS, 5, 241, English[Refereed]Scientific journal
- Background: The aim of this prospective cohort study was to evaluate the efficacy of maternal screening for congenital cytomegalovirus infection (CCI) using cytomegalovirus (CMV) immunoglobulin G (IgG) and the IgG avidity index (AI). Methods: Pregnant women underwent screening of CMV IgG and AI measurements. IgG-negative women underwent remeasurement of IgG after educational intervention. Women with an AI ≤45% received further examinations, including measurement of CMV IgM. All newborns received polymerase chain reaction analyses of the urine, and CCI was diagnosed by the detection of CMV-DNA in the urine. Primary infection was defined as an AI <35% and/or positive IgM (>1.20 index). Serum samples from women with an AI >45% were stored, and the IgM levels were measured after delivery. The efficacy of AI and IgM for CCI screening was compared. Results: A total of 1562 (71.2%) women tested positive for IgG. In this study, 10 newborns with CCI were detected. The presence of infection in 3 newborns from mothers with primary infection was predicted by screening of IgG and AI <35%. However, infection in 7 newborns from women with nonprimary infection could not be predicted by screening of CMV IgG, AI <35%, or IgM. The application of an AI <35% for CCI screening yielded 22.2% sensitivity, 95.0% specificity, 2.5% positive predictive value, and 99.5% negative predictive value and was similar to that of IgM (11.1% sensitivity, 93.2% specificity, 0.9% positive predictive value, and 92.7% negative predictive value). Conclusions: Maternal screening using CMV IgG and AI can identify pregnancies with CCI from primary infection, but overlooks a number of those from nonprimary infection.Oct. 2017, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 65(10) (10), 1652 - 1658, English, International magazine[Refereed]Scientific journal
- 日本医事新報社, Sep. 2017, 日本医事新報, (4872号) (4872号), 40 - 47, Japanese【TORCH症候群-母子感染における問題点】 先天性トキソプラズマ症の予防、診断と治療[Invited]Scientific journal
- 日本医事新報社, Sep. 2017, 日本医事新報, (4872号) (4872号), 33 - 39, Japanese【TORCH症候群-母子感染における問題点】 先天性サイトメガロウイルス感染症の予防、診断と治療[Invited]Scientific journal
- (一社)日本腎臓学会, Sep. 2017, 日本腎臓学会誌, 59(6) (6), 717 - 717, Japanese妊娠中にネフローゼ症候群を発症し、ステロイドおよび血漿交換にて完全寛解に至った一例
- (一社)日本腎臓学会, Sep. 2017, 日本腎臓学会誌, 59(6) (6), 874 - 874, Japanese妊娠中の腎機能悪化を契機に発見された高Ca血症の一例
- Aug. 2017, Journal of reproductive immunology, 122, 21 - 27, English, International magazine[Refereed]Scientific journal
- 診断と治療社, Jul. 2017, 産科と婦人科, 84(7号) (7号), 804 - 809, Japanese【産婦人科領域における難病を考える-新たに成立した難病法の視点から】 [指定難病疾患] 抗リン脂質抗体症候群[Invited]Scientific journal
- (一社)日本周産期・新生児医学会, Jun. 2017, 日本周産期・新生児医学会雑誌, 53(2) (2), 482 - 482, Japanese
- Apr. 2017, Oncotarget, 8(16) (16), 27166 - 27176, English, International magazine[Refereed]Scientific journal
- (一社)日本糖尿病学会, Apr. 2017, 糖尿病, 60(Suppl.1) (Suppl.1), S - 429, Japanese持続血糖モニターを用いた妊娠糖尿病患者における分娩中の血糖動態についての検討
- Apr. 2017, Journal of reproductive immunology, 120, 42 - 47, English, International magazine[Refereed]Scientific journal
- Jan. 2017, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 64(2) (2), 159 - 165, English, International magazine[Refereed]Scientific journal
- Dec. 2016, 周産期医学, 46(増刊) (増刊), 114 - 117, Japanese【周産期医学必修知識第8版】 産科編 抗リン脂質抗体検査[Invited]Scientific journal
- 金原出版, Dec. 2016, 産婦人科の実際, 65(13号) (13号), 1719 - 1724, Japanese【産婦人科感染症の最前線】 母子に影響を与える感染症 トキソプラズマ感染症[Invited]Scientific journal
- (一社)日本糖尿病・妊娠学会, Oct. 2016, 糖尿病と妊娠, 16(3) (3), S - 66, Japaneseインスリン使用/非使用GDM症例におけるインスリン分泌能・感受性指標の比較
- Risk factors for postpartum glucose intolerance in women with gestational diabetes mellitus.OBJECTIVES: To determine the risk factors for glucose intolerance (GI) during the postpartum period in women with gestational diabetes mellitus (GDM). METHODS: This prospective cohort study included 72 Japanese women with GDM who underwent 75 g oral glucose tolerance tests (OGTT) at 12 weeks after delivery. These women were divided into the GI group and the normal group based on postpartum OGTT. Risk factors for GI, including levels of blood glucose (BG), area under the curve (AUC) of glucose, AUC insulin, HbA1c, homeostasis model assessment-insulin resistance (HOMA-IR), HOMA-β, insulinogenic index (II) and the oral disposition index (DI) in antepartum OGTT, were analyzed by logistic regression analyses. RESULTS: Of the 72 women, 60 (83.3%) were normal and 12 (16.7%) had GI. By univariate logistic regression analyses, fasting BG, AUC glucose, HOMA-β, II and oral DI were selected as risk factors for GI. Multivariate logistic regression analysis revealed that the level of II in antepartum OGTT was a significant factor that predicted GI after delivery (odds ratio, 0.008; 95% CI, 0.0001-0.9; p < 0.05). CONCLUSIONS: II measured by OGTT during pregnancy might be a useful predictor of GI within the early postpartum period in women with GDM.Oct. 2016, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 32(10) (10), 803 - 806, English, International magazine[Refereed]Scientific journal
- PROBLEM: The aim of this prospective study was to evaluate phenotypic differences of helper T (Th), cytotoxic T (Tc), and regulatory T (Treg) cells in the deciduae of missed miscarriage with a normal chromosome karyotype of a fetus (MN) and missed miscarriage with an abnormal chromosome karyotype of a fetus (MA). METHODS OF STUDY: The decidua of 19 MN and 28 MA was obtained. Additionally, the decidua of 15 induced abortion (IA) and the endometrium of 19 non-pregnant women (EM) were obtained. IFN-γ(+) , IL-17(+) , CD25(high) Foxp3(+) cells in CD4(+) (Th) cells, and IFN-γ(+) cells in CD8(+) (Tc) cells were evaluated by flow cytometry. RESULTS: The percentages of IFN-γ(+) Tc and CD4(+) CD25(high) Foxp3(+) (Treg) cells in MN were significantly increased as compared with MA and IA. The percentage of IFN-γ(+) Th in MN was increased as compared with IA. CONCLUSION: Activation of IFN-γ(+) Tc and Treg cells in the decidua might be associated with the pathophysiology underlying MN.Sep. 2016, American journal of reproductive immunology (New York, N.Y. : 1989), 76(3) (3), 199 - 204, English, International magazine[Refereed]Scientific journal
- Protein S deficiency complicated pregnancy in women with recurrent pregnancy loss.This prospective study aimed to evaluate pregnancy outcome and complications in women with recurrent pregnancy loss (RPL) and protein S (PS) deficiency, who received low dose aspirin (LDA) or LDA plus heparin (LDA/H) therapies. Clinical characteristics, pregnancy outcome and complications of 38 women with two or more RPL and <60% of plasma free PS antigen were compared among three groups: antiphospholipid antibody (aPL)-negative women who received LDA (group A), aPL-negative women who received LDA/H (group B) and aPL-positive women who received LDA/H (group C). Gestational weeks (GW) at delivery in group C (median 32 GW) were earlier than 40 GW in group A and 38.5 GW in group B (p < 0.05). The birth weight in group C (median 1794 g) was less than 2855 g in group B (p < 0.05). The incidences of fetal growth restriction (37.5%), pregnancy-induced hypertension (37.5%), and preterm delivery (62.5%) in group C were higher than those (4.5%, 0%, and 4.5%, respectively) in group B (p<0.05). Women with RPL, PS deficiency, and positive aPL had high risks for adverse pregnancy outcome and complications, even when they received LDA/H therapy. Among women with RPL, PS, and negative aPL, there was no difference in these risks between LDA alone and LDA/H therapies.Aug. 2016, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 32(8) (8), 672 - 674, English, International magazine[Refereed]Scientific journal
- Objective: We aimed to evaluate prognostic factors of outcome in neonates born at less than 29 weeks of gestation (GW) because of threatened premature labor. Patients and Methods: This was a retrospective study including 43 neonates who were born in our hospital between 2005 and 2014. These neonates were divided into two groups according to the outcome: good (healthy) and poor (handicapped or dead). We examined the following factors: GW at delivery, the presence of rupture of the membranes, maximum maternal leukocyte count 15000/μl and serum CRP level 2.0 mg/dl, highest maternal body temperature 37.5 degrees, maternal steroid administration, male sex, standard deviation of birthweight, and stage of chorioamnionitis grade 2. The prognostic factors for poor outcome were determined by uni- and multivariate logistic regression analyses. Results: Logistic regression analyses showed that GW at delivery was an independent prognostic factor of outcome of neonates (OR, 0.5; 95% CI, 0.3-0.9; p=0.03). Conclusions: This study suggests that the prognosis of neonates who are born at less than 29 GW because of threatened premature labor is associated with earlier GW at delivery. [Adv Obstet Gynecol, 68(2) : 69-74, 2016 (H28.5)]THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, May 2016, 産婦人科の進歩, 68(2号) (2号), 69 - 74, Japanese[Refereed]Scientific journal
- Klippel-Trenaunay-Weber syndrome (KTWS) is a rare disorder characterized by extensive cutaneous vascular malformation, venous varicosities, hemangiomas, and hypertrophy of soft or bony tissue. We herein report a case of a pregnant woman complicated with KTWS. A 23-year-old woman (gravida 1, para 0) underwent anticoagulation therapy with low-dose aspirin and unfractionated heparin from the first trimester because of the presence of hemangiomas. We assessed the location of the hemangiomas by pelvic and spinal magnetic resonance imaging (MRI) at gestational age (GA) of 27 and 35 weeks. A cesarean delivery with spinal anesthesia was supposed to be done based on the initial assessment of hemangiomas at GA of 27 weeks. However, MRI at GA at 35 weeks revealed hemangiomas developed newly around the lumbar. We therefore performed a cesarean delivery under general anesthesia at GA at 37 weeks. During the operation, we examined the location of the hemangiomas in abdominal wall by transabdominal ultrasound and avoided injuring the hemangiomas. The patient delivered a 2518g healthy female infant and received anticoagulation therapy for six weeks after delivery, preventing thrombosis and embolism. In conclusion, anticoagulation therapy and decision of style and method of parturient based on the assessment of the location of hemangiomas by MRI, ultrasonography and bronchoscopy may enable safer perinatal management for pregnancies complicated by KTWS. [Adv Obstet Gynecol, 68 (2) : 93-98, 2016 (H28.5)]THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, May 2016, 産婦人科の進歩, 68(2号) (2号), 93 - 98, Japanese[Refereed]
- (公社)日本産科婦人科学会, Feb. 2016, 日本産科婦人科学会雑誌, 68(2) (2), 781 - 781, Japanese
- BACKGROUND: Newborn screening for urinary cytomegalovirus (CMV) and early introduction of antiviral treatment are expected to improve neurological outcomes in symptomatic congenital CMV-infected infants. This cohort study prospectively evaluated neurological outcomes in symptomatic congenital CMV-infected infants following the introduction of hospital-based newborn urinary CMV screening and antiviral treatment. SUBJECTS/METHODS: Following institutional review board approval and written informed consent from their parents, newborns were prospectively screened from 2009 to 2014 for urinary CMV-DNA by PCR within 1 week after birth at Kobe University Hospital and affiliated hospitals. CMV-positive newborns were further examined at Kobe University Hospital, and those diagnosed as symptomatic were treated with valganciclovir for 6 weeks plus immunoglobulin. Clinical neurological outcomes were evaluated at age ⩾12 months and categorized by the presence and severity of neurologic sequelae. RESULTS: Urine samples of 6348 newborns were screened, with 32 (0.50%) positive for CMV. Of these, 16 were diagnosed with symptomatic infection and 12 received antiviral treatment. Four infants developed severe impairment (33%), three developed mild impairment (25%), and five developed normally (42%). CONCLUSIONS: This is the first Japanese report of neurological assessments in infants with symptomatic congenital CMV infection who received early diagnosis and antiviral treatment. Urinary screening, resulting in early diagnosis and treatment, may yield better neurological outcomes in symptomatic congenital CMV-infected infants.Feb. 2016, Brain & development, 38(2) (2), 209 - 16, English, International magazine[Refereed]Scientific journal
- Feb. 2016, BRAIN & DEVELOPMENT, 38(2) (2), 188 - 195, English[Refereed]Scientific journal
- 日本臨床免疫学会, 2016, 日本臨床免疫学会会誌, 39(4) (4), 306 - 306, Japanese
β2-glycoprotein I(β2GPI)は抗リン脂質抗体(aPL)の主要抗原であり,また,抗リン脂質抗体症候群(APS)の疾患感受性にHLA class II(HLA-II)遺伝子多型が関与する.しかし,HLA-II分子が疾患感受性を制御する機序については不明である.
最近,MHC-IIがペプチドへの分解を免れたmisfolded蛋白を提示し,B細胞を直接活性化する機構が報告された.今回,この新規抗原提示機構とAPSの病因・病態との関連を解析した.
初めに,β2GPIとHLA-IIを共発現させた293T細胞を用いた免疫沈降により,full-lengthのβ2GPIとHLA-IIが複合体を形成していることを確認した.さらに,ヒトaPLモノクローナル抗体とAPS患者血清中の自己抗体がβ2GPIとAPS疾患感受性アレルであるHLA-II(HLA-DR7, DR4)の複合体に対して高い結合親和性を有することが分かった.また,流産組織を用いた蛍光免疫染色により,APS患者の脱落膜血管内皮細胞にβ2GPIとHLA-DRが共発現していることを明らかにした.APS患者120名の血清中のβ2GPI/HLA-DR7複合体に対する自己抗体の抗体価をFlow cytometry法で測定したところ,APS患者の約80%で陽性で,さらに,抗カルジオリピン抗体や抗β2GPI抗体が陰性であるAPS患者の約半数で本自己抗体が陽性となった.また,ヒトaPLモノクローナル抗体はβ2GPI/HLA-DR7発現細胞に特異的に補体依存性細胞障害を誘導した.
APS患者血清中に,misfolded β2GPI/HLA-II複合体に対する自己抗体が存在することを初めて明らかにした.この自己抗体によって血管内皮細胞が障害され,血栓症や流産を惹起さるというAPSの新しい病態が示された.
