Jun Kawamata's research while affiliated with Kitasato University and other places

Publications (88)

Article
Importance: The effectiveness of currently approved drugs for amyotrophic lateral sclerosis (ALS) is restricted; there is a need to develop further treatments. Initial studies have shown ultrahigh-dose methylcobalamin to be a promising agent. Objective: To validate the efficacy and safety of ultrahigh-dose methylcobalamin for patients with ALS e...
Article
Introduction/Aims Individuals with refractory generalized myasthenia gravis (gMG) who have a history of rituximab use and experience persistent symptoms represent a population with unmet treatment needs. The aim of this analysis was to evaluate the efficacy and safety of eculizumab in patients with refractory anti-acetylcholine receptor antibody-po...
Article
SIRT1 is involved in the regulation of a variety of biological processes such as metabolism, stress response, autophagy and differentiation. Although progenitor cells of oligodendrocytes (OPCs) express high level of SIRT1, its function on differentiation is unknown. Because we have shown that SIRT1 plays a pivotal role in differentiation of neural...
Article
Full-text available
We herein report a patient with Wernicke-Korsakoff syndrome (WKS) who had neither a history of alcoholism or of history of gastric surgery. A 56-year-old female was transferred to our hospital because of the loss of consciousness and she was diagnosed to have Wernicke encephalopathy. She showed proton pump inhibitor-induced refractory hypergastrine...
Article
Full-text available
Mesenchymal stem cells (MSC) are increasingly being studied as a source of cell therapy for neurodegenerative diseases, and several groups have reported their beneficial effects on Alzheimer's disease (AD). In this study using AD model mice (APdE9), we found that transplantation of MSC via the tail vein improved spatial memory in the Morris water m...
Article
Alzheimer's disease (AD) is a common neurodegenerative disease that progressively impairs memory and cognition. Deposition of amyloid-β (Aβ) peptides is the most important pathophysiological hallmark of AD. Oxidative stress induced by generation of reactive oxygen species (ROS) is a prominent phenomenon in AD and known to occur early in the course...
Article
We previously demonstrated that microglia play an essential role in clearance of amyloid-β (Aβ) in Alzheimer's disease (AD)-like pathology. Our prior work also showed that several receptors expressed on microglia participated in Aβ phagocytosis. However, clathrin-mediated endocytosis (CME), which is associated with production and release of Aβ in n...
Article
Alzheimer's disease (AD) is one of the most common neurodegenerative diseases responsible for progressive dementia. Deposition of amyloid-β (Aβ) in the brain is the most important pathophysiological hallmark of AD. In addition, recent evidence indicates that reactive oxygen species (ROS) derived from mitochondria contribute to progression of AD pat...
Article
The patient in Case 1 was a 25-year-old female nurse. While she was working at a day-care, she fell down shortly after using a barcode reader. This was followed by a tonic-clonic seizure. The seizure spontaneously stopped after approximately 5 minutes. However, consciousness impairment continued for about 30 minutes. The patient in Case 2 was a 30-...
Chapter
Full-text available
Both of the two most common neurodegenerative disorders, namely Alzheimer's disease (AD) and Parkinson's disease (PD), have multiple lines of evidence, from molecular and cellular to epidemiological, that nicotinic transmission is implicated in those pathogenesis. This review presents evidences of nicotinic acetylcholine receptor (nAChR)-mediated p...
Article
Background: Complement is likely to have a role in refractory generalised myasthenia gravis, but no approved therapies specifically target this system. Results from a phase 2 study suggested that eculizumab, a terminal complement inhibitor, produced clinically meaningful improvements in patients with anti-acetylcholine receptor antibody-positive r...
Article
Objective: The ice-pack test is a convenient diagnostic testing procedure for myasthenia gravis (MG). We investigated the underlying mechanism of the ice-pack test performed on bilateral masseters. Methods: We performed trigeminal repetitive nerve stimulation (RNS), excitation-contraction (E-C) coupling assessment (Imai's method) and bite force...
