2015 Fiscal Year Annual Research Report
アルドステロン合成細胞(APC)を探して:高血圧症臓器障害の新たな機序の解明
Project/Area Number |
15H04711
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Research Institution | Tohoku University |
Principal Investigator |
笹野 公伸 東北大学, 医学(系)研究科(研究院), 教授 (50187142)
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Project Period (FY) |
2015-04-01 – 2018-03-31
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Keywords | 副腎 / ステロイド / アルドステロン / 免疫組織化学 / 高血圧 / 病理学 |
Outline of Annual Research Achievements |
生前にステロイド投与歴がなく内分泌異常も明らかではない日本人剖検例94例(平均年齢39.5歳、男50例、女44例)の副腎パラフィン組織に対して、アルドステロン合成酵素であるAldosterone synthase (CYP11B2)の発現動態を免疫組織化学的に検討した。具体的には、アルドステロン合成が行なわれている副腎皮質球状層細胞の発現細胞数、面積を画像解析により評価した。 その結果、検討した多くの症例ではCYP11B2陽性細胞は球状層全体に観察されるのではなく、クラスター状に散見された。以上から、アルドステロン合成は球状層で瀰漫性には行なわれてはおらず、局所/結節性に合成が行われている事をはじめて証明した。 更に、このCYP11B2陽性細胞の発現度や分布に男女差はないものの、加齢に伴い結節様の副腎皮質細胞は面積、数共に増加していた。加えて、これらの合成細胞における様々なカルシウムチャネルおよびビタミンD受容体の発現動態も検討し、同じ球状層細胞の中でのアルドステロン合成能の有無はカルシウム代謝と密接に関係している事が示された。現在、アルドステロン産生合成に関するepigeneticな変化を検討する為に合成に密接に関係するmirco RNAの同定も行っている。また、既に最近アルドステロン産生腺腫(APA)で報告されている各種イオンチャネル(KCNJ5、ATP1A1、ATP2B3、CACNA1Dなど)の体細胞変異の有無との関連についても検討していく予定である。
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Current Status of Research Progress |
Current Status of Research Progress
2: Research has progressed on the whole more than it was originally planned.
Reason
Ⅰ. 剖検で得られた正常副腎及び手術検体で得られたAPA症例でAPCを同定する。: 剖検例では解析を一応達成し、APA症例では現在UMN, IHAなどの非腫瘍性原発性アルドステロン症との関係を含めて解析を進めている Ⅱ. これらAPCにおけるアルドステロン合成動態の詳細をその制御機構を含めて明らかにする。:カルシウムチャネル関係のタンパク質発現動態との関係を検討した。培養細胞でアルドステロン合成と関係がある可能性があるmicroRNAを現在同定しているところである。 Ⅲ. 正常副腎皮質、APAでのAPCの病態意義を種々の臨床病理学的因子と相関させて解明する。:正常副腎皮質では加齢との相関を示し、血圧とは有意の相関はない事を認めた。 APAでは現在検討中である。 Ⅳ. 得られた結果が高血圧症やPAの新しい診断・治療方法の開発に結びつけられる可能性を模索する:現在検討中である
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Strategy for Future Research Activity |
1. 正常副腎皮質球状層でアルドステロンを合成している細胞とそうでない細胞間で、現在種々のアルドステロン合成の病態での関与が提唱されているカルシウムチャネルに関係するsomatic DNA mutationsが認められるのかどうかを、CYP11B2陽性のアルドステロン合成細胞、陰性の球状層細胞を顕微鏡下で単離し検討する。 2. 同様に培養細胞でアルドステロン合成に関係する事が同定されたmicroRNAが発現しているのかどうかを、CYP11B2陽性のアルドステロン合成細胞、陰性の球状層細胞を顕微鏡下で単離し検討する。 3. 上記の1、2の検討を APAのAPCCで行う。 4. 正常副腎皮質球状層でアルドステロンを合成している細胞、特に局所的に合成を行っているAPCCが原発性アルドステロン症とどのような関係があるのかを腫瘍性病変であるAPAばかりではなく非腫瘍性病変であるUMN, IHA等と比較検討を行い総合的に検索を進める。
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Research Products
(72 results)
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[Journal Article] Intratumoral estrogen production and actions in luminal A type invasive lobular and ductal carcinomas.2016
Author(s)
Takagi M, Miki Y, Miyashita M, Hata S, Yoda T, Hirakawa H, Sagara Y, Rai Y, Ohi Y, Tamaki K, Ishida T, Suzuki T, Ouchi N, Sasano H.