- Dec. 2015, 兵庫県母性衛生学会雑誌, (24号) (24号), 39 - 42, Japanese電撃性紫斑病(重症型先天性プロテインC欠損症)の出生前診断を行った2例[Refereed]
- 金原出版, Nov. 2015, 小児科, 56(12号) (12号), 1867 - 1873, Japanese【伝染性紅斑を見直す】 母子感染の実態 全国産科施設を対象とした実態調査Scientific journal
- Nov. 2015, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 112, 134[Refereed]
- Primary Toxoplasma gondii (T. gondii) infection during pregnancy may lead to congenital toxoplasmosis. Maternal screening using T. gondii IgG avidity measurement and multiplex nested PCR was performed. The aim of this prospective cohort study was to determine a cut-off value of IgG avidity index (AI) for the prediction of the presence of T. gondii DNA in the amniotic fluid. One hundred thirty-nine women with positive or equivocal tests for IgM underwent both serum IgG avidity measurement and PCR analysis for the amniotic fluid. Nine had positive PCR results, and three of them were diagnosed as having congenital infection. A cut-off value of IgG AI was determined using receiver operating characteristic analysis. IgG AI (mean 13%) in women with positive PCR results was significantly lower than that (39%) in women with negative results. A cut-off value of <25% IgG AI yields the best results with 77.8% sensitivity and 81.5% specificity for the presence of T. gondii DNA in the amniotic fluid. None of women with IgG AI of ≥30% had a positive PCR result or congenital infection. This study firstly demonstrated that a cut-off value of 25-30% IgG AI might be useful for the prediction of the presence of T. gondii DNA in the amniotic fluid and congenital infection.Sep. 2015, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 21(9) (9), 668 - 71, English, International magazine[Refereed]Scientific journal
- It was the study objective to evaluate whether low levels of plasma protein S (PS) activity, free PS, protein C (PC) activity and coagulation factor XII (FXII) during early pregnancy are related to adverse pregnancy outcomes. Peripheral blood samples were obtained at 8-14 gestational weeks (GW) from a consecutive series of 1,220 women. The levels of plasma PS activity, free PS, PC activity, and FXII were measured. Cut-off values were defined as < 1st, < 5th, and < 10th percentiles of values obtained from 933 women whose pregnancies ended in normal deliveries without complications. PS activity of < 10th percentile yielded risks of pregnancy-induced hypertension (PIH) and severe PIH, while free PS level of < 5th percentile yielded a risk of pre-eclampsia. FXII level of < 1st percentile yielded a risk of premature delivery (PD) at < 34 GW. None was associated with PD at < 37 GW, fetal growth restriction or fetal loss. A multivariate analysis demonstrated that PS activity of < 10th percentile (odds ratio 5.9, 95 % confidence interval 1.7-18.1) and body mass index (BMI) ≥ 25 kg/m² (4.3, 1.1-13.3) were independent risk factors for severe PIH. Similarly, free PS level of < 5th percentile (4.4, 1.0-14.3) and BMI ≥ 25 kg/m² (4.0, 1.3-10.9) were independent risk factors for pre-eclampsia. In conclusion, women with low levels of plasma PS activity and free PS during early pregnancy might have increased risks of PIH, severe PIH or pre-eclampsia. Women with low FXII level might have an increased risk of PD at < 34 GW.20150416, Jul. 2015, Thrombosis and haemostasis, 114(1) (1), 65 - 9, English, International magazine[Refereed]
- Jun. 2015, 医学のあゆみ, 253(13号) (13号), 1215 - 1219, Japanese【母子感染Update】 妊娠とサイトメガロウイルス CMV母子感染対策の現状と問題点Scientific journal
- 金原出版, Jun. 2015, 産婦人科の実際, 64(6号) (6号), 797 - 803, Japanese【Stop the 流産】 難治性不育症に対する高用量免疫グロブリン療法Scientific journal
- This study aimed to evaluate changes in natural killer (NK) cell activity and the percentage of monocytes in women with recurrent miscarriage who received medium-dose intravenous immunoglobulin (IVIg) therapy. Fourteen women with a history of six or more recurrent miscarriages of unexplained etiology received 60-g IVIg therapy (20 g daily, for three days) during early gestation. NK cell activity in the peripheral blood decreased to 12% one week after therapy compared with before therapy (median, 22%, P < 0.001) and the percentage of monocytes increased from 5.2% to 7.5% (P < 0.005). Four pregnancies ended in live births of healthy neonates, whereas the other ten pregnancies ended in miscarriages. Excluding one miscarriage with a chromosomal abnormality, the live birth rate was 30.8% (4/13). The rate of reduction of NK cell activity in the success group (-58.8%) tended to be greater than that in the failure group (-14.8%, P = 0.057).Jun. 2015, Journal of reproductive immunology, 109, 48 - 51, English, International magazine[Refereed]Scientific journal
- Hippo signaling pathway consists of conserved serine/threonine kinases to maintain optimal organ sizes. Studies have demonstrated that fragmentation of murine ovaries increases actin polymerization and disrupts Hippo signaling, leading to nuclear translocation of Hippo signaling effector Yes-associated protein (YAP) in ovarian follicles and follicle growth. For patients with polycystic ovarian syndrome showing follicle arrest, ovarian wedge resection and laser drilling promote follicle growth. Because these damaging procedures likely involve actin polymerization, we tested whether actin polymerization-promoting drugs could promote YAP translocation and stimulate follicle growth. Treatment of murine ovaries with μM Jasplakinolide (JASP), an actin polymerization-promoting cyclic peptide, or sphingosine-1-phosphate (S1P), a follicular fluid constituent known to promote actin polymerization, increased the conversion of globular actin to the filamentous form, followed by increased nuclear YAP and expression of downstream connective tissue growth factor (CCN2). After short-term treatments with JASP or S1P, in vitro cultured and in vivo grafted ovaries showed follicle growth. Furthermore, induction of constitutively active YAP in ovarian grafts of transgenic mice enhanced follicle development, whereas treatment of human ovarian cortices with JASP or S1P increased CCN2 expression. Thus, JASP and S1P stimulate follicle growth and are potential therapeutic agents for treating polycystic ovarian syndrome and other ovarian disorders.Jun. 2015, FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 29(6) (6), 2423 - 30, English, International magazine[Refereed]Scientific journal
- THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, May 2015, 産婦人科の進歩, 67(2号) (2号), 140 - 144, Japanese[Invited]Scientific journal
- BACKGROUND: Human Cytomegalovirus (CMV) is the virus most frequently responsible for severe diseases of the fetus and newborn. The reported intrauterine transmission rate of CMV following primary maternal infection is approximately 40%. Invasive techniques are needed for the prenatal diagnosis of congenital CMV infection. OBJECTIVES: The aim of this study was to evaluate whether the rapidity of change in the CMV IgG avidity index (AI) is associated with the presence of congenital CMV infection among mothers with suspected primary CMV infection. STUDY DESIGN: The serum CMV IgG AI was repeatedly measured in 17 pregnant women with positive or borderline test results for CMV IgM together with an initial IgG AI value of <40%. Their neonates underwent polymerase chain reaction analyses for the presence of CMV DNA in the urine. The rapidity of change in the IgG AI per 4 weeks was defined as the ΔAI (%). The ΔAI of women with congenital CMV infection was compared with that of women with no infection. RESULTS: The ΔAI of nine mothers with congenital CMV infection (median,15.7%; range,7.8-42.8%) was significantly higher than that of eight mothers with no infection (median, 6.5%, range, 2.0-8.8%; p<0.001). The incidences of congenital CMV infection were 100.0%, 16.7%, and 0.0% among mothers with a ΔAI of >10, 5-10, and <5%, respectively. CONCLUSIONS: Measurement of the ΔAI in pregnant women might be useful for estimating the risk of mother-to-neonate CMV transmission.May 2015, Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 66, 44 - 7, English, International magazine[Refereed]
- The aim of this study was to evaluate whether the presence of history of biochemical pregnancy (BP) was associated with clinical characteristics and the subsequent pregnancy outcome among women with recurrent spontaneous abortion (RSA). One-hundred and seventy-five RSA women with two or more clinical pregnancy losses were enrolled. The clinical characteristics were compared between 164 women with history of 0-1 BP (Group A) and 11 women with two or more BP (Group B). The frequency of previous pregnancy loss and history of in vitro fertilization and embryo transfer in Group B was higher than that in Group A; while frequency of secondary RSA in Group B was lower than Group A. The subsequent pregnancy outcome was assessed prospectively; and live-birth rate in Group A (72.9%) was higher (p < 0.05) than that in Group B (41.7%). The incidence of reproductive failure (58.3%, p < 0.05) and spontaneous abortion with normal chromosome (25.0%, p = 0.050) in Group B was higher than those (27.1 and 5.9%, respectively) in Group A. RSA women with two or more BP had higher risk of reproductive failure and spontaneous abortion with normal chromosome together with lower chance of live-birth. The results of the present study involve important information and are helpful for clinical practitioners.Apr. 2015, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 31(4) (4), 306 - 8, English, International magazine[Refereed]Scientific journal
- OBJECTIVE: Adherent placenta is a life-threatening condition in pregnancy, and is often complicated by placenta previa. The aim of this prospective study was to determine prenatal imaging findings that predict the presence of adherent placenta in pregnancies with placenta previa. STUDY DESIGN: The study included 58 consecutive pregnant women with placenta previa who underwent both ultrasonography and magnetic resonance imaging prenatally. Ultrasonographic findings of anterior placental location, grade 2 or higher placental lacunae (PL≥G2), loss of retroplacental hypoechoic clear zone (LCZ) and the presence of turbulent blood flow in the arteries were evaluated, in addition to MRI findings. Forty-three women underwent cesarean section alone; 15 women with adherent placenta underwent cesarean section followed by hysterectomy with pathological examination. To determine imaging findings that predict adherent placenta, univariate and multivariate logistic regression analyses were performed. RESULTS: Univariate logistic regression analyses demonstrated that anterior placental location, PL≥G2, LCZ, and MRI were associated with the presence of adherent placenta. Multivariate analyses revealed that LCZ (p<0.01, odds ratio 15.6, 95%CI 2.1-114.6) was a single significant predictor of adherent placenta in women with placenta previa. CONCLUSION: This prospective study demonstrated for the first time that US findings, especially LCZ, might be useful for identifying patients at high risk for adherent placenta among pregnant women with placenta previa.Apr. 2015, European journal of obstetrics, gynecology, and reproductive biology, 187, 41 - 4, English, International magazine[Refereed]Scientific journal
- Human recombinant H2 relaxin induces AKT and GSK3β phosphorylation and HTR-8/SVneo cell proliferation.Relaxin is essential for trophoblast development during pregnancy. Evidence shows that relaxin increases trophoblast cell migration capacity. Here, we show the effect of relaxin on protein kinase B (AKT) activation and glycogen synthase kinase 3-beta (GSK3β) inactivation as well as on the proliferation of HTR-8/SVneo cells, a model of human extravillous trophoblast (EVT). HTR-8/SVneo cells were treated with different doses of human recombinant (rH2) relaxin in serum-deprived conditions and treated for increasing time with 1 ng/mL of rH2 relaxin. Western blot analysis was performed to detect pAKT, AKT, pGSK3β, GSK3β, and actin expression. Proliferation of HTR-8/SVneo cells was analyzed by MTS assay. rH2 relaxin treatment increased the ratio of pAKT/AKT, pGSK3β/GSK3β, and proliferation in HTR-8/SVneo cells. Furthermore, AKT and GSK3β activation by rH2 relaxin was inhibited by a phosphoinositide 3-kinase (PI3K) inhibitor. This study suggests that rH2 relaxin induces AKT and GSK3β phosphorylation as well as proliferation in HTR-8/SVneo cells.1, Mar. 2015, The Kobe journal of medical sciences, 61(1) (1), E1-8 - 8, English, Domestic magazine[Refereed]
- OBJECTIVES: The aim of this survey study was to evaluate a state of mother-to-child infections in Japan. METHODS: A nationwide survey on 2714 obstetric facilities where regular maternity checkups were carried out was conducted. A primary questionnaire assessed numbers of pregnancies including induced abortion, spontaneous abortion, still-birth as well as live-birth, which were affected by congenital infections of 6 pathogens during a year of 2011. The secondary questionnaire assessed clinical information, diagnostic modality, and the outcome for each case. The clinical features and diagnostic problems were evaluated. RESULTS: The high reply rates for the primary (73.7%) and the secondary questionnaire (100%) were achieved. The presence of congenital infections for 34 cases with cytomegalovirus (CMV), 1 with Toxoplasma gondii, 4 with rubella virus, 5 with Treponema pallidum, 8 with herpes simplex virus, and 69 with parvovirus B19 was confirmed after questionnaire assessment. The incidence of fetal demise among pregnancies with congenital parvovirus B19 infection was up to 71.0%. Eleven mothers with hydrops fetalis received prenatal fetal therapies involving fetal blood transfusion and immunoglobulin administration, whereas only three pregnancies (27.3%) ended in live-births. CONCLUSIONS: This survey study for the first time revealed the annual frequency of pregnancies with mother-to-child infections of 6 pathogens in Japan. The results involve important information and are helpful for clinical practitioners. The majority of neonates with congenital infection of CMV or T. gondii might be undiagnosed in obstetric facilities.Mar. 2015, Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 21(3) (3), 161 - 4, English, International magazine[Refereed]Scientific journal
- (公社)日本産科婦人科学会, Feb. 2015, 日本産科婦人科学会雑誌, 67(2) (2), 601 - 601, Japanese
- (公社)日本産科婦人科学会, Feb. 2015, 日本産科婦人科学会雑誌, 67(2) (2), 602 - 602, Japanese
- THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, 2015, ADVANCES IN OBSTETRICS AND GYNECOLOGY, 67(3) (3), 357 - 357, Japanese
- 2015, CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY, 42(2) (2), 243 - 245, EnglishViper bite during pregnancy: case report[Refereed]Scientific journal
- BACKGROUND AND PURPOSE: To investigate the diagnostic performance of diffusion-weighted imaging (DWI) and contrast-enhanced imaging in combination with T2-weighted imaging (T2WI) for magnetic resonance imaging (MRI) evaluation of intrapelvic recurrence of gynecological malignancies. MATERIALS AND METHODS: Sixty-two patients with suspected intrapelvic recurrence of gynecological malignancies underwent pelvic MRI including T2WI DWI, and contrast-enhanced imaging. Diagnostic performance for detection of local recurrence, pelvic lymph node and bone metastases, and peritoneal lesions was evaluated by consensus reading of two experienced radiologists using a 5-point scoring system, and compared among T2WI with unenhanced T1-weighted imaging (T1WI) (protocol A), a combination of protocol A and DWI (protocol B), and a combination of protocol B and contrast-enhanced imaging (protocol C). Final diagnoses were obtained by histopathological examinations, radiological imaging and clinical follow-up for at least 6 months. Receiver operating characteristic (ROC) analysis and McNemar test were employed for statistical analysis. RESULTS: Locally recurrent disease, lymph node recurrence, peritoneal dissemination and bone metastases were present in 48.4%, 29.0%, 16.1%, and 6.5% of the patients, respectively. The patient-based sensitivity, specificity, accuracy, and area under the ROC curve (AUC) for detection of intrapelvic recurrence were 55.0, 81.8, 64.5% and 0.753 for protocol A, 80.0, 77.3, 79.0% and 0.838 for protocol B, and 80.0, 90.9, 83.9% and 0.862 for protocol C, respectively. The sensitivity, accuracy, and AUC were significantly better for protocols B and C than for protocol A (p<0.001). There was no significant difference between protocols B and C. CONCLUSION: MRI using a combination of DWI and T2WI gives comparatively acceptable results for assessment of intrapelvic recurrence of gynecological malignancies.2015, PloS one, 10(1) (1), e0117411, English, International magazine[Refereed]Scientific journal
- (公社)日本産科婦人科学会, Dec. 2014, 日本産科婦人科学会雑誌, 66(12付録) (12付録), 1 - 15, Englishサイトメガロウイルス妊娠管理マニュアルScientific journal
- Nov. 2014, 周産期医学, 44(増刊) (増刊), 158 - 163, Japanese【周産期感染症2014】 産科からみた周産期感染症 妊婦のサイトメガロウイルス感染症[Invited]Scientific journal
- BACKGROUND: Cytomegalovirus (CMV) causes congenital infection with high mortality and morbidity rates in affected neonates. OBJECTIVES: To evaluate the maternal IgG avidity value for the prediction of congenital CMV infection. STUDY DESIGN: The serum IgG avidity in all mothers was measured, and the urine of their neonates was assessed for CMV DNA in a prospective cohort study. RESULTS: Of 759 women with a positive test for CMV IgG, 14 had congenital CMV infection. CMV IgG avidity indices in the congenital infection group (median 35.1%) were significantly lower than those in the non-congenital infection group (70.4%). A cutoff value of <40% IgG avidity index with 96.1% specificity and 64.3% sensitivity for congenital infection was determined by receiver operating characteristic curve analyses. The highest sensitivity (88.9%), 96.2% specificity, 27.6% positive predictive value, 99.8% negative predictive value, and 96.1% accuracy were found when IgG avidity was measured in <28 weeks of gestation. CONCLUSION: The IgG avidity measurement with a cutoff value of <40% IgG avidity index might be helpful in predicting congenital CMV infection, especially in <28 weeks of gestation.Nov. 2014, Journal of perinatal medicine, 42(6) (6), 755 - 9, English, International magazine[Refereed]Scientific journal
- Oct. 2014, 産婦人科の進歩, 66(4号) (4号), 491, Japanese不育症と生化学的妊娠Research society
- Oct. 2014, 産婦人科の進歩, 66(4号) (4号), 492, Japanese治療抵抗性の抗リン脂質抗体症候群合併妊娠に対する大量免疫グロブリン療法Research society
- Oct. 2014, 産婦人科の進歩, 66(4号) (4号), 492, Japanese原因不明の難治性習慣流産14例に対する60g免疫グロブリン療法Research society
- (一社)日本腎臓学会, Aug. 2014, 日本腎臓学会誌, 56(6号) (6号), 692 - 692, Japanese妊娠により1型糖尿病性腎症の悪化をみとめ腎生検を施行した一例
- Prophylactic intravenous immunoglobulin injections to mothers with primary cytomegalovirus infection.The aim of this trial study was to assess the preventive efficacy of immunoglobulin with a high titer of anti-CMV antibody for mother-to-fetus cytomegalovirus (CMV) transmission among pregnant women with primary/acute CMV infection. The primary CMV infection in mothers was diagnosed by a positive test for CMV IgM and/or low IgG avidity. Intact type immunoglobulin with a high titer of anti-CMV antibody was injected intravenously at a dosage of 2.5-5.0 g/day for consecutive 3 days to mothers with primary CMV infection. Four pregnant women were enrolled. One pregnancy ended in no congenital infection, while two pregnancies ended in congenital CMV infection. The other one pregnancy was terminated. The mother-to-fetus CMV transmission rate was found to be high as 66.7% (2/3). This preliminary result suggests that intravenous immunoglobulin injections are not effective for the prevention of mother-to-fetus CMV transmission in the present protocol.Jul. 2014, The Kobe journal of medical sciences, 60(2) (2), E25-9 - 9, English, Domestic magazine[Refereed]Scientific journal
- OBJECTIVE: The aim of this study was to determine the risk factors for hemorrhagic shock in women with placental polyp. MATERIALS AND METHODS: Twelve women (group A) developed hemorrhagic shock (shock index<1.5) and received uterine artery embolization (UAE). The other 25 women (group B) had shock index<1.5 and did not receive UAE. All women underwent transcervical resection (TCR). The risk factors for the development of hemorrhagic shock, including the age, conception mode, numbers of previous abortion, gestational weeks at termination of pregnancy (TOP), blood loss weights at TOP and at TCR, were analyzed. RESULTS: When compared with group B, group A had higher in vitro fertilization-embryo transfer (IVF-ET) pregnancy rate (58.3 versus 12.0%, p<0.01), number of previous abortion (median 1.58 versus 0.68, p<0.05), gestational weeks at TOP (median 36.5 versus 17.0 weeks, p<0.05), and blood loss weight at TOP (median 2151 versus 40 g, p<0.05). A logistic regression analysis reveled that IVF-ET (OR 41, 95% CI 1.3-1264) and blood loss weight at TOP (1.0025, 1.0006-1.0044) were independent risk factors for hemorrhagic shock. CONCLUSIONS: For the first time, IVF-ET pregnancy was found to be a risk factor for the development of hemorrhagic shock in women with placental polyp.Jul. 2014, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 30(7) (7), 502 - 4, English, International magazine[Refereed]Scientific journal
- Jul. 2014, CLINICAL IMAGING, 38(4) (4), 464 - 469, English[Refereed]Scientific journal