Article
In response to changes of the central nervous system environment, microglia are capable of acquiring diverse phenotypes for cytotoxic or immune regulation and resolution of injury. Alzheimer's disease (AD) pathology also induces several microglial activations, resulting in production of pro-inflammatory cytokines and reactive oxygen species or clea...
Article
Full-text available
Autosomal dominant lateral temporal lobe epilepsy (ADLTE) is a rare familial focal epilepsy syndrome with auditory features1. The leucine-rich glioma inactivated 1 (LGI1) was identified as a causative gene. About 40 LGI1 mutations have been reported1-7. Disease mechanisms caused by LGI1 mutations haven't been fully clarified. Accumulation of case r...
Article
Full-text available
Mutations of the lamin A/C gene have been associated with several diseases such as Emery-Dreifuss muscular dystrophy, dilated cardiomyopathy and Charcot-Marie-Tooth disease, referred to as laminopathies. Only one report of spinal muscular atrophy and cardiomyopathy phenotype with lamin A/C gene mutations has been published. The concept that lamin A...
Article
Objective: The aim of this study was to evaluate post-tetanic potentiation of muscle twitch in myasthenia gravis (MG). Methods: Post-tetanic potentiation was evaluated by recording the compound muscle action potential (CMAP) of abductor pollicis brevis and movement-related potential (MRP) of the thumb using an accelerometer after tetanic stimula...
Article
Alzheimer's disease (AD) is a neurodegenerative disease clinically characterized by progressive cognitive dysfunction. Deposition of amyloid-β (Aβ) peptides is the most important pathophysiological hallmark of AD. Oxidative stress induced by reactive oxygen species (ROS) is prominent in AD, and several reports suggest the relationship between the c...
Article
Full-text available
Background: Mutations in the valosin-containing protein (VCP) gene were first found to cause inclusion- body myopathy with early-onset Paget disease and frontotemporal dementia (IBMPFD). Mutations in the VCP gene were later reported to occur in familial amyotrophic lateral sclerosis (ALS). But the role of VCP in the neurodegenerative processes tha...
Article
Full-text available
To explore a novel therapy against Parkinson's disease (PD), we evaluated the therapeutic effects of human bone marrow-derived mesenchymal stem cells (hBM-MSCs), pluripotent stromal cells with secretory potential of various neurotrophic and anti-inflammatory factors, in a hemi-parkinsonian rat model. The unilateral intrastriatal 6-hydroxydopamine (...
Article
We previously reported that activated microglia are involved in amyloid-β (Aβ) clearance and that stimulation of α7 nicotinic acetylcholine receptors (nAChR) in microglia enhances Aβ clearance. Nevertheless, how microglia and α7 nAChR in microglia are affected in Alzheimer's disease (AD) remains unknown. The present study aimed to collect fundament...
Article
Purpose To delineate chronological changes of cortical hyperexcitability by long-term follow-up of the amplitudes of somatosensory evoked potentials (SEPs) in patients with Japanese Unverricht-Lundborg disease (ULD). Methods SEPs to median nerve stimulation were repeatedly examined in 7 genetically diagnosed ULD patients with the mean interval of...
Article
Oculopharyngeal muscular dystrophy (OPMD) is typically characterized by late-onset, slowly progressive bilateral ptosis and dysphagia. We report a 64-year-old Japanese man presenting with ptosis, diplopia, and swallowing difficulty. He had consistently complained of significant diurnal fluctuations of clinical symptoms since onset at the age of 53....
Article
Our objective was to do an epidemiologic survey of patients with multifocal motor neuropathy (MMN) in comparison with those with amyotrophic lateral sclerosis (ALS) in Japan. In this retrospective study, we examined 46 patients with MMN and 1,051 patients with ALS from major neuromuscular centers in Japan from 2005 to 2009. Diagnosis was based on t...
Article
Full-text available
Objective We carried out a retrospective study to define clinical features in a large series of patients with multifocal motor neuropathy (MMN) and to assess the diagnostic spectrum of MMN. Methods The study consisted of 46 patients with MMN between 2005 and 2009 from 19 major neuromuscular centers in Japan. The 2006 European Federation of Neurolog...