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Journal Title
Breast Cancer Res Treat.
Volume: 156
Pages: 45-55
DOI
Peer Reviewed / Open Access
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[Journal Article] Renal Resistive Index Predicts Postoperative Blood Pressure Outcome in Primary Aldosteronism.2016
Author(s)
Iwakura Y, Ito S, Morimoto R, Kudo M, Ono Y, Nezu M, Takase K, Seiji K, Ishidoya S, Arai Y, Funamizu Y, Miki T, Nakamura Y, Sasano H, Satoh F.
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Journal Title
Hypertension.
Volume: 67
Pages: 654-660
DOI
Peer Reviewed / Open Access
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[Journal Article] Intratumoral heterogeneity of steroidogenesis in aldosterone-producing adenoma revealed by intensive double- and triple-immunostaining for CYP11B2/B1 and CYP17.2016
Author(s)
Nakamura Y, Kitada M, Satoh F, Maekawa T, Morimoto R, Yamazaki Y, Ise K, Gomez-Sanchez CE, Ito S, Arai Y, Dezawa M, Sasano H.
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Journal Title
Mol Cell Endocrinol.
Volume: 442
Pages: 57-63
DOI
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Extraordinarily high aldosterone, 901.0 ng/dL, in a patient with primary aldosteronism: an insight into the underlying mechanism.2016
Author(s)
Okubo Y, Sato Y, Nakasone Y, Shirotori K, Oguchi K, Matsushita T, Nishikawa T, Yamazaki Y, Sasano H, Komtasu M, Yamauchi K, Aizawa T.
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Journal Title
Endocr J.
Volume: 63
Pages: 127-133
DOI
Peer Reviewed / Open Access
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[Journal Article] A case of bilateral aldosterone-producing adenomas differentiated by segmental adrenal venous sampling for bilateral adrenal sparing surgery.2016
Author(s)
Morimoto R, Satani N, Iwakura Y, Ono Y, Kudo M, Nezu M, Omata K, Tezuka Y, Seiji K, Ota H, Kawasaki Y, Ishidoya S, Nakamura Y, Arai Y, Takase K, Sasano H, Ito S, Satoh F.
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Journal Title
J Hum Hypertens.
Volume: 30
Pages: 379-385
DOI
Peer Reviewed / Open Access
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[Journal Article] A Calcitonin Non-producing Neuroendocrine Tumor of the Thyroid Gland.2016
Author(s)
Kasajima A, Cameselle-Teijeiro J, Loidi L, Takahashi Y, Nakashima N, Sato S, Fujishima F, Watanabe M, Nakazawa T, Naganuma H, Kondo T, Kato R, Sasano H.
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Journal Title
Endocr Pathol.
Volume: -
Pages: -
Peer Reviewed
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[Journal Article] Cushing syndrome due to ACTH-secreting pheochromocytoma aggravated by a glucocorticoid-driven positive-feedback loop.2016
Author(s)
Sakuma I, Higuchi S, Fujimoto M, Takiguchi T, Nakayama A, Tamura A, Kohno T, Komai E, Shiga A, Nagano H, Hashimoto N, Suzuki S, Mayama T, Koide H, Ono K, Sasano H, Tatsuno I, Yokote K, Tanaka T.
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Journal Title
J Clin Endocrinol Metab.
Volume: 101(3)
Pages: 841-846
DOI
Peer Reviewed
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[Journal Article] Reply to comments to "Letter to the Editor: comment on Azmahani et al. steroidogenic enzymes, their related transcription factors and nuclear receptors in human sebaceous glands under normal and pathological conditions".2016
Author(s)
Azmahani A, Nakamura Y, Felizola SJ, Ozawa Y, Ise K, Inoue T, McNamara KM, Doi M, Okamura H, Zouboulis CC, Aiba S, Sasano H.
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Journal Title
J Steroid Biochem Mol Biol.
Volume: 155(Pt A)
Pages: 178-180
DOI
Peer Reviewed / Open Access
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[Journal Article] Prognostic significance of proline, glutamic acid, leucine rich protein 1 (PELP1) in triple-negative breast cancer: a retrospective study on 129 cases.2015
Author(s)
Zhang Y, Dai J, McNamara KM, Bai B, Shi M, Chan MS, Liu M, Sasano H, Wang X, Li X, Liu L, Ma Y, Cao S, Xing Y, Zhao B, Song Y, Wang L.