- Mother-to-child infections cause congenital infection with disease and sequelae. To evaluate a state of maternal blood screening for mother-to-child infections in Japan, we for the first time conducted a nationwide survey on obstetric facilities where regular maternity checkups were carried out. A questionnaire assessment involved an annual number of deliveries, scale of facilities and a state of maternal blood screening for eight pathogens. A high rate (73.7%) of reply to the questionnaire was achieved from 1990 facilities, covering 75.1% of annual number of delivery in 2011. The performance rates of blood screening were more than 99% for rubella virus, Treponema pallidum, human immunodeficiency virus (HIV), human T cell leukemia virus type 1 (HTLV-1), hepatitis B virus, and hepatitis C virus, while the rate was found to be only 4.5% for cytomegalovirus (CMV), and 48.5% for Toxoplasma gondii with large differences in regions. Most of the facilities performed blood tests for rubella virus, Treponema pallidum, HIV, hepatitis B virus and hepatitis C virus once in early pregnancy, while approximately 28% of the facilities performed blood tests for HTLV-1 once during the 2nd or 3rd trimester. Most of the facilities used HA tests for Toxoplasma gondii, whereas there was a wide variation in antibody measurement methods for CMV. Generally, the obstetric facilities in Japan have performed maternal blood screening properly according to the current recommendations. The results of this survey involve important information and are helpful for clinical practitioners.May 2014, Congenital anomalies, 54(2) (2), 100 - 3, English, International magazine[Refereed]Scientific journal
- Apr. 2014, EXPERIMENTAL & CLINICAL CARDIOLOGY, 20(6) (6), 145 - 159, EnglishManagement of Thromboembolism in Pregnant Women with Inherited Antithrombin[Refereed]Scientific journal
- 日本産科婦人科学会, Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 691 - 691, Japanese不育症患者における非妊娠時の末梢血NK細胞活性と妊娠帰結Research society
- 日本産科婦人科学会, Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 587 - 587, Japanese治療抵抗性の抗リン脂質抗体症候群合併妊娠に対する大量免疫グロブリン療法Research society
- 日本産科婦人科学会, Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 586 - 586, Japanese原因不明かつ6回以上自然流産の既往のある治療抵抗性・難治性習慣流産14人に対する60g免疫グロブリン療法Research society
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 584, JapaneseプロテインS低下不育症の妊娠帰結Research society
- Primary ovarian insufficiency (POI) and polycystic ovarian syndrome are ovarian diseases causing infertility. Although there is no effective treatment for POI, therapies for polycystic ovarian syndrome include ovarian wedge resection or laser drilling to induce follicle growth. Underlying mechanisms for these disruptive procedures are unclear. Here, we explored the role of the conserved Hippo signaling pathway that serves to maintain optimal size across organs and species. We found that fragmentation of murine ovaries promoted actin polymerization and disrupted ovarian Hippo signaling, leading to increased expression of downstream growth factors, promotion of follicle growth, and the generation of mature oocytes. In addition to elucidating mechanisms underlying follicle growth elicited by ovarian damage, we further demonstrated additive follicle growth when ovarian fragmentation was combined with Akt stimulator treatments. We then extended results to treatment of infertility in POI patients via disruption of Hippo signaling by fragmenting ovaries followed by Akt stimulator treatment and autografting. We successfully promoted follicle growth, retrieved mature oocytes, and performed in vitro fertilization. Following embryo transfer, a healthy baby was delivered. The ovarian fragmentation-in vitro activation approach is not only valuable for treating infertility of POI patients but could also be useful for middle-aged infertile women, cancer patients undergoing sterilizing treatments, and other conditions of diminished ovarian reserve.Oct. 2013, Proceedings of the National Academy of Sciences of the United States of America, 110(43) (43), 17474 - 9, English, International magazine[Refereed]Scientific journal
- R-spondin proteins are adult stem cell growth factors capable of stimulating gut development by activating LGR4, 5, and 6 receptors to promote Wnt signaling. Although multiple Wnt ligands and cognate Frizzled receptors are expressed in the ovary, their physiological roles are unclear. Based on bioinformatic and in situ hybridization analyses, we demonstrated the exclusive expression of R-spondin2 in oocytes of ovarian follicles. In cultured somatic cells from preantral follicles, R-spondin2 treatment (ED50: 3 ng/ml) synergized with Wnt3a to stimulate Wnt signaling. In cultured ovarian explants from prepubertal mice containing preantral follicles, treatment with R-spondin2, similar to follicle stimulating hormone, promoted the development of primary follicles to the secondary stage. In vivo administration of an R-spondin agonist stimulated the development of primary follicles to the antral stage in both immature mice and gonadotropin releasing hormone antagonist-treated adult mice. Subsequent treatment with gonadotropins allowed the generation of mature oocytes capable of undergoing early embryonic development and successful pregnancy. Furthermore, R-spondin agonist treatment of immune-deficient mice grafted with human cortical fragments stimulated the development of primary follicles to the secondary stage. Thus, oocyte-derived R-spondin2 is a paracrine factor essential for primary follicle development, and R-spondin agonists could provide a new treatment regimen for infertile women with low responses to the traditional gonadotropin therapy.Jun. 2013, FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 27(6) (6), 2175 - 84, English, International magazine[Refereed]Scientific journal
- [This corrects the article on p. e73763 in vol. 8.].2013, PloS one, 8(9) (9), English, International magazine[Refereed]Scientific journal
- Hippo pathway controls the organ size by modulating cell proliferation and apoptosis. However, the upstream regulation of hippo signaling by actin cytoskeleton is not clear. To elucidate the role of actin as an upstream regulator of Hippo signaling, the levels of F (filamentous)-actin in cells were elevated using jasplakinolide, an actin-stabilizing drug. Induction of F-actin formation in HeLa cells resulted in decreased phosphorylation of YAP, a key effector molecule for Hippo signaling. The activated YAP is localized to the cell nucleus and YAP increase was associated with increased expression of downstream CCN growth factors CCN1/CYR61 and CCN2/CTGF. The effect of the actin-stabilizing drug was blocked when YAP levels were suppressed in YAP "knock-down" cells. In summary, using an actin-stabilizing drug we show that actin cytoskeleton is one of the upstream regulators of Hippo signaling capable of activating YAP and increasing its downstream CCN growth factors.2013, PloS one, 8(9) (9), e73763, English, International magazine[Refereed]Scientific journal
- Neuroendocrine carcinomas (NEC) of the female genital tract are aggressive and uncommon tumors, which usually involve the uterine cervix and ovary, and are seen very rarely in the endometrium. Only less than 10 cases of large cell NEC (LCNEC) of the endometrium have been reported in the literature and their radiological findings are not well described. We report here two cases of pathologically proven LCNEC of the uterine endometrium. In both cases, the uterine body was enlarged and the tumor occupied part of the uterine cavity. Endometrial mass exhibited heterogeneous high intensity on T2-weighted magnetic resonance (MR) images, and diffusion-weighted MR images revealed high intensity throughout the tumor, consistent with malignancy. LCNEC is a highly malignant neoplasm without particular findings in terms of diagnostic imaging and pathology, so its preoperative definitive diagnosis is very difficult. However, when laboratory test, pathologic diagnosis and MR imaging suggest a poorly differentiated uterine malignancy, positron emission tomography-computed tomography scan should be performed as a general assessment to help with diagnosis.Jun. 2012, Rare tumors, 4(3) (3), e37, English, International magazine[Refereed]Scientific journal
- In addition to its role in blood coagulation, thrombin directly stimulates protease-activated receptors (PAR) or interacts with thrombomodulin (THBD) to activate membrane-bound protein C which stimulates PAR1 and PAR4 receptors to promote downstream pleiotropic effects. Our DNA microarray, RT-PCR, and immunostaining analyses demonstrated ovarian expression of THBD, activated protein C (APC) receptor [endothelial protein C receptor (EPCR)], as well as PAR1 and PAR4 receptors in mice. After treatment of gonadotropin-primed immature mice with an ovulatory dose of human chorionic gonadotropin (hCG) (a LH surrogate), major increases in the expression of THBD, EPCR, PAR1, and PAR4 were detected in granulosa and cumulus cells of preovulatory follicles. Immunoassay analyses demonstrated sustained increases in ovarian prothrombin and APC levels after hCG stimulation. We obtained luteinizing granulosa cells from mice treated sequentially with equine CG and hCG. Treatment of these cells with thrombin or agonists for PAR1 or PAR4 decreased basal and forskolin-induced cAMP biosynthesis and suppressed hCG-stimulated progesterone production. In cultured preovulatory follicles, treatment with hirudin (a thrombin antagonist) and SCH79797 (a PAR1 antagonist) augmented hCG-stimulated progesterone biosynthesis, suggesting a suppressive role of endogenous thrombin in steroidogenesis. Furthermore, intrabursal injection with hirudin or SCH79797 led to ipsilateral increases in ovarian progesterone content. Our findings demonstrated increased ovarian expression of key components of the thrombin-APC-PAR1/4 signaling system after LH/hCG stimulation, and this signaling pathway may allow optimal luteinization of preovulatory follicles. In addition to assessing the role of thrombin and associated genes in progesterone production by the periovulatory ovary, these findings provide a model with which to study molecular mechanisms underlying thrombin-APC-PAR1/4 signaling.Feb. 2012, Molecular endocrinology (Baltimore, Md.), 26(2) (2), 331 - 40, English, International magazine[Refereed]Scientific journal
- Development of ovarian follicles is regulated by pituitary-derived gonadotropins together with local ovarian paracrine factors. Based on DNA microarray data, we performed RT-PCR and immunostaining to demonstrate the expression of interleukin 7 transcripts in oocytes of preantral, antral, and preovulatory follicles in rats. We also found the expression of interleukin 7 receptor and the coreceptor interleukin 2 receptor gamma in granulosa cells, cumulus cells, and preovulatory oocytes. In cultured rat granulosa cells obtained from early antral and preovulatory follicles, treatment with interleukin 7 stimulated the phosphorylation of AKT, glycogen synthase kinase (GSK3B), and STAT5 proteins in a time- and dose-dependent manner. Furthermore, measurement of mitochondrial reductase activity indicated that treatment with interleukin 7, similar to gonadotropins, increased the number of viable granulosa cells during a 24-h culture period. Furthermore, monitoring of the activities of apoptotic enzymes (caspase 3/7) indicated that treatment with interleukin 7 suppressed apoptosis of cultured granulosa cells from both antral and preovulatory follicles following serum withdrawal. The apoptosis-suppressing actions of interleukin 7 were blocked by an inhibitor of the phosphoinositol-3-kinase (PIK3)/AKT pathway. Furthermore, treatment of cultured preovulatory follicles with interleukin 7, like treatment with human chorionic gonadotropin, induced germinal vesicle breakdown of oocytes. The stimulatory effect of interleukin 7 was also blocked by inhibitors of the PIK3/AKT pathway. The present findings suggest that oocyte-derived interleukin 7 could act on neighboring granulosa cells as a survival factor and promote the nuclear maturation of preovulatory oocytes through activation of the PIK3/AKT pathway.Apr. 2011, Biology of reproduction, 84(4) (4), 707 - 14, English, International magazine[Refereed]Scientific journal
- (一社)日本核医学会, Feb. 2011, 核医学, 48(1) (1), 60 - 60, Japanese転移巣に著明な石灰化を認めた卵巣癌術後6症例のFDG-PET/CT所見
- Nov. 2009, 産婦人科の進歩, 61巻, 4号, pp. 413-413, Japanese卵巣腫瘍手術症例における下肢静脈血栓症術前診断の検討International conference proceedings
- Nov. 2009, 産婦人科の進歩, 61巻, 4号, pp. 413-413, Japanese卵巣甲状腺腫の術前画像診断に関する検討International conference proceedings
- Nov. 2009, 産婦人科の進歩, 61巻, 4号, pp. 424-424, Japanese腹腔鏡下卵巣腫瘍核出術時の工夫International conference proceedings
- Nov. 2009, 産婦人科の進歩, 61巻, 4号, pp. 410-410, JapaneseAFP産生性の子宮内膜癌の1症例International conference proceedings
- Jun. 2009, 日本周産期・新生児医学会雑誌, 45巻, 2号, pp. 656-656, Japanese妊婦における2価陽イオンミネラルの尿中排泄動態International conference proceedings
- Jun. 2009, 日本周産期・新生児医学会雑誌, 45巻, 2号, pp. 685-685, Japanese完全型心内膜欠損症根治術既往褥婦が突然死をきたした症例International conference proceedings
- May 2009, 産婦人科の進歩, 61巻, 2号, pp. 196-196, Japanese消化管穿孔をきたした腹膜偽粘液腫症例の検討International conference proceedings
- Nov. 2008, 産婦人科の進歩, 60巻, 4号, pp. 440-440, Japanese悪性黒色腫に転化した卵巣成熟奇形腫の一例International conference proceedings
- Jun. 2008, 日本周産期・新生児医学会雑誌, 44巻, 2号, pp. 612-612, Japanese胎児中大脳動脈収縮期最大血流速度は正常であったが急速遂娩に至ったRh不適合妊娠例International conference proceedings
- Jun. 2008, 日本周産期・新生児医学会雑誌, 44巻, 2号, pp. 561-561, Japanese出生前3次元超音波検査による肺体積測定の有用性の検討International conference proceedings
- 2008, EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, 29(4) (4), 333 - 337, EnglishAssociation study of vascular endothelial growth factor gene polymorphisms in endometrial carcinomas in a Japanese population[Refereed]Scientific journal
- 2008, CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY, 35(1) (1), 35 - 40, EnglishAssociation study between catechol-O-methyltransferase polymorphisms and uterine leiomyomas in a Japanese populationScientific journal
- Jul. 2007, Gynecological Endocrinology, Vol. 23, No. 8, pp. 474-478, EnglishAssociation study between epidermal growth factor receptor and epidermal growth factor polymorphisms and endometriosis in a Japanese populationScientific journal
- 「産婦人科の進歩」編集室, May 2007, 産婦人科の進歩, 59(2) (2), 215 - 215, Japanese
- May 2007, REPRODUCTIVE SCIENCES, 14(4) (4), 349 - 357, EnglishScientific journal
- Feb. 2007, 日本産科婦人科学会雑誌, 59巻, 2号, pp. 457-457, Japanese子宮内膜症におけるVascular endomethelial growth factor遺伝子多型の解析International conference proceedings
- Feb. 2007, 日本産科婦人科学会雑誌, 59巻, 2号, pp. 383-383, Japanese子宮体癌におけるvascular endothelial growth factor遺伝子多型の解析International conference proceedings
- Feb. 2007, 日本産科婦人科学会雑誌, 59巻, 2号, pp. 384-384, Japanese子宮体癌におけるepidermal growth factor receptor,human epidermal growth factor receptor 2遺伝子多型の解析International conference proceedings
- Feb. 2007, 日本産科婦人科学会雑誌, 59巻, 2号, pp. 382-382, Japanese子宮体癌におけるcatechol-O-methyltransferase遺伝子多型の解析International conference proceedings
- 日本産科婦人科学会, Feb. 2007, 日本産科婦人科学会雑誌, 59巻, 2号, pp. 628-628(2) (2), 628 - 628, Japanese子宮筋腫におけるcatechol-O-methyltransferase遺伝子多型の解析International conference proceedings
- 2007, ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 86(11) (11), 1352 - 1358, EnglishScientific journal
- Dec. 2006, 兵庫県母性衛生学会雑誌, 15号, pp. 77-79, Japanese当科で経験したPosterior reversible encephalopathy syndrome(PRES)の2症例[Refereed]Scientific journal
- Nov. 2006, 産婦人科の進歩, 58巻, 4号, pp. 508-508, Japanese子宮内膜細胞診が発見の契機となった原発性腹膜癌の一例International conference proceedings
- Oct. 2006, 糖尿病と妊娠, 6巻, 2号, pp. S50-S50, Japaneseインスリンアナログによる糖尿病合併妊婦の治療 持効型溶解インスリンアナログを用いた1型糖尿病合併妊婦の管理経験International conference proceedings
- Oct. 2006, JOURNAL OF THE SOCIETY FOR GYNECOLOGIC INVESTIGATION, 13(7) (7), 523 - 529, EnglishScientific journal
- Sep. 2006, 日本癌治療学会誌, 41巻, 2号, pp. 734-734, Japanese当科での子宮癌肉腫13症例の検討International conference proceedings
- Sep. 2006, 日本癌治療学会誌, 41巻, 2号, pp. 770-770, Japanese過去5年間に経験した腹膜偽粘液腫11症例の検討International conference proceedings
- Jun. 2006, 日本周産期・新生児医学会雑誌, 42巻, 2号, pp. 544-544, Japanese食道静脈瘤からの出血を繰り返したアルコール性肝硬変合併妊娠の管理経験International conference proceedings
- 近畿産科婦人科学会, May 2006, 産婦人科の進歩, 58巻, 2号, pp. 225-228(2) (2), 238 - 240, Japanese[Refereed]Scientific journal
- Apr. 2006, JOURNAL OF THE SOCIETY FOR GYNECOLOGIC INVESTIGATION, 13(3) (3), 232 - 236, English[Refereed]Scientific journal
- Feb. 2006, 日本産科婦人科学会雑誌, 58巻, 2号, pp.392-392, Japanese子宮体癌発症におけるMatrix metalloproteinase-1,-9遺伝子多型の解析International conference proceedings
- 日本産科婦人科学会, Feb. 2006, 日本産科婦人科学会雑誌, 58巻, 2号, pp.448-448(2) (2), 448 - 448, Japanese子宮筋腫におけるMatrix metalloproteinase(MMP)-1ならびにMMP-9遺伝子多型の解析International conference proceedings
- Feb. 2006, GYNECOLOGICAL ENDOCRINOLOGY, 22(2) (2), 87 - 91, English[Refereed]Scientific journal
- 日本産科婦人科学会, Feb. 2006, 日本産科婦人科学会雑誌, 58巻, 2号, pp.503-503(2) (2), 503 - 503, JapaneseIVF-ET施行後に重症OHSSと左鎖骨下静脈血栓症を発症した2症例International conference proceedings
- Dec. 2005, 兵庫県母性衛生学会雑誌, 14号, pp.57-59, Japanese肺リンパ脈管筋腫症合併妊娠の一例[Refereed]Scientific journal
- 近畿産科婦人科学会, Oct. 2005, 産婦人科の進歩, 57巻, 4号, pp.475-475(2) (2), 238 - 240, JapaneseInternational conference proceedings
- Sep. 2005, 日本癌治療学会誌, 40巻, 2号, pp.613-613, Japanese血管内発育子宮原発非上皮性腫瘍2例の経験International conference proceedings
- May 2005, 産婦人科の進歩, 57巻, 2号, pp.256-256, Japanese肺リンパ脈管筋腫症合併妊娠の一例International conference proceedings
- 日本産科婦人科学会, Feb. 2005, 日本産科婦人科学会雑誌, 57巻, 2号, pp. 486-486(2) (2), 486 - 486, Japanese子宮内膜症におけるN-acetyltransferase(NAT)1ならびにNAT2遺伝子領域におけるTDT(伝達不平衡)解析International conference proceedings
- 日本産科婦人科学会, Feb. 2005, 日本産科婦人科学会雑誌, 57巻, 2号, pp. 487-487(2) (2), 487 - 487, Japanese子宮内膜症におけるIntercellular adhesion molecule-1(ICAM-1)遺伝子多型の解析International conference proceedings
- 日本産科婦人科学会, Feb. 2005, 日本産科婦人科学会雑誌, 57巻, 2号, pp. 616-616(2) (2), 616 - 616, Japaneseシスプラチン感受性卵巣癌細胞の増殖とアポトーシスに及ぼすImatinib mesylateの影響の検討International conference proceedings
- 2005, Journal Of The Society For Gynecologic Investigation, Vol. 12, No. 3, pp. 208-213, EnglishLack of association between endometriosis and N-Acetyl Transferase 1 (NAT1) and 2 (NAT2) polymorphisms in a Japanese population[Refereed]Scientific journal
- Jun. 2004, 日本婦人科腫瘍学会雑誌, 22巻, 3号, pp. 222-222, Japanese当科における若年子宮体癌症例の検討International conference proceedings
- May 2004, INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 14(3) (3), 543 - 545, EnglishA case of multiple ovarian cysts in a prepubertal girl with severe hypothyroidism due to autoimmune thyroiditis[Refereed]Scientific journal
- 日本産科婦人科学会, Feb. 2004, 日本産科婦人科学会雑誌, 56巻, 2号, pp. 609-609(2) (2), 609 - 609, Japanese日本人子宮内膜症におけるN-acetyltransferase(NAT)1ならびにNAT2遺伝子多型の解析International conference proceedings
- 日本産科婦人科学会, Feb. 2004, 日本産科婦人科学会雑誌, 56巻, 2号, pp. 415-415(2) (2), 415 - 415, Japanese日本人子宮筋腫患者におけるCYP17 MspA1遺伝子多型の解析International conference proceedings
- 日本産科婦人科学会, Feb. 2004, 日本産科婦人科学会雑誌, 56巻, 2号, pp. 609-609(2) (2), 340 - 340, Japanese子宮内膜症におけるN-acetyltransferase(NAT)1ならびにNAT2遺伝子多型の解析 家族性子宮内膜症と非家族性子宮内膜症の比較International conference proceedings
- 日本産科婦人科学会, Feb. 2004, 日本産科婦人科学会雑誌, 56巻, 2号, pp. 415-415(2) (2), 415 - 415, Japanese子宮筋腫患者におけるERαならびにERβ遺伝子多型の解析International conference proceedings
- THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, 2004, 産婦人科の進歩, 56巻, 2, pp. 113-115(2) (2), 113 - 115, Japanese
- 2004, Gynecologic Oncology, Vol. 95, No. 3, pp. 576-582, 576 - 582, EnglishNeoadjuvant high-dose intraarterial infusion chemotherapy under percutaneous pelvic perfusion with extracorporeal chemofiltration in patients with stages IIIa-IVa cervical cancer[Refereed]Scientific journal
- Sep. 2003, 日本癌治療学会誌, 38巻, 2号, pp. 754-754, Japanese卵巣未分化胚細胞腫の放射線治療後に生じた腟壁血管肉腫の一例International conference proceedings
- 診断と治療社, Sep. 2003, 産科と婦人科, 70巻, 9号, pp. 1275-1279(9) (9), 1275 - 1279, Japanese広汎性子宮全摘術後の排尿障害に対するウラピジル投与の有用性[Refereed]Scientific journal
- THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, Aug. 2003, 産婦人科の進歩, 55巻, 3号, pp. 324-326(3) (3), 324 - 326, Japanese[Refereed]Scientific journal
- May 2003, 産婦人科の進歩, 55巻, 2号, pp. 269-269, Japanese当科における子宮頸部悪性腺腫の診断International conference proceedings
- 「産婦人科の進歩」編集室, May 2003, 産婦人科の進歩, 55巻, 2号, pp. 256-256(2) (2), 256 - 256, JapaneseInternational conference proceedings
- Recently, there is an increased incidence of immunocompromised patients in medical fields. Frequent use of antibiotics, oncostatics, immunosuppressants and indwelling catheters lead to the causation of deep fungal infection. Deep fungal infection is fatal hence the proper diagnosis, management and prevention are of utmost importance.THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, May 2003, 産婦人科の進歩, 55巻, 2, pp. 161-166(2) (2), 161 - 166, Japanese
In the gynecologic department of our institution, we had 109 cases that showed recalcitrant exothermic reaction to antibiotics. CAND-TEC and FUNGI-TEC, which detect fungal antigen in the blood, were utilized. The treatment modality was determined in relation to the degree of severity of fungal infection based on the results obtained. The cut-off values used in this study for CAND-TEC and FUNGI-TEC were (4+) and 11.0 pg/ml, respectively. If the results were above the given values, they were categorized as serum positive indicative of an existing deep fungal infection.
Comparison was made between serum positive and serum negative groups with regards to age, malignancy or benign disease, catheter use, leukocyte count, and c-reactive protein (CRP) values. In the serum fungus antigen positive group, 8.7% of the cases had benign diseases compared to 32.5% in the serum fungus antigen negative group. The difference was statistically significant (P<0.05). In the serum fungus antigen positive group, leukopenia of --4500/mm3 (52.1%) was significantly higher than that (12.5%) of antigen negative group (P<0.05). Moreover, the rate of death within one month from serum positivity (39.1%) in the serum fungus antigen positive group was higher than that (15.0%) in the serum fungus antigen negative group (P<0.05). This was also statistically significant.