Article
Objective: Decreased early Bereitschaftspotential (BP) is one of the electrophysiological characteristics in patients with Parkinson's disease (PD). We examined whether PD patients could increase BP amplitude by means of neuro-feedback (NFB) training for their slow cortical potentials (SCPs). Methods: We worked with 10 PD patients and 11 age-mat...
Article
To explore a novel therapy against Parkinson's disease through enhancement of α7 nicotinic acetylcholine receptor (nAChR), we evaluated the neuroprotective effects of 3-[(2,4-dimethoxy)benzylidene]-anabaseine dihydrochloride (DMXBA; GTS-21), a functionally selective α7 nAChR agonist, in a rat 6-hydroxydopamine (6-OHDA)-induced hemiparkinsonian mode...
Article
Tacrolimus (FK506) is a macrolide T-cell immunomodulator used to treat myasthenia gravis (MG). Besides immunosuppression, tacrolimus has been reported to have the potential to increase muscle strength by enhancing ryanodine receptor (RyR) function. However, few attempts have been made to demonstrate the early effect of tacrolimus as an RyR enhancer...
Article
Parkinson's disease (PD) is characterized by relatively selective degeneration of dopaminergic neurons in the substantia nigra and loss of dopamine in the striatum. More than 50 epidemiological studies confirmed the low incidence of PD in smokers. Examining the distribution of subtypes of nicotinic acetylcholine receptors (nAChRs) in dopaminergic n...
Article
We reviewed the published documents on application of mechanical ventilation to amyotrophic lateral sclerosis (ALS) patients and analyzed the influential factors of decision making for applying mechanical ventilation by looking into how it is practiced in Japan, the USA, and Europe. In Japan, 29.3% of ALS patients were on invasive ventilation via t...
Article
A 70-year-old man was admitted to our hospital with visual loss, dysesthesia, gait disturbance, and urinary retention. A pacemaker was implanted 1 year ago for atrioventricular conduction block. Neurologic examination revealed mild cognitive impairment, near blindness with vitreous opacity, diffuse muscle weakness, loss of all sensory modalities wi...
Article
The aim of this study was to elucidate the relationship between the impairment of excitation-contraction (E-C) coupling and anti-ryanodine receptor (RyR) antibody in patients with myasthenia gravis (MG). Masseteric compound muscle action potential (CMAP) and mandibular movement-related potentials (MRPs) were recorded simultaneously after stimulatin...
Article
Approximately 20% of familial amyotrophic lateral sclerosis (FALS) cases are linked to mutations in the antioxidant enzyme, Cu/Zn superoxide dismutase (SOD1). Controversy exists as to whether SOD1-related FALS and sporadic ALS (SALS) share common mechanistic pathways, since very few SOD1-related FALS cases exhibit cytoplasmic inclusions composed of...
Article
Mesenchymal stem cells (MSCs) hold much promise for cell therapy for neurological diseases such as cerebral ischemia and Parkinson's disease. Intravenously administered MSCs accumulate in lesions within the brain parenchyma, but little is known of the details of MSC transmigration across the blood-brain barrier (BBB). To study MSC transmigration ac...
Article
Full-text available
The common pathological mechanisms among the spectrum of neurodegenerative diseases are supposed to be shared. Multiple lines of evidence, from molecular and cellular to epidemiological, have implicated nicotinic transmission in the pathology of the two most common neurodegenerative disorders, namely Alzheimer's disease (AD) and Parkinson's disease...
Article
Synaptic loss, which strongly correlates with the decline of cognitive function, is one of the pathological hallmarks of Alzheimer disease. N-cadherin is a cell adhesion molecule essential for synaptic contact and is involved in the intracellular signaling pathway at the synapse. Here we report that the functional disruption of N-cadherin-mediated...
Article
Both of the two most common neurodegenerative disorders, namely Alzheimer's disease (AD) and Parkinson's disease (PD), have multiple lines of evidence from molecular and cellular to epidemiological, that nicotinic transmission is implicated in their pathogenesis. This review article presents evidence of nicotinic acetylcholine receptor (nAChR)-medi...