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Journal Title
BMC Cancer.
Volume: 15
Pages: 699
DOI
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] GERMLINE DELETION OF ARMC5 IN FAMILIAL PRIMARY MACRONODULAR ADRENAL HYPERPLASIA.2015
Author(s)
Suzuki S, Tatsuno I, Oohara E, Nakayama A, Komai E, Shiga A, Kono T, Takiguchi T, Higuchi S, Sakuma I, Nagano H, Hashimoto N, Mayama T, Koide H, Sasano H, Nakatani Y, Imamoto T, Ichikawa T, Yokote K, Tanaka T.
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Journal Title
Endocr Pract.
Volume: 21(10)
Pages: 1152-1160
DOI
Peer Reviewed
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[Journal Article] PROGRESS IN PRIMARY ALDOSTERONISM:Is there a role for segmental adrenal venous sampling and adrenal sparing surgery in patients with primary aldosteronism?2015
Author(s)
Satoh F, Morimoto R, Seiji K, Satani N, Ota H, Iwakura Y, Ono Y, Kud, M, Nezu M, Omata K, Tezuka Y, Kawasaki Y, Ishidoya S, Arai Y, Takase K, Nakamura Y, McNamara K, Sasano H, Ito S.
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Journal Title
Eur J Endocrinol.
Volume: 173(4)
Pages: 465-477
DOI
Peer Reviewed / Open Access
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[Journal Article] Prognostic significance of tumor-infiltrating CD8+ and FOXP3+ lymphocytes in residual tumors and alterations in these parameters after neoadjuvant chemotherapy in triple-negative breast cancer: a retrospective multicenter study.2015
Author(s)
Miyashita M, Sasano H, Tamaki K, Hirakawa H, Takahashi Y, Nakagawa S, Watanabe G, Tada H, Suzuki A, Ohuchi N, Ishida T.
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Journal Title
Breast Cancer Res.
Volume: 17(1)
Pages: 124
DOI
Peer Reviewed / Open Access
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[Journal Article] 11β-Prostaglandin F2α, a bioactive metabolite catalyzed by AKR1C3, stimulates Prostaglandin F receptor and induces Slug expression in breast cancer.2015
Author(s)
Yoda T, Kikuchi K, Miki Y, Onodera Y, Hata S, Takagi K, Nakamura Y, Hirakawa H, Ishida T, Suzuki T, Ohuchi N, Sasano H, McNamara KM.
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Journal Title
Mol Cell Endocrinol.
Volume: 413
Pages: 236-247
DOI
Peer Reviewed / Open Access
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[Journal Article] Surgical resection and chemoradiotherapy for metachronous pulmonary metastasis of basaloid squamous cell carcinoma of the oesophagus.2015
Author(s)
Ishida H, Nakano T, Fujishima F, Kamei T, Taniyama Y, Sakurai T, Sato C, Fukutomi T, Kamiya K, Ozawa Y, Sasano H, Ohuchi N.
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Journal Title
Int J Surg Case Rep.
Volume: 17
Pages: 151-154
DOI
Peer Reviewed / Open Access
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[Journal Article] 8D.02: PERIPHERAL PLASMA 18-OXOCORTISOL CAN DISCRIMINATE UNILATERAL ADENOMA FROM BILATERAL DISEASES IN PRIMARY ALDOSTERONISM PATIENTS.2015
Author(s)
Satoh F, Morimoto R, Ono Y, Iwakura Y, Omata K, Kudo M, Tkase K, Seiji K, Gomez-Sanchez C, Rainey W, Nakamura Y, Sasano H, Ito S.
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Journal Title
J Hypertens
Volume: 33 Suppl 1
Pages: e113
DOI
Peer Reviewed / Open Access
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[Journal Article] 8D.04: CLINICAL BENEFITS OF ADMINISTERING SUPER-SELECTIVE SEGMENTAL ADRENAL VENOUS SAMPLING AND PERFORMING ADRENAL SPARING SURGERY IN THE PATIENTS WITH PRIMARY ALDOSTERONISM.2015
Author(s)
Satoh F, Morimoto R, Ono Y, Iwakura Y, Omata K, Kudo M, Satani N, Ota H, Seiji K, Takase K, Nakamura Y, Sasano H, Ito S.