The investigation of existence of systemic fungal infection with the use of our institution's protocol was noted to increase the efficacy of therapy to 68.0% as compared to 35-50% effectivity of reported conventional therapy.[Adv Obstet Gynecol, 55 (2) 161-166, 2003 (H.15.5)] - May 2003, 産婦人科の進歩, 55巻, 2号, pp. 239-239, Japanese経皮的骨盤灌流化学療法International conference proceedings
- THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, 2003, ADVANCES IN OBSTETRICS AND GYNECOLOGY, 55(1) (1), 49 - 51, Japanese
- 2003, 医薬の門, 43巻, pp. 86-88, Japanese開腹術を要したまれな腹腔鏡下手術合併症の2例ー脾破裂症例と肉芽腫腹膜炎症例の検討ーScientific journal
- 2003, EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, 24(2) (2), 129 - 134, EnglishSimultaneous immunohistochemical localization of beta-catenin and cyclin D1 in differentiated but not in undifferentiated human endometrial carcinoma[Refereed]Scientific journal
- 2002, Clinical and Experimental Obstetrics and Gynecology, 29(3) (3), 185 - 186, EnglishGranulomatous chemical peritonitis on the ileocecum after laparoscopic surgery of an ovarian mature cystic teratoma: Case reportScientific journal
- 近畿産科婦人科学会, 2002, 産婦人科の進歩, 54(5) (5), 381 - 382, Japanese
- 2022, 母性衛生, 62(4) (4)妊娠とCOVID-19 第二報
- (株)ライフメディコム, Nov. 2021, カレントテラピー, 39(11) (11), 1081 - 1086, Japanese【COVID-19-その診断と治療】妊婦における臨床像
- (一社)日本透析医学会, Nov. 2021, 日本透析医学会雑誌, 54(11) (11), 597 - 602, JapaneseA case of severe postpartum HELLP syndrome with acute kidney injury that was successfully treated with plasma exchange
- (一社)日本性感染症学会, Nov. 2021, 日本性感染症学会誌, 32(2) (2), 101 - 101, Japaneseエイズ文化フォーラム「防げる、防ごう、母子感染!〜ウイルス感染症〜」でのアンケート解析
- 「産婦人科の進歩」編集室, Oct. 2021, 産婦人科の進歩, 73(4) (4), 500 - 500, Japanese胎児発育不全児の予後不良に関連する因子の検討
- (公社)日本母性衛生学会, Jul. 2021, 母性衛生, 62(2) (2), 学8 - 学17, Japanese
- (株)医学書院, Jun. 2021, 臨床婦人科産科, 75(6) (6), 573 - 578, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2021, 日本周産期・新生児医学会雑誌, 57(Suppl.) (Suppl.), P90 - P90, JapaneseCOVID-19と周産期医療 国内でのCOVID-19感染妊婦の現状 妊婦レジストリの解析結果(中間報告)
- (一社)日本周産期・新生児医学会, Jun. 2021, 日本周産期・新生児医学会雑誌, 57(Suppl.) (Suppl.), P163 - P163, Japanese非初感染母体から出生した重篤な症候性先天性サイトメガロウイルス感染症児の一例
- (一社)日本周産期・新生児医学会, Jun. 2021, 日本周産期・新生児医学会雑誌, 57(Suppl.) (Suppl.), P177 - P177, Japanese胎児治療と新生児治療の併用は先天性サイトメガロウイルス感染症児の予後を改善する
- 「産婦人科の進歩」編集室, May 2021, 産婦人科の進歩, 73(2) (2), 85 - 89, Japanese
- 「産婦人科の進歩」編集室, May 2021, 産婦人科の進歩, 73(2) (2), 137 - 137, Japanese
- (一社)日本産婦人科感染症学会, May 2021, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 37回, 35 - 35, Japanese不育症と子宮内膜マイクロバイオームとの関連
- (一社)日本産婦人科感染症学会, May 2021, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 37回, 43 - 43, Japanese梅毒合併妊娠8例の検討
- (一社)日本産婦人科感染症学会, May 2021, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 37回, 50 - 50, Japanese周産期母子医療センターでの先天性サイトメガロウイルス感染に関与する臨床所見
- (一社)日本産婦人科感染症学会, May 2021, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 37回, 52 - 52, Japanese産科一次施設における先天性サイトメガロウイルス感染症発生の臨床的リスク因子
- 国内での新型コロナウイルス感染妊婦の現状 妊婦レジストリ研究国内での新型コロナウイルス(COVID-19)妊婦症例の蓄積と解析が必要と考え、2020年9月よりレジストリー研究を開始した。2021年4月20日までに401名のCOVID-19感染妊婦が報告され61名のレジストリー登録が完了した。1)新型コロナウイルス感染妊婦の疾患登録システム(患者レジストリー)、2)新型コロナウイルス感染妊婦61名の概要、3)妊婦でのCOVID中等症・重症の危険因子、4)胎児感染、5)COVID感染妊婦からの出生児の管理、について述べた。(一社)日本産婦人科感染症学会, May 2021, 日本産婦人科感染症学会誌, 5(1) (1), 8 - 15, Japanese
- 症例は70歳代女性で、帯下、不正性器出血を主訴に受診し、子宮に腫瘤性病変を指摘された。MRIでは子宮体部に91×73×78mm大の腫瘤を認めた。画像所見からは子宮肉腫が疑われたが、由来部位が同定困難であり、非類内膜腺癌なども鑑別に挙げられた。腫瘤は複数の成分からなっており、T2強調像では腹側部は低信号、背頭部は比較的高信号、背尾側部は中程度の高信号を呈していた。18F-FDG PETでは腹側部はFDG集積が弱く、背頭部には軽度の集積、背尾部に強い集積を認めた。肉眼所見では子宮内腔に腫瘤が充満していた。画像所見にみられた腫瘍の各成分についての病理学的な特徴は以下のとおりであった。腫瘤腹側部には、異型の乏しい腺管構造が散見され、大小不同の核を呈する紡錘形細胞が認められた。腫瘤背頭部には、典型性の強い紡錘形細胞が多数認められ、正常な腺構造は認められなかった。腫瘤背頭部では、異型性の強い紡錘形細胞や壊死組織、炎症細胞が多数認められた。細胞密度は高く、正常な腺構造は認められなかった。根治的手術(子宮全摘術および両側付属器切除)が実施され、病理学的に腺肉腫の診断がなされた。子宮筋層の深部浸潤があり、pT1c FIGO IC期相当と判断された。術後特に問題なく退院となったが、術後2年3ヵ月で多発肺転移が生じた。全身状態良好であり、転移病変の増大が遅い点から経過観察の方針となり、術後3年9ヵ月時点では無症状で生存している。金原出版(株), Apr. 2021, 臨床放射線, 66(4) (4), 381 - 385, Japanese
- (公社)日本産科婦人科学会, Mar. 2021, 日本産科婦人科学会雑誌, 73(臨増) (臨増), S - 340, Japanese慢性子宮内膜炎(CE)の子宮内pH測定による新しいCEフォロー法について
- 2021, 日本女性栄養・代謝学会誌, 27(1) (1)母子感染の話題~新型コロナウイルス,梅毒,トキソプラズマ,サイトメガロウイルス
- 2021, 日本産科婦人科内視鏡学会学術講演会(Web), 61st完全型アンドロゲン不応症に対して腹腔鏡下性腺摘除術を施行した1例
- 2021, 日本周産期・新生児医学会雑誌(Web), 57(Suppl) (Suppl)胎児治療と新生児治療の併用は先天性サイトメガロウイルス感染症児の予後を改善する
- 2021, 日本周産期・新生児医学会雑誌(Web), 57(Suppl) (Suppl)非初感染母体から出生した重篤な症候性先天性サイトメガロウイルス感染症児の一例
- (公社)日本婦人科腫瘍学会, Jan. 2021, 日本婦人科腫瘍学会雑誌, 39(1) (1), 115 - 115, Japanese先進医療下子宮体癌に対する腹腔鏡下傍大動脈リンパ節郭清術登録結果の検討
- (公社)日本婦人科腫瘍学会, Jan. 2021, 日本婦人科腫瘍学会雑誌, 39(1) (1), 294 - 294, Japanese腹腔鏡下手術及び開腹手術との比較によるロボット支援下準広汎子宮全摘術導入の安全性に関する検討
- (公社)日本婦人科腫瘍学会, Jan. 2021, 日本婦人科腫瘍学会雑誌, 39(1) (1), 311 - 311, JapaneseSaturated salt solution固定法Cadaverを用いた腹腔鏡下婦人科悪性腫瘍手術トレーニング
- (公社)日本婦人科腫瘍学会, Jan. 2021, 日本婦人科腫瘍学会雑誌, 39(1) (1), 318 - 318, Japanese後期高齢者における抗がん剤治療の安全性についての検討
- Jan. 2021, PLACENTA, 103, 253 - 254, EnglishA NOVEL AUTOANTIBODY AGAINST beta 2-GLYCOPROTEIN I/HLA CLASS II COMPLEXES IS A MAJOR RISK FACTOR FOR RECURRENT PREGNANCY LOSSSummary international conference
- (一社)日本生殖医学会, Nov. 2020, 日本生殖医学会雑誌, 65(4) (4), 260 - 260, Japaneseディベート-血栓性素因と不育症 プロテインS低下と不育症、産科異常
- (一社)日本生殖医学会, Nov. 2020, 日本生殖医学会雑誌, 65(4) (4), 309 - 309, Japaneseβ2GPI/HLA-DR複合体は産科的抗リン脂質抗体症候群の自己抗体の標的である
- (一社)日本生殖医学会, Nov. 2020, 日本生殖医学会雑誌, 65(4) (4), 345 - 345, Japanese子宮内pHが新たな慢性子宮内膜炎のマーカーになる可能性について
- 「産婦人科の進歩」編集室, Oct. 2020, 産婦人科の進歩, 72(4) (4), 458 - 458, Japanese精神疾患合併妊娠の妊娠中・産後増悪誘因ならびに児への影響に関する検討
- 進行卵巣癌・原発性腹膜癌に対して術前化学療法(NAC)を行う際の主な診断方法として腹腔鏡下生検(LB)と体腔液の穿刺吸引細胞診がある。このうちLBは開腹手術に比べて低侵襲であり、診断の確実性からも有用な方法であるが、全身状態不良などの理由で腹腔鏡手術ですら躊躇する症例も少なくない。一方、穿刺吸引細胞診は全身状態不良な患者でも比較的安全に施行できるが、組織型の診断が困難という欠点がある。そこで、組織型の再現がしやすいcell block法(CB法)を穿刺吸引細胞診に取り入れている。今回、当院で2008〜2018年に進行卵巣癌もしくは原発性腹膜癌が疑われ治療された患者のうち、NAC施行時の診断目的にLBもしくはCB法を行い、根治手術時に病理診断が可能であった53例を対象とし、LB群(18例)とCB群(35例)に分け、「診断精度」「診断までに要した日数」「検査に伴う合併症」などについて群間比較した。結果、診断精度はLB群の全例で生検による診断と最終的な病理診断が一致していた。CB群では、漿液性癌の診断精度は高かったが、粘液性癌や癌肉腫では診断困難なケースが多かった。診断までに要した日数はLB群が平均8.9日、CB群が平均7.0日で、CB群ほうが有意に短かった。合併症の発生率に有意差は認めなかった。「産婦人科の進歩」編集室, Aug. 2020, 産婦人科の進歩, 72(3) (3), 211 - 215, Japanese
- (株)東京医学社, Aug. 2020, 周産期医学, 50(8) (8), 1451 - 1453, Japanese【[必携]専攻医と指導医のための産科診療到達目標】病態・疾患編【合併症妊娠】抗リン脂質抗体症候群
- 「産婦人科の進歩」編集室, May 2020, 産婦人科の進歩, 72(2) (2), 154 - 154, Japanese妊娠初期のプロテインS低値と産科異常との関連
- 「産婦人科の進歩」編集室, May 2020, 産婦人科の進歩, 72(2) (2), 162 - 162, JapaneseトキソプラズマIgG avidity index高値母体から発生した先天性トキソプラズマ感染疑いの1例
- 「産婦人科の進歩」編集室, May 2020, 産婦人科の進歩, 72(2) (2), 169 - 169, JapaneseSex cord tumor with annular tubulesの1例
- 「産婦人科の進歩」編集室, May 2020, 産婦人科の進歩, 72(2) (2), 177 - 177, Japanese妊娠糖尿病妊婦におけるHeavy For Date児出生の予測因子
- 「産婦人科の進歩」編集室, May 2020, 産婦人科の進歩, 72(2) (2), 186 - 186, Japanese子宮筋腫の術前治療におけるGnRHアンタゴニストの有用性についての検討
- (株)南江堂, Apr. 2020, 内科, 125(4) (4), 1021 - 1022, Japanese
- (株)診断と治療社, Mar. 2020, 産科と婦人科, 87(Suppl.) (Suppl.), 230 - 235, Japanese
- (公社)日本産科婦人科学会, Mar. 2020, 日本産科婦人科学会雑誌, 72(臨増) (臨増), S - 401, Japanese卵巣癌において浸潤能,遊走能を促進する新規遺伝子の検索
- (公社)日本産科婦人科学会, Mar. 2020, 日本産科婦人科学会雑誌, 72(臨増) (臨増), S - 490, Japanese当院における子宮頸癌に対するベバシズマブの使用経験
- (公社)日本産科婦人科学会, Mar. 2020, 日本産科婦人科学会雑誌, 72(臨増) (臨増), S - 535, Japanese子宮頸癌に対する放射線治療後の不全骨折発症のリスク因子についての後方視的検討
- (公社)日本産科婦人科学会, Mar. 2020, 日本産科婦人科学会雑誌, 72(臨増) (臨増), S - 627, Japanese当院におけるロボット支援下手術の導入と腹腔鏡手術との比較検討
- (公社)日本産科婦人科学会, Mar. 2020, 日本産科婦人科学会雑誌, 72(臨増) (臨増), S - 643, JapaneseBevacizumabとOlaparibの併用療法によって再発卵巣癌治療は変わったか?
- (株)東京医学社, Jan. 2020, 小児内科, 52(1) (1), 23 - 29, Japanese
- (株)東京医学社, Jan. 2020, 小児内科, 52(1) (1), 23 - 29, Japanese【母子感染症の必修知識-エキスパートに学び予防につなげる】総論 母子感染スクリーニング方法と診断の話題
- (一社)日本エイズ学会, Nov. 2019, 日本エイズ学会誌, 21(4) (4), 455 - 455, JapaneseHIV母子感染予防のcART 「HIV母子感染予防対策マニュアル(第8版)」および「HIV感染妊娠に関する診療ガイドライン(初版)より
- (一社)日本検査血液学会, Nov. 2019, 日本検査血液学会雑誌, 20(3) (3), 455 - 463, Japanese血栓性素因と妊娠
- 「産婦人科の進歩」編集室, Oct. 2019, 産婦人科の進歩, 71(4) (4), 419 - 419, Japanese当院における子宮頸癌に対するベバシズマブの使用経験
- (一社)日本性感染症学会, Oct. 2019, 日本性感染症学会誌, 30(2) (2), 212 - 212, JapaneseHIV感染予防の最近の話題-PrEP、U=Uなどの話題とともに- HIV母子感染予防マニュアルについて 挙児希望HIV感染者の感染予防の紹介
- 「産婦人科の進歩」編集室, Oct. 2019, 産婦人科の進歩, 71(4) (4), 419 - 419, Japanese当院における子宮頸癌に対するベバシズマブの使用経験
- 日本女性栄養・代謝学会, Sep. 2019, 日本女性栄養・代謝学会学術集会プログラム・抄録集, 43回, 44 - 44, Japanese妊娠と自己免疫疾患の管理 ITPの免疫グロブリン大量療法を含めて
- 日本女性栄養・代謝学会, Sep. 2019, 日本女性栄養・代謝学会学術集会プログラム・抄録集, 43回, 61 - 61, Japanese全身性エリテマトーデス合併妊娠における産科異常のリスク因子
- 日本女性栄養・代謝学会, Sep. 2019, 日本女性栄養・代謝学会学術集会プログラム・抄録集, 43回, 64 - 64, Japanese子宮頸部上皮内新生物(CIN)合併妊娠における保存的管理に関する検討
- 日本女性栄養・代謝学会, Sep. 2019, 日本女性栄養・代謝学会学術集会プログラム・抄録集, 43回, 65 - 65, JapanesePrognostic nutritional index(PNI)と卵巣癌患者の予後に関する検討
- (公社)日本母性衛生学会, Sep. 2019, 母性衛生, 60(3) (3), 162 - 162, Japanese
- (一社)日本産婦人科感染症学会, Sep. 2019, 日本産婦人科感染症学会誌, 3(1) (1), 87 - 87, Japanese症候性先天性サイトメガロウイルス感染症に対する胎児治療と新生児治療の有効性
- (一社)日本産婦人科感染症学会, Sep. 2019, 日本産婦人科感染症学会誌, 3(1) (1), 88 - 88, Japaneseトキソプラズマ抗体妊婦スクリーニングに関する前向きコホート研究
- (一社)日本産婦人科感染症学会, Sep. 2019, 日本産婦人科感染症学会誌, 3(1) (1), 91 - 91, JapaneseHBV妊婦スクリーニングと母子感染予防の前向き研究
- Sep. 2019, LUPUS, 28, 54 - 54, EnglishAutoantibody against beta2-glycoprotein I/HLA class II complex as a risk factor for recurrent pregnancy lossSummary international conference
- (一社)日本産科婦人科内視鏡学会, Aug. 2019, 日本産科婦人科内視鏡学会雑誌, 35(Suppl.I) (Suppl.I), 281 - 281, Japanese
- (一社)日本検査血液学会, Jun. 2019, 日本検査血液学会雑誌, 20(学術集会) (学術集会), S221 - S222, Japanese血栓性素因と妊娠
- (一社)日本周産期・新生児医学会, Jun. 2019, 日本周産期・新生児医学会雑誌, 55(2) (2), 431 - 431, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2019, 日本周産期・新生児医学会雑誌, 55(2) (2), 528 - 528, Japanese日本におけるHIV感染妊娠に関する診療ガイドライン初版とHIV母子感染予防対策マニュアル第7版の改訂
- (一社)日本周産期・新生児医学会, Jun. 2019, 日本周産期・新生児医学会雑誌, 55(2) (2), 529 - 529, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2019, 日本周産期・新生児医学会雑誌, 55(2) (2), 565 - 565, Japanese
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 451 - 451, Japanese卵巣癌初回治療におけるdose-dense TC療法とTC+bevacizumab併用療法の比較
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 457 - 457, Japanese卵巣癌・腹膜癌の術前化学療法時の診断において、腹腔鏡下生検と体腔液Cell block法の比較検討
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 476 - 476, Japanese子宮頸がんに対する放射線治療後不全骨折発症のリスクについての検討
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 525 - 525, Japaneseトラベクテジンの長期投与が可能であった平滑筋肉腫の二例
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 530 - 530, Japanese妊孕性温存手術を施行したI期の卵巣上皮性境界悪性腫瘍の予後に関する検討
- 日本女性栄養・代謝学会, Jun. 2019, 日本女性栄養・代謝学会誌, 25, 59 - 60, Japanese胎児甲状腺腫を来たしたT3優位型バセドウ病合併妊娠の2例
- 日本女性栄養・代謝学会, Jun. 2019, 日本女性栄養・代謝学会誌, 25, 67 - 68, Japaneseメトホルミンが著効したインスリン抵抗症合併妊娠の1例
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 451 - 451, Japanese卵巣癌初回治療におけるdose-dense TC療法とTC+bevacizumab併用療法の比較
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 457 - 457, Japanese卵巣癌・腹膜癌の術前化学療法時の診断において、腹腔鏡下生検と体腔液Cell block法の比較検討
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 476 - 476, Japanese子宮頸がんに対する放射線治療後不全骨折発症のリスクについての検討
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 525 - 525, Japaneseトラベクテジンの長期投与が可能であった平滑筋肉腫の二例
- (公社)日本婦人科腫瘍学会, Jun. 2019, 日本婦人科腫瘍学会雑誌, 37(3) (3), 530 - 530, Japanese妊孕性温存手術を施行したI期の卵巣上皮性境界悪性腫瘍の予後に関する検討
- (一社)日本産婦人科感染症学会, May 2019, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 36回, 42 - 42, Japanese「HIV母子感染マニュアル第8版」改訂内容について
- 妊娠中に維持透析療法を要した慢性腎不全(CRF)合併妊娠3症例の臨床経過を調べ、周産期管理の問題点を検討した。症例1(43歳、G3P2)は腎血管性高血圧によるCRF患者で、妊娠26週に透析導入したが、高血圧が持続するため、Dry Weight(DW)を漸減したところ、羊水過少傾向を示し、胎児発育不全(FGR)となった。症例2(40歳、G1P0)は、IgA腎症によるCRFにて38歳時に透析導入となり、妊娠中期からDWを漸増したところ、羊水過多症を合併した。症例3(37歳、G1P0)は、膀胱尿管逆流症によるCRFにて18歳時に透析導入となり、血圧コントロールの目的でDWを漸減したところ、羊水過少傾向となったが、重篤なFGRは認めなかった。3例とも早産で、2例が極低出生体重児であった。維持透析を要する妊婦の管理には産科、新生児科、腎臓内科の綿密な連携が必須であることが示唆された。「産婦人科の進歩」編集室, May 2019, 産婦人科の進歩, 71(2) (2), 103 - 108, Japanese
- 「産婦人科の進歩」編集室, May 2019, 産婦人科の進歩, 71(2) (2), 230 - 230, Japanese
- 「産婦人科の進歩」編集室, May 2019, 産婦人科の進歩, 71(2) (2), 230 - 230, Japanese当院で経験した腹膜原発癌肉腫の2例
- 妊娠中に維持透析療法を要した慢性腎不全合併妊娠3症例妊娠中に維持透析療法を要した慢性腎不全(CRF)合併妊娠3症例の臨床経過を調べ、周産期管理の問題点を検討した。症例1(43歳、G3P2)は腎血管性高血圧によるCRF患者で、妊娠26週に透析導入したが、高血圧が持続するため、Dry Weight(DW)を漸減したところ、羊水過少傾向を示し、胎児発育不全(FGR)となった。症例2(40歳、G1P0)は、IgA腎症によるCRFにて38歳時に透析導入となり、妊娠中期からDWを漸増したところ、羊水過多症を合併した。症例3(37歳、G1P0)は、膀胱尿管逆流症によるCRFにて18歳時に透析導入となり、血圧コントロールの目的でDWを漸減したところ、羊水過少傾向となったが、重篤なFGRは認めなかった。3例とも早産で、2例が極低出生体重児であった。維持透析を要する妊婦の管理には産科、新生児科、腎臓内科の綿密な連携が必須であることが示唆された。「産婦人科の進歩」編集室, May 2019, 産婦人科の進歩, 71(2) (2), 103 - 108, Japanese
- (公社)日本産科婦人科学会, Feb. 2019, 日本産科婦人科学会雑誌, 71(臨増) (臨増), S - 40, Japanese不育症の診断と治療
- (公社)日本産科婦人科学会, Feb. 2019, 日本産科婦人科学会雑誌, 71(臨増) (臨増), S - 453, Japanese日本におけるHIV感染妊娠に関する診療ガイドライン初版とHIV母子感染予防対策マニュアル第7版の改訂について
- 正常胎児と全奇胎の双胎(complete hydatidiform mole coexistent with a fetus)の3症例過去10年間に当科で経験した正常胎児と全奇胎の双胎(CHMCF)3例について報告した。CHMCFの診断週数は12〜14週で、2例は排卵誘発による妊娠であった。母体合併症は妊娠悪阻が1例、性器出血が3例であった。診断後、妊娠継続に関するリスクについて十分な説明を行ったところ、2例は妊娠中絶を希望したが、残りの1例は希望により妊娠継続をしていた。だが、臨床的侵入奇胎のため妊娠21週1日目で人工妊娠中絶となった。3例中2例では続発性疾患(奇胎後hCG存続症1例、臨床的侵入奇胎1例)を認め、化学療法にて寛解が得られた。「産婦人科の進歩」編集室, Feb. 2019, 産婦人科の進歩, 71(1) (1), 9 - 16, Japanese
- 日本生殖免疫学会, Nov. 2018, Reproductive Immunology and Biology, 33(1-2) (1-2), 110 - 110, Japanese妊娠初期のプロテインS低値と産科異常との関連
- (一社)日本エイズ学会, Nov. 2018, 日本エイズ学会誌, 20(4) (4), 467 - 467, JapaneseHIV感染妊娠に関する診療ガイドライン初版とHIV母子感染予防対策マニュアル第7版の比較
- Nov. 2018, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 130, 32 - 32, EnglishSummary international conference
- 日本生殖免疫学会, Nov. 2018, Reproductive Immunology and Biology, 33(1-2) (1-2), 93 - 93, Japanese不育症リスク因子としてのネオ・セルフ抗体
- (公社)日本母性衛生学会, Sep. 2018, 母性衛生, 59(3) (3), 49 - 49, Japanese
- (公社)日本母性衛生学会, Sep. 2018, 母性衛生, 59(3) (3), 238 - 238, Japanese
- (公社)日本母性衛生学会, Sep. 2018, 母性衛生, 59(3) (3), 293 - 293, Japanese
- (公社)日本母性衛生学会, Sep. 2018, 母性衛生, 59(3) (3), 311 - 311, Japanese
- (一社)日本生殖医学会, Aug. 2018, 日本生殖医学会雑誌, 63(3) (3), 230 - 230, Japanese不育症のトピックス 不育症とネオ・セルフ