Article
To delineate long-term change of cortical excitability by measuring somatosensory evoked potentials (SEPs) in patients with Unverricht-Lundborg disease (ULD). SEPs to median nerve stimulation were repeatedly examined in two genetically proven ULD patients manifesting stable condition over 16 years, namely disabling but non-progressive myoclonus and...
Article
Synaptic loss, which strongly correlates with the decline of cognitive function, is one of the pathological hallmarks of Alzheimer's disease (AD). N-cadherin is a cell-adhesion molecule essential for synaptic contact and is involved in intracellular signaling pathway at the synapse. Here we report that the functional disruption of N-cadherin-mediat...
Article
Full-text available
Synaptic loss, which strongly correlates with the decline of cognitive function, is one of the pathological hallmarks of Alzheimer disease. N-cadherin is a cell adhesion molecule essential for synaptic contact and is involved in the intracellular signaling pathway at the synapse. Here we report that the functional disruption of N-cadherin-mediated...
Article
We are reporting a 36 year-old woman, gravid 3, para 1, aborta 2, who was 18 weeks pregnant and developed a sudden onset of motor aphasia and hemiparesis on the right side. On the initial visit to our hospital, the NIH stroke scale was 6, and the brain MRI revealed high intensity areas in the left insular cortex and the periventricular white matter...
Article
gamma-Secretase is an enzymatic complex, composed of presenilin 1 (PS1), nicastrin, pen-2, and aph-1, and is responsible for the intramembranous cleavage of various type-I membrane proteins. The level of each component is tightly regulated in a cell via proteasomal degradation. On the other hand, it has previously been reported that PS1/gamma-secre...
Article
Parkinson's disease (PD) is the most common neurodegenerative disease after Alzheimer's disease. Although the pathogenetic mechanisms underlying PD is largely unknowm, it is widely believed that multiple genetic as well as environmental factors play critical roles in the development of PD. Alpha synuclein (a-SYN) and the disturbance of a-SYN metabo...
Article
Lateralization of functionally abnormal cortical area in autosomal dominant lateral temporal lobe epilepsy (ADLTE). A sound pulse of pure tone was delivered monaurally to the ears alternately. Auditory evoked magnetic fields (AEF) were measured by using whole-head magnetoencephalography (MEG) system. Significantly large N100m signals (a magnetic co...
Article
Autosomal dominant lateral temporal lobe epilepsy (ADLTE) caused by LGI1 (leucine-rich gene, glioma-inactivated-1) mutations is a rare familial epileptic syndrome characterized by the auditory ictal manifestation and rare nocturnal generalized seizures. We have examined the sequence of the LGI1 gene in four Japanese families with lateral temporal l...
Article
We described a clinical feature of autosomal dominant lateral temporal epilepsy (ADLTE) in a Japanese patient having LGI1 mutation. The patient was a 27-year-old woman who had her first seizure at the age of 10 years, a nocturnal generalized seizure. She then had partial seizures manifesting auditory symptoms with or without anxiety, panic attack,...
Article
We report a 23-year-old woman who slowly developed progressive tremulous myoclonus and rare convulsive seizures beginning at the age of 9 and 11 years, respectively. She also showed a mild degree of ataxia and cognitive dysfunction. Convulsive seizures were well suppressed by valproic acid since the age of 17 years, but tremulous myoclonus graduall...
Article
The biological agent tocilizumab, is a humanized, anti-human interleukin-6 receptor antibody. A 72-year-old woman developed cognitive impairment during the Phase III clinical trial of tocilizumab for the treatment of rheumatoid arthritis. MRI demonstrated hyperintense dissemination throughout the white matter on T2WI. An initial diagnosis of possib...
Article
A dominant mutation in the gene for copper-zinc superoxide dismutase (SOD1) is the most frequent cause of the inherited form of amyotrophic lateral sclerosis. Mutant SOD1 provokes progressive degeneration of motor neurons by an unidentified acquired toxicity. Exploiting both affinity purification and mass spectrometry, we identified a novel interac...
Article
Brain-derived neurotrophic factor (BDNF) is associated with the hippocampus and the nigrostriatal dopaminergic function. Data showing that its level was reduced in Alzheimer's disease (AD) and Parkinson's disease (PD) suggested that the BDNF function must play an important role in the pathogenetics of these diseases. Indeed, variation in the BDNF g...