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 548 - 548, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 615 - 615, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 636 - 636, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 638 - 638, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 638 - 638, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 689 - 689, Japanese
- (一社)日本周産期・新生児医学会, Jun. 2018, 日本周産期・新生児医学会雑誌, 54(2) (2), 710 - 710, Japanese
- (一社)日本産婦人科感染症学会, May 2018, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 35回, 54 - 54, JapaneseHBV妊婦スクリーニングと母子感染予防の前向き研究
- (一社)日本産婦人科感染症学会, 2018, 日本産婦人科感染症学会誌, 2(1) (1), 2 - 12, Japaneseサイトメガロウイルス母子感染の対策Introduction scientific journal
- Nov. 2017, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 124, 76 - 76, EnglishSummary international conference
- Nov. 2017, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 124, 81 - 82, EnglishSummary international conference
- Nov. 2017, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 124, 80 - 81, EnglishSummary international conference
- Nov. 2017, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 124, 80 - 80, EnglishSummary international conference
- Nov. 2017, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 124, 81 - 81, EnglishSummary international conference
- 日本妊娠高血圧学会, Sep. 2017, 日本妊娠高血圧学会雑誌, 24, 76 - 76, Japanese
- 診断と治療社, May 2017, チャイルドヘルス, 20(5) (5), 346 - 351, Japanese胎児を守るためのウイルス感染対策 (特集 感染対策の視点で考える乳幼児のウイルス感染症)
- 東京医学社, Feb. 2017, 周産期医学, 47(2) (2), 213 - 218, Japaneseサイトメガロウイルス (特集 周産期のウイルス感染症) -- (妊娠・分娩・産褥時の対応)
- (公社)日本産科婦人科学会, Feb. 2017, 日本産科婦人科学会雑誌, 69(2号) (2号), 1024 - 1024, Japanese胎児腹水を呈した症候性先天性サイトメガロウイルス感染症3例の出生後の臨床経過Meeting report
- 2017, 母性衛生, 58(3) (3)サイトメガロウイルス感染に対する妊婦抗体スクリーニング
- 2017, Reproductive Immunology and Biology, 32(1-2) (1-2)トキソプラズマ妊婦スクリーニングの前向きコホート研究
- 2017, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 34thトキソプラズマ妊婦スクリーニングの前向き研究
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 143 - 143, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 132 - 132, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 117 - 117, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 119 - 119, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 145 - 146, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 116 - 116, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 131 - 132, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 120 - 120, EnglishSummary international conference
- Nov. 2016, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 118, 113 - 113, EnglishSummary international conference
- 日本生殖免疫学会, Nov. 2016, Reproductive Immunology and Biology, 31(1-2) (1-2), 110 - 110, Japanese抗リン脂質抗体症候群における抗Prothrombin/HLA-DR抗体
- Oct. 2016, PLACENTA, 46, 108 - 108, EnglishA NOVEL AUTOANTIBODY IS ASSOCIATED WITH RECURRENT MISCARRIAGESummary international conference
- Oct. 2016, PLACENTA, 46, 109 - 109, EnglishVASA PREVIA PRENATALLY DIAGNOSED BY ULTRASOUND SCANNING AND MAGNETIC RESONANCE IMAGING; REPORT OF 3 CASESSummary international conference
- Oct. 2016, PLACENTA, 46, 108 - 108, EnglishPREDICTION OF ADHERENT PLACENTA WITH PLACENTA PREVIA USING A NOVEL SCORING SYSTEMSummary international conference
- (一社)日本周産期・新生児医学会, Jun. 2016, 日本周産期・新生児医学会雑誌, 52(2) (2), 678 - 678, Japanese新生児同種免疫性血小板減少症の3例
- 診断と治療社, May 2016, 産科と婦人科, 83(5) (5), 535 - 539, Japanese免疫学的異常と免疫グロブリン療法 (特集 不育症Up to Date)
- 2016, Reproductive Immunology and Biology, 31(1/2) (1/2)妊婦のサイトメガロウイルス抗体スクリーニングの有用性
- 2016, Reproductive Immunology and Biology, 31(1/2) (1/2)リスク因子不明習慣流産に対する100gおよび60g免疫グロブリン療法の効果
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 525 - 525, EnglishISP-17-1 Clinical features of obstetrical antiphospholipid syndrome in the Japanese population : A multicenter study(Group 17 Perinatal Care 1,International Session Poster) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 809 - 809, JapaneseP2-63-6 流産脱落膜および非妊娠時子宮内膜におけるCD4+T細胞, CD8+T細胞, 制御性T細胞(Group63 子宮移植・子宮内膜,一般演題,公益社団法人日本産科婦人科学会第68回学術講演会)
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 983 - 983, JapaneseP3-51-9 帝王切開術後にMycoplasma hominis腹膜炎を発症した3例(Group 116 周産期の感染症2,一般演題,公益社団法人日本産科婦人科学会第68回学術講演会)
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 577 - 577, EnglishISP-34-5 Protein S deficiency complicated pregnancy in women with recurrent pregnancy loss(Group 34 Infertility/Recurrent Pregnancy Loss,International Session Poster) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 555 - 555, EnglishISP-27-1 Pregnancy after uterine artery embolization for the treatment of post-partum hemorrhage : a case series(Group 27 Maternal Complication 3,International Session Poster) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 554 - 554, EnglishISP-26-6 To assess the management of pregnancies complicated with antithrombin deficiency : A report of 20 cases(Group 26 Maternal Complication 2,International Session Poster) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 545 - 545, EnglishISP-23-3 Maternal blood screening for congenital cytomegalovirus infection of the infants(Group 23 Maternal Complication 1,International Session Poster) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 550 - 550, EnglishISP-25-5 Postpartum screening for glucose intolerance in women with gestational diabetes mellitus(Group 25 Nutrition and Metabolism,International Session Poster) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 544 - 544, EnglishISP-23-2 The effect of maternal screening for HBV and perinatal HBV prevention program(Group 23 Maternal Complication 1,International Session Poster) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 781 - 781, JapaneseP2-55-5 妊娠初期にパルボウイルスB19に感染した4例(Group55 周産期の感染症1,一般演題,公益社団法人日本産科婦人科学会第68回学術講演会)
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 474 - 474, EnglishIS-MW-5-2 Prediction of adherent placenta with placenta previa using a novel scoring system(Group 5 Perinatology 2,International Session Mini Workshop) :
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 744 - 744, JapaneseP2-45-1 子宮動脈塞栓術後に保存的治療抵抗性の子宮内膜筋層炎を発症し子宮摘出に至った2例(Group45 産科手術1,一般演題,公益社団法人日本産科婦人科学会第68回学術講演会)
- 日本産科婦人科学会, 2016, 日本産科婦人科學會雜誌, 68(2) (2), 950 - 950, JapaneseP3-42-11 新生児同種免疫性血小板減少症の2例 : 過去の妊娠で児が新生児同種免疫性血小板減少症を発症した女性の周産期管理(Group 107 合併症妊娠9,一般演題,公益社団法人日本産科婦人科学会第68回学術講演会)
- 2016, 抗リン脂質抗体症候群合併妊娠 診療ガイドライン, 20 - 31, Japanese抗リン脂質抗体症候群合併妊娠 診療ガイドライン[Refereed]Introduction other
- Nov. 2015, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 112, 143 - 143, EnglishSummary international conference
- Nov. 2015, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 112, 137 - 137, EnglishSummary international conference
- Nov. 2015, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 112, 135 - 135, EnglishSummary international conference
- 日本生殖免疫学会, Nov. 2015, Reproductive Immunology and Biology, 30(1-2) (1-2), 110 - 110, Japanese抗リン脂質抗体症候群女性の妊娠中の管理状況に関する多施設症例調査
- Oct. 2015, PLACENTA, 36(10) (10), A5 - A6, EnglishPREDICTION OF ADHERENT PLACENTA IN PATIENTS WITH PLACENTA PREVIA USING ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGINGSummary international conference
- (一社)日本周産期・新生児医学会, Jun. 2015, 日本周産期・新生児医学会雑誌, 51(2) (2), 925 - 925, Japanese抗リン脂質抗体症候群女性の妊娠中の管理状況に関する多施設症例調査
- (一社)日本周産期・新生児医学会, Jun. 2015, 日本周産期・新生児医学会雑誌, 51(2) (2), 663 - 663, Japanese新生児尿スクリーニングと抗ウイルス薬治療導入後の症候性先天性サイトメガロウイルス感染児の後遺症発生率
- (一社)日本産婦人科感染症学会, May 2015, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 32回, 37 - 37, Japanese新生児尿スクリーニングと抗ウイルス薬治療導入後の症候性先天性サイトメガロウイルス感染児の後遺症発生率
- (一社)日本産婦人科感染症学会, May 2015, 日本産婦人科感染症学会学術講演会プログラム・抄録集, 32回, 38 - 38, Japanese症候性先天性サイトメガロウイルス感染児の聴性脳幹反応に対する抗ウイルス薬治療の効果と問題点
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 933 - 933, JapaneseP3-43-7 中期流死産歴を有する抗リン脂質抗体症候群合併妊娠に対する治療効果(Group145 合併症妊娠8,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 725 - 725, JapaneseP2-30-3 血漿プロテインS低値の女性に対する遺伝子診断と妊娠時の治療法選択(Group 71 不育症 臨床,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 727 - 727, JapaneseP2-30-8 不育症患者における生化学的妊娠既往と妊娠予後(Group 71 不育症 臨床,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 806 - 806, JapaneseP2-58-3 18番染色体短腕欠損が原因と考えられた全前脳胞症の1症例(Group 99 胎児異常1,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 811 - 811, JapaneseP2-59-7 抗SS-A抗体陽性妊婦の胎児大動脈-上大静脈房室伝導時間スクリーニングと先天性完全房室ブロックの発症予防(Group 100 胎児異常2,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 967 - 967, JapaneseP3-54-8 切迫早産入院管理の結果,妊娠29週未満で早産となった児の予後解析(Group 156 早産6,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 602 - 602, JapaneseP1-27-5 免疫グロブリンを用いたサイトメガロウイルス胎児感染予防と胎児治療(Group27 感染症1,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 613 - 613, JapaneseP1-31-1 Marfan症候群合併妊娠の3例(Group31 合併症妊娠2,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 631 - 631, JapaneseP1-36-8 巨大胎盤内血腫, Breus' moleの2例(Group36 胎盤2,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 1042 - 1042, EnglishISP-15-1 A rapid increase of serum IgG avidity index in women with congenital cytomegalovirus infection(Group 15 Perinatology 5,IS Poster,International Session) :
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 1031 - 1031, EnglishISP-11-3 Low levels of plasma protein S, protein C, and coagulation factor XII during early pregnancy and adverse pregnancy outcome(Group 11 Perinatology 1,IS Poster,International Session) :
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 512 - 512, JapaneseNW-9-1 先天性トキソプラズマ感染の出生前予測に有用なトキソプラズマIgG avidity index cut-off値(ミニワークショップ9 周産期ウイルス感染,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- 日本産科婦人科学会, 2015, 日本産科婦人科學會雜誌, 67(2) (2), 512 - 512, JapaneseNW-9-2 サイトメガロウイルスIgM陽性妊婦における先天性感染発生の予知因子(ミニワークショップ9 周産期ウイルス感染,一般演題,公益社団法人日本産科婦人科学会第67回学術講演会)
- Jan. 2015, 日本周産期・新生児医学会雑誌, 50(別冊) (別冊), 22 - 23, Japanese周産期の炎症・感染への挑戦 先天性サイトメガロウイルス感染の効果的な周産期管理法の確立を目指してMeeting report
- Dec. 2014, JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 106, 8 - 8, EnglishSummary international conference
- Oct. 2014, 産婦人科の進歩, 66(4号) (4号), 485, Japanese免疫グロブリン投与によるサイトメガロウイルス母子感染予防の試みMeeting report
- Oct. 2014, 産婦人科の進歩, 66(4号) (4号), 484, Japanese先天性トキソプラズマ感染症の出生前予測に有用なトキソプラズマIgG avidity index cut-off値Meeting report
- Oct. 2014, 産婦人科の進歩, 66(4号) (4号), 485, Japanese症候性先天性サイトメガロウイルス感染に対する免疫グロブリンを用いた胎児治療Meeting report
- Oct. 2014, 糖尿病と妊娠, 14(2号) (2号), S - 88, Japanese受容体以後のシグナル伝達障害によるインスリン抵抗性を合併し、妊娠中もメトホルミン投与を要した一例Meeting report
- Sep. 2014, 調剤と情報, 20(11号) (11号), 1312 - 1320, Japanese【妊娠と薬物治療ガイドブック】 妊婦の薬物療法の実際 合併症妊娠のリスクと薬剤選択時の留意点 産科感染症(TORCH症候群)Introduction scientific journal
- Sep. 2014, 日本内分泌学会雑誌, 90(2号) (2号), 512, Japaneseバセドウ病合併妊娠における産科異常と新生児甲状腺機能異常発症の危険因子の検討Meeting report
- Jun. 2014, ENDOCRINE REVIEWS, 35(3) (3), EnglishPolymerization of Actin Promotes Ovarian Follicle Growth Mediated By the Hippo Signaling Effector YAPSummary international conference
- Jun. 2014, 日本周産期・新生児医学会雑誌, 50(2号) (2号), 801, Japanese胎盤トキソプラズマ感染を認めた2症例Meeting report
- (公社)日本婦人科腫瘍学会, Jun. 2014, 日本婦人科腫瘍学会雑誌, 32(3) (3), 590 - 590, Japanese子宮体癌根治術における廓清リンパ節および子宮筋層にリンパ脈管筋腫症細胞を認めた一例Meeting report
- Jun. 2014, 日本周産期・新生児医学会雑誌, 50(2号) (2号), 779, Japanese近年日本における母子感染の実態Meeting report
- Jun. 2014, 日本周産期・新生児医学会雑誌, 50(2号) (2号), 870, Japaneseインスリン治療を要した妊娠糖尿病妊婦の臨床像Meeting report
- May 2014, 産婦人科の進歩, 66(2号) (2号), 243, Japanese妊娠に関連した高安病の6症例Meeting report
- May 2014, 産婦人科の進歩, 66(2号) (2号), 185 - 186, Japanese習慣流産の検査と治療について[Invited]Others
- May 2014, 産婦人科の進歩, 66(2号) (2号), 216, Japanese子宮下部から子宮前壁を走行する卵膜血管を認めた2例Meeting report
- May 2014, 産婦人科の進歩, 66(2号) (2号), 250, JapaneseIgG avidityとPCR法を用いたサイトメガロウイルス妊婦スクリーニングMeeting report
- Mar. 2014, 超音波医学, 41(2号) (2号), 265, Japanese妊娠35週より急速に増大した胎児脳腫瘍の1例Meeting report
- Mar. 2014, 小児科診療, 77(3号) (3号), 347 - 350, Japanese【一般小児科医のための新生児対応パーフェクトガイド】 母子感染が疑われる児への対応 サイトメガロウイルス抗体・トキソプラズマ抗体[Refereed]Introduction commerce magazine
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 585, Japanese不育症および自己免疫疾患における抗リン脂質抗体陽性患者の妊娠帰結Meeting report
- 日本産科婦人科学会, Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 716 - 716, Japanese妊娠35週より急速に増大した胎児脳腫瘍の1例Meeting report
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 534, Japanese人工透析導入を回避しえた糖尿病性腎症3B期合併妊娠の1例Meeting report
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 450, Japanese周産期の感染症 先天性サイトメガロウイルス(CMV)感染の診断における新生児血中CMV-IgM、アンチゲネミア、CMV-DNAの意義Meeting report
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 461, Japanese産科出血等の管理 分娩後出血に対する選択的動脈塞栓術無効に関連する因子の検討Meeting report
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 531, Japanese抗リン脂質抗体症候群母体から出生した児に胃破裂を発症した1例Meeting report
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 684, Japanese近年日本における母子感染の実態Meeting report
- 日本産科婦人科学会, Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 685 - 685, Japanese急速なIgG avidity index上昇はサイトメガロウイルス先天性感染の発生予知因子であるMeeting report
- Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 685, JapaneseIgG avidityとPCR法を用いたサイトメガロウイルス妊婦スクリーニングMeeting report
- 日本産科婦人科学会, Feb. 2014, 日本産科婦人科学会雑誌, 66(2号) (2号), 584 - 584, JapaneseHLAクラスII/β2-glycoprotein Iタンパク質複合体は抗リン脂質抗体症候群の病態に関わる主要な標的分子であるMeeting report
- 日本産科婦人科学会, 2014, 日本産科婦人科學會雜誌, 66(2) (2), 684 - 684, JapaneseP2-37-4 近年日本における母子感染の実態(Group 75 周産期の感染症2,一般演題,第66回学術講演会)
- 日本産科婦人科学会, 2014, 日本産科婦人科學會雜誌, 66(2) (2), 920 - 920, EnglishISAC-3-4 The IgG avidity value for the prediction of congenital cytomegalovirus infection in a prospective cohort study(Group 3 Perinatology,IS Award Candidate,International Session) :