Article
The present study demonstrated that administration of nicotine prevented glutamate-induced motor neuronal death in primary cultures of the rat spinal cord. The nicotine-induced neuroprotection was inhibited by either dihydro-beta-erythroidin (DHbetaE) or alpha-bungarotoxin (alphaBT), suggesting that it is mediated through both alpha4beta2 and alpha...
Article
Glutamate-induced excitotoxicity is implicated as playing a key role in the pathogenesis of amyotrophic lateral sclerosis (ALS), and mitochondrial dysfunction is also found in ALS patients. We investigated the relationship between glutamate excitotoxicity and mitochondrial dysfunction elicited by rotenone (a complex I inhibitor), malonate (a comple...
Article
Full-text available
Quantitative proteome analysis of Alzheimer's disease (AD) brains was performed using two-dimensional (2-D) gels in order to find out the pathological protein expression in AD. We sequentially extracted brain proteins using two distinct sample solutions, yielding different protein fractions (fraction A and B). These fractions showed distinct 2-DE p...
Article
We have previously reported that cyclic guanosine-3',5'-monophosphate (cGMP) protects spinal motor neurons against acute reactive oxygen species (ROS)-induced toxicity but not against chronic ROS-induced or glutamate (Glu)-induced toxicity. In this study, we investigated the effects of phosphodiesterase (PDE) inhibitors on the survival of cultured...
Article
Since the loss of cholinergic neurons in the Alzheimer's disease (AD) brain was first reported, considerable evidence in vivo and in vitro has accumulated in support of the cholinergic hypothesis of AD. The hypothesis is greatly supported by the fact that the most promising drugs against AD are inhibitors of acetylcholinesterase (AChE). To identify...
Article
The delta-type phospholipase C (PLC) is thought to be evolutionally the most basal form in the mammalian PLC family. One of the delta-type isoforms, PLC-delta 1, binds to both phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2) and inositol 1,4,5-trisphosphate (Ins(1,4,5)P3) with a high affinity via its pleckstrin homology (PH) domain. We report...
Article
The apolipoprotein E (APOE) gene epsilon 4 allele is known to be associated with late-onset familial and sporadic Alzheimer's disease (AD). We assessed the possible relationship between APOE genotypes and morphological or functional changes in AD brains by x-ray computed tomography (CT), magnetic resonance imaging (MRI) and Xe-133 single photon emi...
Article
The epsilon4 allele of apolipoprotein E (apo E) is increased among patients with sporadic or familial Alzheimer's disease (AD). We examined platelet phospholipase C (PLC)-delta1 activity in AD patients either homozygous for apoepsilon3 or having at least one apo epsilon4 allele. We found that platelet PLC-delta1 activity is reduced from control lev...
Article
The apolipoprotein E (APOE) gene σ4 allele is known to be associated with late-onset familial and sporadic Alzheimer’s disease (AD). We assessed the possible relationship between APOE genotypes and morphological or functional changes in AD brains by x-ray computed tomography (CT), magnetic resonance imaging (MRI) and Xe-133 single photon emission C...
Article
Apolipoprotein E (ApoE) plays a key part in lipid metabolism both in the liver, and in the CNS. To clarify the association of ApoE polymorphism with Alzheimer's disease and vascular dementia in Japan, 13 patients with early onset (age > or = 65) sporadic Alzheimer's disease, 40 patients with late onset (age < or = 65) sporadic Alzheimer's disease,...

Citations

... [15] More recently, a randomized clinical trial in Japan showed that ultrahigh-dose methylcobalamin was safe and efficacious in slowing functional decline in patients with ALS. [16] Methylcobalamin is an active form of Vitamin B12, a water-soluble compound that plays a key role in the normal functioning of the nervous system. [17] A deficiency of Vitamin B12 is associated with conditions affecting the central nervous system, such as subacute combined degeneration of the spinal cord. ...