- 日本産科婦人科学会, 2014, 日本産科婦人科學會雜誌, 66(2) (2), 973 - 973, EnglishISP-20-4 Association between protein C, protein S, factor XII, and spontaneous abortion, adverse pregnancy outcome(Group 20 Reproduction 3,IS Poster,International Session) :
- Jan. 2014, ペリネイタルケア, (2014新春増刊) (2014新春増刊), 181 - 184, Japanese【読み方がわかる!説明できる!産科の臨床検査ディクショナリー これさえあれば妊婦健診で困らない! エコーもCTGも】 (第4章)特別なニードがある場合の検査を理解しよう! ヒトパルボウイルスB19[Invited]Introduction commerce magazine
- Jan. 2014, ペリネイタルケア, (2014新春増刊) (2014新春増刊), 176 - 180, Japanese【読み方がわかる!説明できる!産科の臨床検査ディクショナリー これさえあれば妊婦健診で困らない! エコーもCTGも】 (第4章)特別なニードがある場合の検査を理解しよう! サイトメガロウイルス抗体[Invited]Introduction commerce magazine
- Jan. 2014, ペリネイタルケア, (2014新春増刊) (2014新春増刊), 171 - 175, Japanese【読み方がわかる!説明できる!産科の臨床検査ディクショナリー これさえあれば妊婦健診で困らない! エコーもCTGも】 (第4章)特別なニードがある場合の検査を理解しよう! トキソプラズマ抗体[Invited]Introduction commerce magazine
- Jan. 2014, ペリネイタルケア, (2014新春増刊) (2014新春増刊), 166 - 170, Japanese【読み方がわかる!説明できる!産科の臨床検査ディクショナリー これさえあれば妊婦健診で困らない! エコーもCTGも】 (第4章)特別なニードがある場合の検査を理解しよう! 自己抗体検査[Invited]Introduction commerce magazine
- 10 Oct. 2013, 周産期医学, 43(10) (10), 1295 - 1299, Japanese臨床研究の成果を実地臨床へ生かそう―産科編 我が国における多施設共同研究の現状―サイトメガロウイルス―
- Oct. 2013, 日本生殖医学会雑誌, 58(4号) (4号), 396, Japanese当院におけるプロテインS低下症例に関する検討Meeting report
- 医学書院, Jul. 2013, 助産雑誌, 67(7号) (7号), 520 - 525, Japanese【いま知りたい!母子感染対策 トキソプラズマ,サイトメガロウイルスを中心に】 母子感染の恐れのある感染症の情報[Invited]Introduction commerce magazine
- 2013, 先天性サイトメガロウイルス感染症対策のための妊婦教育の効果の検討、妊婦・新生児スクリーニング体制の構築及び感染新生児の発症リスク同定に関する研究 平成23-24年度 総合研究報告書, 31 - 53, Japanese先天性サイトメガロウイルス感染症対策のための妊婦教育の効果の検討,妊婦・新生児スクリーニング体制の構築及び感染新生児の発症リスク同定に関する研究 サイトメガロウイルス母子感染対策のための妊婦教育効果の検討,ならびに妊婦スクリーニング体制の構築
- 2013, 先天性サイトメガロウイルス感染症対策のための妊婦教育の効果の検討、妊婦・新生児スクリーニング体制の構築及び感染新生児の発症リスク同定に関する研究 平成24年度 総括・分担研究報告書, 29 - 47, Japanese先天性サイトメガロウイルス感染症対策のための妊婦教育の効果の検討,妊婦・新生児スクリーニング体制の構築及び感染新生児の発症リスク同定に関する研究 サイトメガロウイルス母子感染対策のための妊婦教育効果の検討,ならびに妊婦スクリーニング体制の構築
- 日本産科婦人科学会, 2012, 日本産科婦人科學會雜誌, 64(2) (2), 582 - 582, JapaneseK2-7-2 卵母細胞由来Interleukin 7(IL-7)はPI3K/AKT回路を介し卵巣顆粒膜細胞のアポトーシスを抑制し卵母細胞の核成熟を促進する(高得点演題7,生殖医学)
- 日本産科婦人科学会, 2011, 日本産科婦人科學會雜誌, 63(2) (2), 499 - 499, JapaneseP1-10-13 子宮動脈塞栓術を施行し,手術を行った巨大子宮筋腫の2症例(Group13 良性卵巣腫瘍・症例2,一般演題,第63回日本産科婦人科学会学術講演会)
- 日本産科婦人科学会, 2011, 日本産科婦人科學會雜誌, 63(2) (2), 504 - 504, JapaneseP1-10-30 妊娠16週で肝右葉切除術を行った肝血管腫合併妊娠の1例(Group14 良性卵巣腫瘍・症例3,一般演題,第63回日本産科婦人科学会学術講演会)
- 日本産科婦人科学会, 2010, 日本産科婦人科學會雜誌, 62(2) (2), 668 - 668, JapaneseP3-133 卵巣腫瘍手術症例における下肢静脈血栓症術前診断の検討(Group115 婦人科腫瘍血栓症1,一般演題,第62回日本産科婦人科学会学術講演会)
- 日本産科婦人科学会, 2010, 日本産科婦人科學會雜誌, 62(2) (2), 552 - 552, JapaneseP2-262 子宮体部原発の小細胞未分化癌の1例(Group76 子宮体部悪性腫瘍8,一般演題,第62回日本産科婦人科学会学術講演会)
- 日本産科婦人科学会, 2010, 日本産科婦人科學會雜誌, 62(2) (2), 552 - 552, JapaneseP2-263 子宮体部Large cell neuroendocrine carcinoma(LCNEC)の一例(Group76 子宮体部悪性腫瘍8,一般演題,第62回日本産科婦人科学会学術講演会)
- 日本周産期・新生児医学会, 2010, 日本周産期・新生児医学会雑誌, 46(2) (2), 370 - 370, JapaneseUterine Artery Embolization for Obstetrical Hemorrhage
- 日本周産期・新生児医学会, 2010, 日本周産期・新生児医学会雑誌, 46(2) (2), 472 - 472, JapanesePregnancy outcome in patients with systemic lupus erythematosus
- 日本周産期・新生児医学会, 2010, 日本周産期・新生児医学会雑誌, 46(2) (2), 476 - 476, Japanese先天性アンチトロンビンIII欠乏症合併妊娠9例の検討
- May 2008, 産婦人科の進歩, 60巻, 2号, pp. 161-161, Japanese新しい作用機序をもつ抗癌剤投与時の制吐剤についてIntroduction scientific journal
- 医学書院, Apr. 2006, 臨床婦人科産科, 60巻, 4号, pp. 389-395(4) (4), 397 - 401, Japanese【女性診療科外来プラクティス】 腫瘍外来 腫瘍外来の検査 CTIntroduction scientific journal
- THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN, 2006, ADVANCES IN OBSTETRICS AND GYNECOLOGY, 58巻, 2号, pp. 225-228(2) (2), 225 - 228, Japanese
- Nov. 2005, INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 15(6) (6), 1163 - 1165, EnglishA case of postirradiation vaginal angiosarcoma treated with recombinant interleukin-2 therapy[Refereed]Introduction scientific journal
- 2005, Clinical and Experimental Obstetrics and Gynecology, 32(3) (3), 199 - 200, EnglishPregnancy complicated with pulmonary lymphangioleiomyomatosis: Case report[Refereed]Introduction scientific journal
- 2005, EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, 26(5) (5), 511 - 513, EnglishAdenofibromasarcoma originating from a mural nodule of ovarian serous cystadenoma[Refereed]Introduction scientific journal
- 日本産科婦人科学会, 2004, 日本産科婦人科學會雜誌, 56(2) (2), 404 - 404, English6-24.Tumor Necrosis Factor α-1031T/C promoter polymorphism is associated with an increased risk of endometriosis in a Japanese population.(Session 7 Reproduction 1) :
- 日本産科婦人科学会, 2004, 日本産科婦人科學會雜誌, 56(2) (2), 403 - 403, English6-23.Polymorphisms in Estrogen Receptor β Gene but not Estrogen Receptor α Gene Affect the Risk of Developing Endometriosis in a Japanese Population(Session 7 Reproduction 1) :
- 東京医学社, Mar. 2003, 周産期医学, 33(3) (3), 405 - 408, Japaneseイレウス合併妊娠4症例の臨床的検討--その診断と治療方針に関する考察
- 01 Mar. 2003, 日本小児科学会雑誌, 107(3) (3), 574, Japaneseゴナドトロピン非依存性思春期早発症で発症し,経過中に性中枢の早熟が誘発された甲状腺機能低下症の1例
- 日本産科婦人科学会, 2003, 日本産科婦人科學會雜誌, 55(2) (2), 182 - 182, Japanese子宮頸部扁平上皮細胞の癌化における活性型Notch 1発現の検討(第6群 子宮頸部悪性腫瘍6)
- 日本産科婦人科学会, 2002, 日本産科婦人科學會雜誌, 54(2) (2), 254 - 254, Japanese35 進行子宮頚癌に対する高用量経皮的骨盤灌流化学療法の有効性
- Others, 中外医学社, 2018, Japanese実践臨床生殖免疫学 / 大量免疫グロブリンScholarly book
- Others, 中外医学社, 2018, Japanese実践臨床生殖免疫学 / 凝固異常(血栓性素因)Scholarly book
- Others, 金原出版, 2018, Japanese産婦人科感染症マニュアル / インフルエンザScholarly book
- Others, 日本産科婦人科学会, 2016, Japanese産婦人科研修の必修知識2016~2018 / 常位胎盤早期剥離Scholarly book
- Others, 南山堂, 2016, Japanese抗リン脂質抗体症候群合併妊娠 診療ガイドライン / CQ3 産科的 APS のリスクにあった治療方法は ?Scholarly book
- Others, 南山堂, 2016, Japanese抗リン脂質抗体症候群合併妊娠 診療ガイドライン / CQ2 産科的APSのリスクの評価方法は ?Scholarly book
- Others, 西村書店, 2015, Japanese止血・血栓ハンドブック / 抗リン脂質抗体症候群と妊娠・分娩Scholarly book
- AMED 成育疾患克服等総合研究事業「母子感染に対する母子保健体制構築と医療開発技術のための研究」平成30年度第2回班会議, Dec. 2018, Japanese, 東京, Domestic conference先天性サイトメガロウイルス感染発生に関連する臨床・検査所見Others
- 第33回日本生殖免疫学会総会・学術集会, Nov. 2018, Japanese, 東京, Domestic conference不育症リスク因子としてのネオ・セルフ抗体Oral presentation
- 第33回日本生殖免疫学会総会・学術集会, Nov. 2018, Japanese, 東京, Domestic conference妊娠初期のプロテインS低値と産科異常との関連Oral presentation
- 第59回日本母性衛生学会総会・学術集会, Oct. 2018, Japanese, 新潟, Domestic conference分娩後出血に対するUAEの帰結およびUAE後の妊娠についての検討Poster presentation
- 第59回日本母性衛生学会総会・学術集会, Oct. 2018, Japanese, 新潟, Domestic conference不育症診療の現状と課題~さらなる妊娠予後改善にむけて~Invited oral presentation
- 第45回日本産婦人科医会学術集会, Oct. 2018, Japanese, 大阪, Domestic conference妊婦抗体スクリーニングおよび臨床所見による先天性サイトメガロウイルス感染の発生予知Poster presentation
- 第59回日本母性衛生学会総会・学術集会, Oct. 2018, Japanese, 新潟, Domestic conference神戸大学における不育症の臨床因子と妊娠予後の検討Poster presentation
- 第59回日本母性衛生学会総会・学術集会, Oct. 2018, Japanese, 新潟, Domestic conference子宮頸部上皮内新生物(CIN)合併妊娠における保存的管理に関する検討Oral presentation
- 第63回日本生殖医学会学術講演会・総会, Sep. 2018, Japanese, 旭川, Domestic conference不育症のトピックス~不育症とネオ・セルフNominated symposium
- The 20th congress of federation of asia oceania perinatal societies (FAOPS), Sep. 2018, English, Manila, International conferencePregnancy outcomes subsequent to uterine arterial embolization for severe post-partum hemorrhagePoster presentation
- International federation of placenta associations (IFPA) 2018 Tokyo, Sep. 2018, English, Tokyo, International conferencePlacental pathology of congenital cytomegalovirus infectionPoster presentation
- 第19回JSAWI, Aug. 2018, Japanese, 淡路, Domestic conference卵巣境界悪性腫瘍治療後にPET/CTで傍大動脈リンパ節転移を疑った傍神経節腫の1例Poster presentation
- 第42回日本産科婦人科栄養・代謝研究会, Aug. 2018, Japanese, 東京, Domestic conference卵巣癌患者における治療前Prognostic nutritional indexと予後Oral presentation
- 第42回日本産科婦人科栄養・代謝研究会, Aug. 2018, Japanese, 東京, Domestic conference胎児甲状腺腫を来たしたT3優位型バセドウ病合併妊娠の2例Oral presentation
- 第41回日本母体胎児医学会学術集会, Aug. 2018, Japanese, 東京, Domestic conference胎児甲状腺腫を来たしたT3優位型バセドウ病合併妊娠の2例Oral presentation
- 第42回日本産科婦人科栄養・代謝研究会, Aug. 2018, Japanese, 東京, Domestic conferenceメトホルミンが著効したインスリン抵抗症合併妊娠の1例Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference妊婦のB型肝炎スクリーニングと垂直感染予防Oral presentation
- 第 54 回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京都, Domestic conference尿サイトメガロウイルス(CMV)スクリーニングで同定した先天性CMV感染児の前方視的観察研究Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference当院不育症外来における不育症リスク因子と治療成績Poster presentation
- 第 54 回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京都, Domestic conference当院における先天性トキソプラズマ感染症の発生に関する臨床前向き研究Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference胎児発育不全児の予後不良に関連する因子の検討Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference先天性サイトメガロウイルス感染の胎盤病理Oral presentation
- 第92回兵庫県産婦人科学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conference進行卵巣・腹膜癌における腹水セルブロック法による免疫組織化学の検討Oral presentation
- 第 54 回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京都, Domestic conference症候性先天性CMV感染児の1歳6か月時点でのDQ<70と関連する新生児期リスク因子の後方視的検討Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference症候性の先天性サイトメガロウイルス感染症に対する胎児治療と新生児治療Oral presentation
- AMED成育疾患克服等次世代育成基盤研究事業「不育症の原因解明、予防治療に関する研究」平成30年度 第1回班会議, Jul. 2018, Japanese, 東京, Domestic conference抗β2GPI/HLA-DR抗体と不育、産科異常との関連解明と治療指針の確立Others
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conference維持透析療法を要した腎不全合併妊娠3例Oral presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conferenceトキソプラズマ妊婦スクリーニングの前向きコホート研究Poster presentation
- 第54回日本周産期・新生児医学会学術集会, Jul. 2018, Japanese, 東京, Domestic conferenceトキソプラズマ抗体妊婦スクリーニングの前向きコホート研究Poster presentation
- 第92回兵庫県産婦人科学会学術集会, Jul. 2018, Japanese, 神戸, Domestic conferenceCIN2患者に対するレーザー蒸散術の検討(第二報)Oral presentation
- 第138回近畿産科婦人科学会総会, Jun. 2018, Japanese, 大阪, Domestic conference妊婦のB型肝炎スクリーニングと垂直感染予防Oral presentation
- 第138回近畿産科婦人科学会総会, Jun. 2018, Japanese, 大阪, Domestic conference子宮頚部上皮内新生物(CIN)合併妊娠における保存的管理に関する検討Oral presentation
- 第138回近畿産科婦人科学会総会, Jun. 2018, Japanese, 大阪, Domestic conferenceトラベクテジンにより長期間病勢コントロールを行った平滑筋肉腫の一例Oral presentation
- 第138回近畿産科婦人科学会総会, Jun. 2018, Japanese, 大阪, Domestic conferencePPAPスコアリングシステムを用いた前置胎盤の管理Oral presentation
- The 38th annual meeting of the american sciety for reproductive immunology, Jun. 2018, English, Shanghai, International conferenceAutoantibodies against β2-glycoprotein I/HLA class II complexes in women with recurrent pregnancy lossOral presentation
- 第35回日本産婦人科感染症学会学術集会, May 2018, Japanese, 岐阜, Domestic conference症候性の先天性サイトメガロウイルス感染症に対する胎児治療と新生児治療の有効性Oral presentation
- 第35回日本産婦人科感染症学会学術集会, May 2018, Japanese, 岐阜, Domestic conferenceトキソプラズマ抗体妊婦スクリーニングに関する前向きコホート研究Oral presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceThree cases of complete hydatidiform mole coexistent with a live twin fetusPoster presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceThe distribution of etiology and therapy outcomes of recurrent pregnancy loss at our recurrent pregnancy loss clinicPoster presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceRisk factors for congenital cytomegalovirus infection in pregnant women with non-primary infectionOthers
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferencePrenatal genetic diagnosis for neonatal alloimmune thrombocytepenia for women with the history of neonatal alloimmune thrombocytopeniaPoster presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferencePregnancy outcomes subsequent to uterine arterial embolization for severe post-partum hemorrhagePoster presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceImmunoglobulin fetal therapy for symptomatic congenital cytomegalovirus infectionPoster presentation
- 第35回日本産婦人科感染症学会学術集会, May 2018, Japanese, 岐阜, Domestic conferenceHBV妊婦スクリーニングと母子感染予防の前向き研究Oral presentation
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceEfficacy of maternal screening and perinatal prevention program for hepatitis BPublic symposium
- 第70回日本産科婦人科学会学術講演会, May 2018, English, 仙台, Domestic conferenceDomainV of β2GPI has very high affinity with MHC class IIPoster presentation
- 第51回 日本臨床腎移植学会, Feb. 2018, Japanese, 日本臨床腎移植学会, Kobe, 神戸, Domestic conferenceCKD4Tで挙児に至ったIgA腎症の一例Poster presentation
- 第32回日本生殖免疫学会総会・学術集会, Dec. 2017, Japanese, 日本生殖免疫学会, 東京, Domestic conference先天性サイトメガロウイルス感染児の聴性脳幹反応に対する抗ウイルス薬治療の効果Oral presentation
- 第32回日本生殖免疫学会総会・学術集会, Dec. 2017, Japanese, 日本生殖免疫学会, 東京, Domestic conference抗ウイルス薬治療を行った症候性先天性サイトメガロウイルス感染児の1歳6か月時の神経学的予後評価と予後不良因子の検討Oral presentation
- 第32回日本生殖免疫学会総会・学術集会, Dec. 2017, Japanese, 日本生殖免疫学会, 東京, Domestic conferenceトキソプラズマ妊婦スクリーニングの前向きコホート研究Oral presentation
- 第32回日本生殖免疫学会総会・学術集会, Dec. 2017, Japanese, 日本生殖免疫学会, 東京, Domestic conferenceサイトメガロウイルス[Invited]Nominated symposium
- 第47回 日本腎臓学会西部学術大会, Oct. 2017, Japanese, 日本腎臓学会, Okayama, 岡山, Domestic conference妊娠中にネフローゼ症候群を発症し、ステロイドおよび血漿交換にて完全寛解に至った一例Oral presentation
- 母性衛生, Sep. 2017, Japanese不育症 体のケアと心のケア 治療抵抗性、難治性の習慣流産に対する治療[Invited]Oral presentation
- 第53回日本周産期・新生児医学会学術集会, Jul. 2017, Japanese, 日本周産期・新生児医学会, 横浜, Domestic conference先天性CMV感染児の出生体重と神経学的予後に関する検討Oral presentation
- 第69回日本産科婦人科学会学術集会, May 2017, Japanese, 日本産婦人科学会, 広島, Domestic conference胎児腹水を呈した症候性先天性サイトメガロウイルス感染症3例の出生後の臨床経過Poster presentation
- 第60回日本糖尿病学会年次学術集会, May 2017, Japanese, 日本糖尿病学会, 名古屋, Domestic conference持続血糖モニターを用いた妊娠糖尿病患者における分娩中の血糖動態の検討Poster presentation
- 第34回日本産婦人科感染症学会, May 2017, Japanese, 日本産婦人科感染症学会, 奈良, Domestic conferenceトキソプラズマ妊婦スクリーニングの前向き研究Oral presentation
- 21st International Conference on Prenatal Diagnosis and Therapy, May 2017, English, International Society for Prenatal Diagnosis, San Diego, USA, International conferenceTwo cases of prenatal genetic diagnosis for neonatal alloimmune thrombocytopenia for women with the history of neonatal alloimmune thrombocytopenia in the prior pregnancyPoster presentation
- 21st International Conference on Prenatal Diagnosis and Therapy, May 2017, English, International Society for Prenatal Diagnosis, San Diego, USA, International conferenceNoninvasive methods for predicting congenital cytomegalovirus infection in high-risk pregnant womenPoster presentation
- 第69回日本産科婦人科学会学術集会, May 2017, Japanese, 日本産婦人科学会, 広島, Domestic conferenceEfficacy of maternal serological screening for congenital cytomegalovirus infectionPoster presentation
- 第31回日本生殖免疫学会, Dec. 2016, Japanese, 日本生殖免疫学会, 神戸, Domestic conference妊婦のサイトメガロウイルス抗体スクリーニングの有用性Oral presentation
- 第32回日本糖尿病・妊娠学会学術集会, Dec. 2016, Japanese, 日本糖尿病・妊娠学会, 岡山, Domestic conferenceインスリン使用/非使用GDM症例におけるインスリン分泌能・感受性指標の比較Oral presentation
- 第32回日本糖尿病・妊娠学会年次学術集会, Nov. 2016, Japanese, 日本糖尿病・妊娠学会, 岡山, Domestic conferenceインスリン使用/非使用GDM症例における インスリン分泌能・感受性指標の比較Oral presentation
- 第52回日本周産期・新生児医学会学術集会, Jul. 2016, Japanese, 日本周産期・新生児医学会, 富山, Domestic conference胎児甲状腺機能亢進症を来たしたT3優位型バセドウ病合併妊娠の1例Poster presentation
- 第52回日本周産期・新生児医学会学術集会, Jul. 2016, Japanese, 日本周産期・新生児医学会, 富山, Domestic conference新生児同種免疫性血小板減少症の3例Poster presentation
- 第52回日本周産期・新生児医学会学術集会, Jul. 2016, Japanese, 日本周産期・新生児医学会, 富山, Domestic conferenceシンポジウム:本邦におけるパルボウイルスB19母子感染の実態[Invited]Nominated symposium
- 第33回日本産婦人科感染症学会学術集会, Jul. 2016, Japanese, 日本産婦人科感染症学会, 東京, Domestic conferenceMycoplasma hominisisによる子宮内感染から新生児遷延性肺高血圧症を呈した早産児の1例Oral presentation
- 第34回日本産婦人科感染症学会学術集会, Jul. 2016, Japanese, 日本産婦人科感染症学会, 東京, Domestic conferenceIgG avidity とPCR 法を用いたサイトメガロウイルス妊婦スクリーニングOral presentation
- 第134回近畿産科婦人科学会, Jun. 2016, Japanese, 近畿産科婦人科学会, 京都, Domestic conference胎児甲状腺機能亢進症を来たしたTRAb著明高値バセドウ病合併妊娠の一例Oral presentation
- 第134回近畿産科婦人科学会, Jun. 2016, Japanese, 近畿産科婦人科学会, 京都, Domestic conferenceIgG avidityとPCR法を用いたサイトメガロウイルス妊婦スクリーニングOral presentation
- 第68回日本産科婦人科学会, Apr. 2016, Japanese, 日本産科婦人科学会, 東京, Domestic conference先天性サイトメガロウイルス感染症児における生後早期の頭部MRI所見Poster presentation
- 第68回日本産科婦人科学会, Apr. 2016, Japanese, 日本産科婦人科学会, 東京, Domestic conference新生児同種免疫性血小板減少症の2例:過去の妊娠で児が新生児同種免疫性血小板減少症を発症した女性の周産期管理Poster presentation
- 第68回日本産科婦人科学会, Apr. 2016, Japanese, 日本産科婦人科学会, 東京, Domestic conferenceThe effect of maternal screening for HBV and perinatal HBV prevention programPoster presentation
- 第68回日本産科婦人科学会, Apr. 2016, Japanese, 日本産科婦人科学会, 東京, Domestic conferenceMaternal blood screening for congenital cytomegalovirus infection of the infantsPoster presentation
- 第34回周産期学シンポジウム, Feb. 2016, Japanese, 日本周産期新生児医学会, 神戸, Domestic conference「母児の予後からみた娩出のタイミングと方法」、癒着胎盤予測スコアを用いた前置胎盤の手術管理Public symposium
- 第1回産婦人科遺伝診療学会, Dec. 2015, Japanese, 産婦人科遺伝診療学会, 長崎, Domestic conference先天性アンチトロンビン欠乏症合併妊婦における遺伝子解析結果と臨床像の検討Oral presentation
- 第31回日本糖尿病・妊娠学会年次学術集会, Nov. 2015, Japanese, 日本糖尿病・妊娠学会, 東京, Domestic conference糖代謝異常合併妊娠における 必要インスリンの増加量および関連因子の検討Oral presentation
- 第31回日本糖尿病・妊娠学会年次学術集会, Nov. 2015, Japanese, 日本糖尿病・妊娠学会, 東京, Domestic conference1型糖尿病合併妊娠患者における 産後の血糖コントロールに 関する検討Oral presentation
- 第38回日本母体胎児医学会, Oct. 2015, Japanese, 日本母体胎児医学会, 別府, Domestic conference妊娠中に急性増悪を来したB型肝炎ウイルスキャリア妊婦の2例Oral presentation
- 第51回日本周産期・新生児医学会総会学術集会, Jul. 2015, Japanese, 日本周産期・新生児医学会, 福岡, Domestic conference新生児尿スクリーニングと抗ウイルス薬治療導入後の症候性先天性サイトメガロウイルス感染児の後遺症発生率Oral presentation
- 第32回日本産婦人科感染症学会学術講演会, May 2015, Japanese, 日本産婦人科感染症学会, 宇都宮, Domestic conference新生児尿スクリーニングと抗ウイルス薬治療導入後の症候性先天性サイトメガロウイルス感染児の後遺症発生率Oral presentation
- 第32回日本産婦人科感染症学会学術講演会, May 2015, Japanese, 日本産婦人科感染症学会, 宇都宮, Domestic conference症候性先天性サイトメガロウイルス感染児の聴性脳幹反応に対する抗ウイルス薬治療の効果と問題点Oral presentation
- 第32回日本産婦人科感染症学会学術講演会, May 2015, Japanese, 日本産婦人科感染症学会, 宇都宮, Domestic conferenceサイトメガロウイルス胎児感染の母体IgG avidity indexは急速に上昇するOral presentation
- 第32回日本産婦人科感染症学会学術講演会, May 2015, Japanese, 日本産婦人科感染症学会, 宇都宮, Domestic conferenceサイトメガロウイルスIgM 陽性妊婦における先天性感染発生の予測因子Oral presentation
- 第32回日本産婦人科感染症学会学術講演会, May 2015, Japanese, 日本産婦人科感染症学会, 宇都宮, Domestic conferenceIgG avidity とPCR 法を用いたサイトメガロウイルス妊婦スクリーニングOral presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, Japanese, 日本産科婦人科学会, 横浜, Domestic conference免疫グロブリンを用いたサイトメガロウイルス胎児感染予防と胎児治療Poster presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, Japanese, 日本産科婦人科学会, 横浜, Domestic conference全新生児を対象とした尿サイトメガロウイルススクリーニングの臨床的有用性Poster presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, Japanese, 日本産科婦人科学会, 横浜, Domestic conference先天性トキソプラズマ感染の出生前予測に有用なトキソプラズマIgG avidity index cut-off 値Oral presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, Japanese, 日本産科婦人科学会, 横浜, Domestic conference切迫早産入院管理の結果、妊娠29週未満で早産となった児の予後解析Poster presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, Japanese, 日本産科婦人科学会, 横浜, Domestic conference症候性先天性サイトメガロウイルス感染児の聴性脳幹反応に対する抗ウイルス薬治療の効果Poster presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, Japanese, 日本産科婦人科学会, 横浜, Domestic conference抗SS-A抗体陽性妊婦の胎児大動脈-上大静脈房室伝導時間スクリーニングと先天性完全房室ブロックの発生予防Poster presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, Japanese, 日本産科婦人科学会, 横浜, Domestic conferenceサイトメガロウイルスIgM陽性妊婦における先天性感染発生の予知因子Oral presentation
- 5th International Congenital CMV Conference, Apr. 2015, English, The QIMR Berghofer Medical Research Institute, Brisbane, オーストラリア, International conferenceIncidence of sequelae in symptomatic congenital cytomegalovirus-infected infants after introduction of newborn urine screening and antiviral treatment.Poster presentation
- Asian Society for Pediatric Research, Apr. 2015, English, osaka, Japan, International conferenceFollow-Up Study of Infants With Symptomatic Congenital Cytomegalovirus Infection Diagnosed by Urine Screening Soon After BirthPoster presentation
- Pediatric Academic Societies Annual Meeting, Apr. 2015, English, Pediatric Academic Societies, San Diego, アメリカ, International conferenceEfficacy of antiviral treatment on abnormal auditory brainstem responses in congenital cytomegalovirus-infected infants.Poster presentation
- 5th International Congenital CMV Conference, Apr. 2015, English, The QIMR Berghofer Medical Research Institute, Brisbane, オーストラリア, International conferenceEfficacy of antiviral treatment on abnormal auditory brainstem responses in congenital cytomegalovirus-infected infants.Poster presentation
- 2015 Pediatric Academic Society Annual Meeting, Apr. 2015, English, osaka, Japan, International conferenceEfficacy of Antiviral Treatment on Abnormal Auditory Brainstem Responses in Congenital Cytomegalovirus-Infected InfantsPoster presentation
- 第67回日本産科婦人科学会学術講演会, Apr. 2015, English, 日本産科婦人科学会, 横浜, Domestic conferenceA rapid increase of serum IgG avidity index in women with a congenital cytomegalovirus infection.Poster presentation
- 第25回 腎と妊娠研究会, Mar. 2015, Japanese, 腎と妊娠研究会, 横浜, Domestic conference1型糖尿病性腎症・顕性腎症期に妊娠、出産した一症例Public discourse
- 第29回日本生殖免疫学会学術集会, Dec. 2014, Japanese, 日本生殖免疫学会, 東京, Domestic conferenceプロテインS低下女性に対する遺伝子検査の現状Oral presentation
- 厚生労働科学研究助成金(成育疾患克服等次世代育成基盤研究事業)『母子感染の実態把握及び検査・治療に関する研究』平成26年度第3回会議, Dec. 2014, Japanese, 東京, Domestic conferenceサイトメガロウイルスIgM陽性妊婦における先天性感染発生予知のための前方視的研究Oral presentation
- 第59回日本人類遺伝学会・第21回日本遺伝子診療学会合同大会, Nov. 2014, Japanese, 日本人類遺伝学会・日本遺伝子診療学会, 東京, Domestic conference先天性アンチトロンビン欠乏症合併妊婦における血栓塞栓症の管理~遺伝子解析結果と臨床像の検討~Oral presentation
- 第30回日本糖尿病・妊娠学会年次学術集会, Nov. 2014, Japanese, 日本糖尿病・妊娠学会, 長崎, Domestic conference受容体以後のシグナル伝達障害によるインスリン抵抗症を合併し、妊娠中もメトホルミン投与を要した一例Oral presentation
- 第30回糖尿病・妊娠学会年次学術集会, Nov. 2014, Japanese, 糖尿病・妊娠学会, 長崎, Domestic conference受容体以後のシグナル伝達障害によるインスリン抵抗症が疑われ妊娠中メトホルミンが著効した1例Oral presentation
- 第57回日本甲状腺学会学術集会, Nov. 2014, Japanese, 日本甲状腺学会, 大阪, Domestic conferenceバセドウ病合併妊娠における産科異常と新生児甲状腺機能異常発症の危険因子の検討Oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産科婦人科学会, 大阪, Domestic conference免疫グロブリン投与によるサイトメガロウイルス母子感染予防の試みOral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference不育症診断・治療の最近の話題Keynote oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference不育症と生化学的妊娠Oral presentation
- 第44回 日本腎臓学会西部学術大会, Oct. 2014, Japanese, 日本腎臓学会, 神戸, Domestic conference妊娠により1型糖尿病の悪化をみとめ腎生検を施行した1例Oral presentation
- 第38回日本産婦人科手術学会, Oct. 2014, Japanese, 日本産婦人科手術学会, 札幌, Domestic conference内腸骨動脈閉鎖バルーンカテーテルを用いた前置癒着胎盤に対する帝王切開術Oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference先天性トキソプラズマ感染症の出生前予測に有用なトキソプラズマ IgG avidity index cut-off値Oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産科婦人科学会, 大阪, Domestic conference症候性先天性サイトメガロウイルス感染に対する免疫グロブリンを用いた胎児治療Oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference治療抵抗性の抗リン脂質抗体症候群合併妊娠に対する大量免疫グロブリン療法Oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference原因不明の難治性習慣流産14例に対する60g免疫グロブリン療法Oral presentation
- 第131回近畿産科婦人科学会学術集会, Oct. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conferenceプロテインS低下女性に対する遺伝子検査の現状Oral presentation
- The 16th Japanese Society for the Advancement of Women's Imaging, Aug. 2014, Japanese, TheJapanese Society for the Advancement of Women's Imaging, 兵庫, Domestic conference母体血清AFP上昇を伴ったBreus Moleの1例Poster presentation
- 第50回日本周産期・新生児医学会学術集会, Jul. 2014, Japanese, 日本周産期・新生児医学会, 千葉, Domestic conference胎盤トキソプラズマ感染を認めた2例Poster presentation
- 第50回日本周産期・新生児医学会学術集会, Jul. 2014, Japanese, 日本周産期・新生児医学会, 浦安, Domestic conference胎盤トキソプラズマ感染を認めた2症例Oral presentation
- 第56回日本婦人科腫瘍学会学術講演会, Jul. 2014, Japanese, 第57回日本婦人科腫瘍学会, 宇都宮, Domestic conference子宮体癌根治術における廓清リンパ節および子宮筋層にリンパ脈管筋腫症細胞を認めた一例Oral presentation
- 第50回日本周産期・新生児医学会学術集会, Jul. 2014, Japanese, 日本周産期・新生児医学会, 千葉, Domestic conference近年日本における母子感染の実態Oral presentation
- 第50回日本周産期・新生児医学会学術集会, Jul. 2014, Japanese, 日本周産期・新生児医学会, 浦安, Domestic conferenceインスリン治療を要した妊娠糖尿病妊婦の臨床像Oral presentation
- 39th Annual International Herpesvirus Workshop, Jul. 2014, English, Kobe, Japan, International conferenceThe IgG avidity value for the prediction of congenital cytomegalovirus infection in a prospective cohort study[Invited]Nominated symposium
- 39th Annual International Herpesvirus Workshop, Jul. 2014, English, Kobe, Japan, International conferenceRapid increase in CMV IgG avidity correlates with cytomegalovirus transmission to the fetusPoster presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conference母体血サイトメガロウイルスIgG avidity 測定による先天性感染の発生予知Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conference妊娠中の水痘初感染により子宮内胎児死亡に至った1例Oral presentation
- 第130回近畿産科婦人科学会学術集会, Jun. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference妊娠に関連した高安病の6症例Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conference胎盤トキソプラズマ感染を認めた2症例Oral presentation
- 第55回日本臨床ウイルス学会, Jun. 2014, Japanese, 日本臨床ウイルス学会, 札幌, Domestic conference全国産科施設を対象としたパルボウイルスB19母子感染の実態調査Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conference全国産科施設を対象としたパルボウイルスB19母子感染の実態調査Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conference全国産科施設を対象としたCMV、トキソプラズマ、風疹、梅毒、単純ヘルペス母子感染の実態調査Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conference先天性サイトメガロウイルス(CMV)感染の診断における新生児血中CMV-IgM、アンチゲネミア、CMV-DNA の意義Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conference症候性先天性サイトメガロウイルス感染児に対する抗ウイルス薬治療Oral presentation
- 第88回兵庫県産科婦人科学会学術集会, Jun. 2014, Japanese, 日本産科婦人科学会, 神戸, Domestic conference周産期リステリア症の2例Oral presentation
- 第130回近畿産科婦人科学会学術集会, Jun. 2014, Japanese, 近畿産婦人科学会, 大阪, Domestic conference子宮下部から子宮前壁を走行する卵膜血管を認めた2例Oral presentation
- 第88回兵庫県産科婦人科学会学術集会, Jun. 2014, Japanese, 日本産科婦人科学会, 神戸, Domestic conference筋強直性ジストロフィー合併妊娠の2例Oral presentation
- 平成26年度兵庫県母性衛生学会学術集会, Jun. 2014, Japanese, 兵庫県母性衛生学会, 神戸, Domestic conference寒冷凝集素症合併妊娠の一例Oral presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conferenceサイトメガロウイルス先天性感染例においてIgG avidity index は急速に増加するOral presentation
- 第55回日本臨床ウイルス学会, Jun. 2014, Japanese, 日本臨床ウイルス学会, 札幌, Domestic conferenceサイトメガロウイルス先天性感染例においてIgG avidity indexは急速に増加するOral presentation
- The 39th Annual International Herpesvirus Workshop, Jun. 2014, English, NOVARTIS, 神戸, International conferenceThe IgG avidity value for the prediction of congenital cytomegalovirus infection in a prospective cohort study.Poster presentation
- The 39th Annual International Herpesvirus Workshop, Jun. 2014, English, NOVARTIS, 神戸, International conferenceRapid increase in CMV IgG avidity correlates with cytomegalovirus transmission to the fetus.Poster presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conferenceMHCクラスII の新しい抗原提示機能は抗リン脂質抗体症候群の病態と関連するOral presentation
- The 39th Annual International Herpesvirus Workshop, Jun. 2014, English, NOVARTIS, 神戸, International conferenceLow total IgM values and high cytomegalovirus loads in the blood of newborns with symptomatic congenital cytomegalovirus infection.Poster presentation
- 第31回日本産婦人科感染症研究会, Jun. 2014, Japanese, 日本産婦人科感染症研究会, 神戸, Domestic conferenceIgG AvidityとPCR法を用いたサイトメガロウイルス妊婦スクリーニング【シンポジウム】母子感染~妊婦スクリーニングの効果と課題~Public symposium
- 第130回近畿産科婦人科学会学術集会, Jun. 2014, Japanese, 近畿産科婦人科学会, 大阪, Domestic conferenceIgG avidityとPCR法を用いたサイトメガロウイルス妊婦スクリーニングOral presentation
- 日本超音波医学会第87回学術集会, May 2014, Japanese, 日本超音波医学会, 横浜, Domestic conference妊娠35週より急速に増大した胎児脳腫瘍の1例Oral presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference分娩後出血に対する選択的動脈塞栓術無効に関連する因子の検討Others
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference不育症患者における非妊娠時の末梢血NK細胞活性と妊娠帰結Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference不育症および自己免疫疾患における抗リン脂質抗体陽性患者の妊娠帰結Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference妊娠35週より急速に増大した胎児脳腫瘍の1例Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference先天性サイトメガロウイルス(CMV)感染の診断における新生児血中CMV-IgM、アンチゲネミア、CMV-DNAの意義Public symposium