... A significantly higher proportion of Eculizumab-treated patients attained minimal symptom expression (defined as MG-ADL of 0-1 or MG-QoL15 score of 0-3) at week 26 of REGAIN [78]. In addition, Eculizumab has been shown to be beneficial in patients who were previously receiving chronic IVIg [79], Rituximab [80] or were ventilator-dependent [81]. ...
... About 70% embryos (morula/(morula + blastocyst)) are still at morula stage at 4.5 days after fertilization in aged groups, while in the fresh and luteolin-treated groups most were at the blastocyst stage ( Figure 1A; Supplementary Table S2). Incubation with 5 μM luteolin gave the highest percentage of blastocysts in the treated groups, and the difference with the aged groups was significantly (61.06 ± 3.62% vs. 35 SIRT1 controls the development potential of embryos SIRT1 has anticancer and can enhance longevity, and it is effective in preventing postovulatory oocyte aging (3,25). Luteolin is contained in many fruits and vegetables, where it acts to prevent oxidative stress and it appears to be an activator of SIRT1 (32). ...
... The main consequence of mitochondrial dysfunction, ROS accumulation, and increased oxidative stress are main factors involved in AD pathogenesis. Several studies showed that MSCs may promote microglia and autophagy-mediated clearance of protein aggregates as Aβ [187][188][189]. MSCs can protect neurons from cell death by secretion of some neuroprotective factors or by MT [52,190,191]. ...
... Rivastigmine is one of the approved agent for the management of dementia of mild to moderate Alzheimer's disease. this medicine is the only cholinesterase inhibitor which inhibits both AChE and butyrylcholinesterase enzymes in the brain [60,61]. This molecule also has a short half-life and a hydrophilic nature, which makes it difficult for the medicine to pass through the Blood Brain Barrier (BBB) and Cerebrospinal Fluid (CSF) which results to low bioavailability of the drug [62]. ...
... More recently, a study using a mouse microglial cell line treated with fibrillar Aβ 1-42 found that clathrin colocalized with internalized Aβ 42 and that inhibition of CME resulted in 80% reduction of Aβ 1-42 uptake (Fujikura et al., 2019), further supporting the hypothesis that CME is involved in microglial Aβ uptake. Additionally, in another mouse microglia cell line, a novel form of endocytosis has been described, autophagy protein Light Chain 3 (LC3)-associated endocytosis (LANDO) (Heckmann et al., 2019). ...
... The mitochondria-targeted antioxidants MitoQ and MitoTEMPO have been successfully used to improve some disease phenotypes of cardiovascular disease [21,27,[30][31][32], inflammation [22,23], neurodegenerative disorders [33][34][35][36][37], and diabetes [38,39]. Thus, testing these compounds in other ROS-related disorders such as cancer is highly relevant, particularly as mitochondria-associated ROS are known to stimulate cell proliferation and tumor progression. ...
... El segundo caso tiene como protagonista a una mujer de 30 años que cayó al suelo con imposibilidad de levantarse tras usar el lector de código de barras, también sufrió de alteraciones de la conciencia. Ambas pacientes tuvieron una recuperación completa después de aproximadamente 30 minutos (Toyama et al., 2018). ...
... The α4β2 nicotinic acetylcholine receptor (nAChR) is a heteromeric neuronal-subtype receptor that has been correlated with a diverse array of neurological disorders that include Alzheimer's disease, Parkinson's disease, schizophrenia, and substance abuse. [1][2][3][4][5] Consequently, considerable effort has gone into the development and optimization of clinical imaging methods that map in vivo α4β2 nicotinic receptor expression, especially via positron emission tomography (PET) and single-photon emission computed tomography (SPECT). [6][7][8] To this end, a number of nAChR agonist-based imaging agents have been synthesized and evaluated, though systemic toxicity issues and slow binding kinetics have precluded most for clinical application. ...
... Yokokawa et al. transplanted 3 × 10 5 BM-MSCs into APP/PS1 transgenic mice via the tail vein. A reduction in Aβ deposition was observed in the mouse brain following treatment with MSCs compared to the control group [47]. EPR imaging revealed a shift in the redox status of mouse brains upon MSC treatment. ...