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference人工透析導入を回避しえた糖尿病性腎症3B期合併妊娠の1例Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference治療抵抗性の抗リン脂質抗体症候群合併妊娠に対する大量免疫グロブリン療法Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference抗リン脂質抗体症候群母体から出生した児に胃破裂を発症した1例Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference原因不明かつ6回以上自然流産の既往のある治療抵抗性・難治性習慣流産14人に対する60g免疫グロブリン療法Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference近年日本における母子感染の実態Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference近年における母子感染の実態Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conference急速なIgG Avidity index上昇はサイトメガロウイルス先天性感染の発生予知因子であるPoster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conferenceプロテインS低下不育症の妊娠帰結Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, English, 日本産科婦人科学会, 東京, Domestic conferenceThe IgG avidity value for the prediction of congenital cytomegalovirus infection in a prospective cohort study.Public symposium
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conferenceIgG avidityとPCR法を用いたサイトメガロウイルス妊婦スクリーニングPoster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, Japanese, 日本産科婦人科学会, 東京, Domestic conferenceHLAクラスII/β2-glycoprotein Iタンパク質複合体は抗リン脂質抗体症候群の病態に関わる主要な標的分子である。Poster presentation
- 第66回日本産科婦人科学会学術講演会, Apr. 2014, English, 日本産科婦人科学会, 東京, Domestic conferenceAssociation between protein C, protein S, factor XII, and spontaneous abortion, adverseOthers
- 平成26年度位育会総会, Feb. 2014, Japanese, 位育会, 神戸, Domestic conferenceMHC class IIの新しい抗原提示機構は抗リン脂質抗体症候群の病態に関連するOthers
- 第5回神戸産婦人科臨床フォーラム, Jan. 2014, Japanese, 兵庫県産科婦人科学会, 神戸, Domestic conferenceIgG avidityとPCR法を用いたサイトメガロウイルス妊婦スクリーニングOral presentation
- 平成25年度大阪大学微生物病研究所業績発表会, Jan. 2014, Japanese, 大阪大学, 大阪, Domestic conferenceCellular misfolded proteins transported to the cell surface by MHC class II molecules are targets for autoantibodies in autoimmune diseasesOral presentation
- 日本生殖医学会雑誌, Oct. 2013, Japanese当院におけるプロテインS低下症例に関する検討
- 日本産科婦人科學會雜誌, 2012, Japanese, 日本産科婦人科学会K2-7-2 卵母細胞由来Interleukin 7(IL-7)はPI3K/AKT回路を介し卵巣顆粒膜細胞のアポトーシスを抑制し卵母細胞の核成熟を促進する(高得点演題7,生殖医学)
- 日本周産期・新生児医学会雑誌, 2010, Japanese, 日本周産期・新生児医学会先天性アンチトロンビンIII欠乏症合併妊娠9例の検討
- 日本周産期・新生児医学会雑誌, 2010, Japanese, 日本周産期・新生児医学会Pregnancy outcome in patients with systemic lupus erythematosus
- 日本周産期・新生児医学会雑誌, 2010, Japanese, 日本周産期・新生児医学会Uterine Artery Embolization for Obstetrical Hemorrhage
- 日本皮膚科学会第416回大阪地方会, Dec. 2009, Japanese, 大阪地方会, 大阪, Domestic conferenceICG蛍光法を用いて術中骨盤内lymphnode navigationを施行した腟悪性黒色腫の1例Oral presentation
- 第117回近畿産科婦人科学会学術集会, Nov. 2007, Japanese, 近畿産科婦人科学会, 大阪, Domestic conference持効型溶解インスリンアナログを用いた一型糖尿病合併妊婦の管理経験Oral presentation
- 第117回近畿産科婦人科学会学術集会, Nov. 2007, Japanese, 近畿産科婦人科学会, 大阪, Domestic conference巨大外陰部腫瘤の一症例Oral presentation
- 第43回日本周産期・新生児医学会学術集会, Jul. 2007, Japanese, 日本周産期・新生児医学会, 東京, Domestic conference第一子が前期破水の二絨毛膜双胎の肺低形成評価に三次元超音波検査が有用であった一例Oral presentation
- 第81回兵庫県産科婦人科学会学術集会, Jul. 2007, Japanese, 兵庫県産科婦人科学会, 神戸, Domestic conference治療に苦慮したリンパ嚢腫症例Oral presentation
- 第43回日本周産期・新生児医学会学術集会, Jul. 2007, Japanese, 日本周産期・新生児医学会, 東京, Domestic conference産後大量出血のため内腸骨動脈塞栓術を受けた後の妊娠で癒着胎盤をきたした一症例Oral presentation
- The7thInternationalOperativeWorkshop, Jul. 2007, English, Frauenklinik, Klinikum Bayreuth Gmbh, Mayo Clinic, USA, Bayreuth, Germany, International conferenceSuper high-dose intraarterial CDDP infusion under percutaneous pelvic perfusion with extracorporeal chemofiltration for advanced uterine cervical cancer[Invited]Invited oral presentation
- 第116回近畿産科婦人科学会学術集会, Jun. 2007, Japanese, 近畿産科婦人科学会, 大津, Domestic conference当院で経験した腹膜偽粘液腫十一症例の検討Oral presentation
- 第59回日本産科婦人科学会学術講演会, Apr. 2007, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮内膜症におけるVascular endothelial growth factor遺伝子多型の解析Oral presentation
- 第59回日本産科婦人科学会学術講演会, Apr. 2007, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮内膜症におけるepithelial growth factor ならびに epithelial growth factor receptor 遺伝子多型の解析Oral presentation
- 第59回日本産科婦人科学会学術講演会, Apr. 2007, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮体癌におけるvascular endothelial growth factor遺伝子多型の解析Oral presentation
- 第59回日本産科婦人科学会学術講演会, Apr. 2007, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮体癌におけるepidermal growth factor receptor, human epidermal growth factor receptor 2 遺伝子多型の解析Oral presentation
- 第59回日本産科婦人科学会学術講演会, Apr. 2007, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮体癌におけるcatechol-O-methyltransferase遺伝子多型の解析Oral presentation
- 第59回日本産科婦人科学会学術講演会, Apr. 2007, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮筋腫におけるcatechol-O-methyltransferase遺伝子多型の解析Oral presentation
- 第22回日本糖尿病・妊娠学会、ワークショップ, Nov. 2006, Japanese, 日本糖尿病・妊娠学会, 東京, Domestic conferenceインスリンアナログによる糖尿病合併妊婦の治療 持効型溶解インスリンアナログを用いた一型糖尿病合併妊婦の管理経験Oral presentation
- 第44回日本癌治療学会, Oct. 2006, Japanese, 日本癌治療学会, 東京, Domestic conference当科での子宮癌肉腫十三症例の検討Poster presentation
- 第44回日本癌治療学会, Oct. 2006, Japanese, 日本癌治療学会, 東京, Domestic conference過去五年間に経験した腹膜偽粘液腫十一症例の検討Poster presentation
- 第42回日本周産期・新生児医学会学術集会, Jul. 2006, Japanese, 日本周産期・新生児医学会, 宮崎, Domestic conference食道静脈瘤からの出血を繰り返したアルコール性肝硬変合併妊娠の管理経験Oral presentation
- 第58回日本産科婦人科学会総会・学術講演会, Apr. 2006, Japanese, 日本産科婦人科学会, 横浜, Domestic conference子宮体癌発症におけるMatrix metalloproteinase-1, -9遺伝子多型の解析Poster presentation
- 第58回日本産科婦人科学会総会・学術講演会, Apr. 2006, Japanese, 日本産科婦人科学会, 横浜, Domestic conference子宮筋腫におけるMatrix metalloproteinase(MMP)-1ならびにMMP-9遺伝子多型の解析Poster presentation
- 第58回日本産科婦人科学会総会・学術講演会, Apr. 2006, Japanese, 日本産科婦人科学会, 横浜, Domestic conferenceIVF-ET試行後に重症OHSSと左鎖骨下静脈血栓症を発症した二症例Poster presentation
- 第113回近畿産婦人科学会, Oct. 2005, Japanese, 近畿産婦人科学会, 滋賀, Domestic conference当科における産科出血に対する選択的子宮動脈塞栓術の現況Oral presentation
- 第17回兵庫県母性衛生学会, Jul. 2005, Japanese, 兵庫県母性衛生学会, 神戸, Domestic conference肺リンパ管筋腫症合併妊娠の1例Oral presentation
- 第79回兵庫県産婦人科学会, Jul. 2005, Japanese, 兵庫県産婦人科学会, 神戸, Domestic conference妊娠28週で発症し寛解導入後に帝王切開術で健児を得たALLの1例Oral presentation
- 6th International Operative Workshop, Jul. 2005, English, Bayreuth, International conferenceUpdate of neoadjuvant chemotherapy using percutaneous pelvic perfusion with extracorporeal chemofiltration (PPPEC) for advanced uterine cervical carcinoma[Invited]Invited oral presentation
- 第112回近畿産婦人科学会, Jun. 2005, Japanese, 近畿産婦人科学会, 和歌山, Domestic conference肺リンパ管筋腫症合併妊娠の1例Oral presentation
- 第五十七回日本産科婦人科学会総会・学術講演会, Apr. 2005, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮内膜症における N-acetyltransferase (NAT) 1ならびに NAT2 遺伝子領域におけるTDT (伝達不平衡) 解析Oral presentation
- 第五十七回日本産科婦人科学会総会・学術講演会, Apr. 2005, Japanese, 日本産科婦人科学会, 京都, Domestic conference子宮内膜症における Intercellular adhesion molecule-1 (ICAM-1) 遺伝子多型の解析Oral presentation
- 第五十七回日本産科婦人科学会総会・学術講演会, Apr. 2005, Japanese, 日本産科婦人科学会, 京都, Domestic conferenceシスプラチン感受性卵巣癌細胞の増殖とアポトーシスに及ぼす Imatinib mesylate の影響の検討Oral presentation
- 第五十六回日本産科婦人科学会学術講演会, Apr. 2004, Japanese, 日本産科婦人科学会, 東京, Domestic conference日本人子宮筋腫患者における CYP17MspA1 遺伝子多型の解析Oral presentation
- 第五十六回日本産科婦人科学会学術講演会, Apr. 2004, Japanese, 日本産科婦人科学会, 東京, Domestic conference子宮内膜症における N-acetyltransferase (NAT)1 ならびに NAT2 遺伝子多型の解析Oral presentation
- 第五十六回日本産科婦人科学会学術講演会, Apr. 2004, Japanese, 日本産科婦人科学会, 東京, Domestic conference子宮内膜症における N-acetyltransferase (NAT) 1 ならびに NAT2遺伝子多型の解析 -家族性子宮内膜症と非家族性子宮内膜症の比較-Oral presentation
- 第五十六回日本産科婦人科学会学術講演会, Apr. 2004, Japanese, 日本産科婦人科学会, 東京, Domestic conference子宮筋腫患者における ERαならびに ERβ遺伝子多型の解析Oral presentation
- 第五十六回日本産科婦人科学会学術講演会, Apr. 2004, Japanese, 日本産科婦人科学会, 東京, Domestic conferenceTumor necrosis factor-α-1031T/C promoter polymorphism is associated with an increased risk of endometriosis in a Japanese populationOral presentation
- Special Lecture, Oct. 2003, English, Bali, International conferenceSuper high-dose intraarterial CDDP infusion under percutaneous pelvic perfusion with extracorporeal chemofiltration for advanced uterine cervical cancer[Invited]Invited oral presentation
- 第五十五回日本産科婦人科学会, Apr. 2003, Japanese, 日本産科婦人科学会, 福岡, Domestic conference子宮頸部扁平上皮細胞の癌化における活動型 Notch1 発現の検討Oral presentation
■ Research Themes
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 01 Apr. 2025 - 31 Mar. 2028末梢血・脱落膜免疫細胞プロファイル網羅的解析による不育症関連免疫異常の病態解析
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, 01 Apr. 2024 - 31 Mar. 2027Elucidation of the mechanism of neoself antibody-induced recurrent pregnancy loss using model mice and development of the treatment methods
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, 01 Apr. 2024 - 31 Mar. 2027Early diagnosis of ovarian cancer using vaginal secretion extracted miRNA and development of nucleic acid therapy using artificial exosomes
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 01 Apr. 2023 - 31 Mar. 2026ネオ・セルフ抗体による不妊症、子宮内膜症の病態解明と治療法の確立1)観察研究として、ネオ・セルフ抗体陽性の不育症女性のその後の47妊娠において、無治療とLDA/ヘパリン療法の生児獲得率を比較した。無治療6人とPSL 5mg/日2人の生産率50%(4人)に比べて、LDA/ヘパリン療法39人では生産率87.2%(34人)が上昇した(p<0.01)(投稿中)。 2)前向きコホート研究として、ART患者148人を含む不妊症女性224人において、同意を得てネオセルフ抗体を測定した、3回以上の胚移植後の着床不成功を反復着床不全(RIF)と定義した。不妊症の17.9%(40人)でネオセルフ抗体が陽性であった。不妊症女性において子宮内膜症(陽性率28.9%、OR 3.0、95%CI 1.3-7.0)が、またART患者においてはRIF(27.8%、2.9、1.1-8.1)が、ネオ・セルフ抗体陽性と関係する疾患であることを初めて明らかにした(J Reprod Immunol 2023)。抗体陽性の不妊症や反復着床不全には、LDA/ヘパリン療法が有効である可能性がある。 3)APS 66人、aPLキャリア78人、動脈血栓77人、動静脈血栓症14人を含む全身性リウマチ性疾患の女性704人において、同意を得てネオ・セルフ抗体を測定した。特に、動静脈血栓症、aGAPSS>10、aPL triple-positiveでは、抗体は高値であった。抗体基準値>172.4 Uによって、動脈血栓症リスク(OR 5.1、95%CI 2.9-9.2)を予測できた。全身性リウマチ性疾患において、ネオ・セルフ抗体は動脈血栓症リスクであることを初めて明らかにした(Arthritis Res Ther 2023)
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, 01 Apr. 2020 - 31 Mar. 2023Development of a mouse model for therapies of pregnancy complications caused by abeta2GPI/MHC class II前方視的研究として、不育症、IUFD、HDP、FGR、34週未満早産の既往や現症を有する女性に対して、同意を得てネオ・セルフ抗体を測定した。観察研究として、ネオ・セルフ抗体陽性の妊娠合併症既往の女性においては、次回妊娠で、無治療、LDA単独療法、LDA+ヘパリン療法の生児獲得率を比較し治療効果を調べた。 不育症428人、FGR120人、HDP107人、34週以前早産72人、膠原病78人、正期産412人で抗β2GPI/HLA-DR7抗体測定を実施した。抗β2GPI/HLA-DR7抗体の陽性率(陽性≧73.3 U)は、不育症18.9%(81/428)、FGR15.8%(19/120)、HDP14.0%(15/107)、34週以前早産8.3% (6/107)、膠原病34.6%(27/78)、正期産7.8%(32/412)であった。さらに原因・リスク因子不育症217人中40人(18.4%)で抗β2GPI/HLA-DR7抗体が陽性であった。産科異常、膠原病のない正期産に限定すると、抗体陽性率は6.9%(17/248)であった。 一方、2021年12月までに、不育症女性において抗β2GPI/HLA-DR7抗体陽性判明後の全75妊娠から染色体異常流産7妊娠を除いた68妊娠について解析した。LDAのみの13妊娠では、生産10例(76.9%)、妊娠継続中1例(7.7%)、流産2例(15.4%)であり、LDA+ヘパリン39妊娠では、生産26例(66.7%)、妊娠継続中6例(15.4%)、流産7例(17.9%)であった。一方、治療なし、もしくはステロイドのみ10妊娠(治療なし6妊娠、ステロイドのみ4妊娠)では、生産5例(50%)、妊娠継続中0例(0%)、流産5例(50%)だった。抗β2GPI/HLA-DR7抗体陽性の不育症に対して、LDAやLDA+ヘパリン療法が有効である可能性がある。
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 01 Apr. 2020 - 31 Mar. 2023妊娠初期のプロテインS、プロテインC抗凝固因子の変動と産科異常との関連解析全妊婦対象の前向きコホート研究については、妊娠8-12週の当院妊婦外来に通院中の母体を対象に遊離プロテインS抗原量と活性、Dダイマー、可溶性フィブリンモノマー、総プロテインS抗原量ならびに活性と比活性を測定している。プロテインC系全体の活性を測定する検査キットであるThrombopasについては、販売が終了となったため、約1000件で測定を終了した。順調に症例を集積し、その他の項目については2022年3月31日までに約1400件の検体を採取し、妊娠初期の採血を終了した。採血に際して特に有害事象の発生はなかった。今後、介入なく通常の妊娠経過観察を行い、産科異常の発生状況との関連を調べるため、臨床情報の収集を行って解析を行う。総プロテインS比活性の低下を認めた症例において、本人の同意を得らることはできず、プロテインS遺伝子異常の解析は行えなかった。 妊娠による検査値変動についての研究についても、合併症のない妊婦約50例で上と同様の検査項目を妊娠10週、18週、28週、36週 (±2週) で測定した。産褥1ヶ月での測定は、臨床上の採血の機会がなく実施していない。今後妊娠中のプロテインS値の変動についても解析を行う。当院不育外来に通院中の患者および抗リン脂質抗体が陽性と診断されている妊婦40例についても上と同様の検査項目を測定し、結果に基づく介入なく通常の妊娠 経過観察を行っており、こちらも臨床情報の収集を並行して行っている。 抗プロテインS自己抗体と妊娠予後の関連の解析については、プロテインSの抗体測定系の確立を行っているところである。ドットブロットでPVDF膜に滴下するプロテインSの濃度(量)ならびに反応させるプロテインS低下女性の精製IgGの濃度(量)条件設定を行っており、その条件設定をもとにスロットブロットに移行 する予定にしている。
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 01 Apr. 2020 - 31 Mar. 20232光子顕微鏡による胎仔ミクログリアが仔の成長発達に及ぼす影響の解明妊娠中の母体の感染症や飢餓、過食などによる様々な胎児へのストレスがその児の自閉症などの発達障害、統合失調症などの精神疾患のリスクを上昇させることが知られています。脳を構成する細胞の一つであるミクログリアという細胞は、胎児期の早い時期に脳に定着して外敵から胎児の脳を守る働きをしていると考えられいます。さらに、ミクログリア細胞は、中枢神経が発達する過程で神経細胞の間の余分な連絡を断ち切ることによって適切な神経回路を作り上げることを可能にしています。本研究では、妊婦マウスがウイルス感染などの炎症や飢餓・過食などのストレスにさらされている状況を人工的に作り出し、2光子顕微鏡という特別な顕微鏡を使って生きた胎児マウスや思春期マウスのミクログリアの動きをリアルタイムに観察することで母体へのストレスが児の脳に及ぼす影響をミクログリアに焦点を当てて解明しようとしています。これまでにウイルス感染が起こった状態を人工的に作り出した妊娠マウスでは、何の処理もしていない正常な妊婦マウスと比べて胎児ミクログリアの動く速さは早くなっていましたが、生後10日目のマウスでは、逆にウイルス感染疑似母親マウスから生まれたマウスで遅くなっていることが分かりました。また、ウイルス感染疑似妊娠マウスではその胎児マウスの神経細胞の突起が正常妊娠マウスの胎児のそれより長く、神経細胞の本体がより小さくなっていいました。これらのことより母親の炎症によるストレスが胎児のミクログリア細胞の動きや形に変化を引き起こすことで神経回路の形成に影響している可能性があることが分かりました。
- 学術研究助成基金助成金/基盤研究(C), Apr. 2017 - Mar. 2020, Principal investigatorCompetitive research funding
- 学術研究助成基金助成金/基盤研究(C), Apr. 2017 - Mar. 2020Competitive research funding
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, 01 Apr. 2014 - 31 Mar. 2017Pathogenic microorganism identification in neonatal infectious diseases by a meta-genomic analysis using the next generation sequencerThe purpose of this study was to establish a meta-genomic analysis using the next generation sequencer for perinatal and neonatal infectious diseases, and to identify pathogenic microorganisms that had been difficult to identify to date. As results, a meta-genomic analysis system using the next generation sequencer was established during the study period and we applied to the neonatal and pediatric patients with infection. We obtained new findings from patient specimens using these techniques, and for the first time, reported the cases to the international journals, such as a newborn with persistent pulmonary hypertension who was detected echovirus 7 from not only the serum, nasal swab and bronchoalveolar lavage, but also the preserved umbilical cord, a pediatric patient due to enterovirus D68 infection that developed interstitial pneumonia, and a newborn with congenital cytomegalovirus infection with retinal arterio-venous anastomosis.
- 学術研究助成基金助成金/基盤研究(C), Apr. 2014 - Mar. 2017Competitive research funding
- デンカ生研株式会社, 厚生労働科学研究費補助金成育疾患克服等次世代育成基盤事業, 2017母子感染の検査に関する研究(2)Competitive research funding
- バイオ・ラッドラボラトリーズ株式会社, 厚生労働科学研究費補助金成育疾患克服等次世代育成基盤事業, 2017母子感染の検査に関する研究(1)Competitive research funding
- Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Young Scientists (B), Kobe University, 2007 - 2008, Principal investigator日本人の婦人科癌患者においてもUGT1A1 *6・*28のアレル頻度は日本人における肺症小細胞癌や大腸癌などの固形癌患者における研究と同様の結果であった。日本人婦人科癌患者においてもUGT1A1 *6ヘテロ かつ*28ヘテロ接合体、またはUGT1A1 *6ホモ接合体の遺伝子多型は、塩酸イリノテカンを用いた抗癌化学療法に伴う高度の好中球減少の発現と関連する可能性がある。Competitive research funding