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Journal Title
J Hypertens.
Volume: 33 Suppl 1
Pages: e114
DOI
Peer Reviewed / Open Access
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[Journal Article] c-Met in esophageal squamous cell carcinoma: an independent prognostic factor and potential therapeutic target.2015
Author(s)
Ozawa Y, Nakamura Y, Fujishima F, Felizola SJ, Takeda K, Okamoto H, Ito K, Ishida H, Konno T, Kamei T, Miyata G, Ohuchi N, Sasano H.
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Journal Title
BMC Cancer.
Volume: 15
Pages: 451
DOI
Peer Reviewed / Open Access
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[Journal Article] Modified autonomic regulation in mice mutated in the β4 subunit of the lh/lh calcium channel.2015
Author(s)
Murakami M, Suzuki T, Wu TW, Kuwasako K, Takahashi E, Watanabe H, Murakami AM, Miyoshi I, Yanagisawa T, Sasano H, Ono K, Ohba T.
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Journal Title
Biochem Biophys Res Commun.
Volume: 461(2)
Pages: 200-205
DOI
Peer Reviewed / Open Access
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[Journal Article] Measurement of peripheral plasma 18-oxocortisol can discriminate unilateral adenoma from bilateral diseases in patients with primary aldosteronism.2015
Author(s)
Satoh F, Morimoto R, Ono Y, Iwakura Y, Omata K, Kudo M, Takase K, Seiji K, Sasamoto H, Honma S, Okuyama M, Yamashita K, Gomez-Sanchez CE, Rainey WE, Arai Y, Sasano H, Nakamura Y, Ito S.
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Journal Title
Hypertension.
Volume: 65(5)
Pages: 1096-1102
DOI
Peer Reviewed / Open Access
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[Journal Article] Anterior gradient 2 is correlated with EGFR mutation in lung adenocarcinoma tissues.2015
Author(s)
Narumi S, Miki Y, Hata S, Ebina M, Saito M, Mori K, Kobayashi M, Suzuki T, Iwabuchi E, Sato I, Maemondo M, Endo C, Inoue A, Kondo T, Yamada-Okabe H, Ichinose M, Sasano H.
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Journal Title
Int J Biol Markers.
Volume: 30(2)
Pages: e234-e242
DOI
Peer Reviewed
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[Journal Article] Androgen receptor and enzymes in lymph node metastasis and cancer reoccurrence in triple-negative breast cancer2015
Author(s)
McNamara KM, Yoda T, Miki Y, Nakamura Y, Suzuki T, Nemoto N, Miyashita M, Nishimura R, Arima N, Tamaki K, Ishida T, Ohuchi N, Sasano H.
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Journal Title
Int J Biol Markers.
Volume: 30(2)
Pages: e184-e189
DOI
Peer Reviewed
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[Journal Article] G-cell hyperplasia of the stomach induces ECL-cell proliferation in the pyloric glands in a paracrinal manner.2015
Author(s)
Kasajima A, Fujishima F, Morikawa T, Kawasaki S, Konosu-Fukaya S, Shibahara Y, Nakamura T, Yoshikawa T, Iijima K, Koike T, Watanabe M, Shibata C, Sasano H.
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Journal Title
Pathol Int.
Volume: 65(5)
Pages: 259-263
DOI
Peer Reviewed / Open Access
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[Journal Article] Personalization of loco-regional care for primary breast cancer patients (part 1).2015
Author(s)
Toi M, Winer EP, Benson JR, Inamoto T, Forbes JF, von Minckwitz G, Robertson JF, Grobmyer SR, Jatoi I, Sasano H, Kunkler I, Ho AY, Yamauchi C, Chow LW, Huang CS, Han W, Noguchi S, Pegram MD, Yamauchi H, Lee ES, Larionov AA, Bevilacqua JL, Yoshimura M, Sugie T, Yamauchi A, Krop IE, Noh DY, Klimberg VS.
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Journal Title
Future Oncol.
Volume: 11(9)
Pages: 1297-1300
DOI
Peer Reviewed / Open Access
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[Journal Article] Personalization of loco-regional care for primary breast cancer patients (part 2).2015
Author(s)
Toi M, Winer EP, Benson JR, Inamoto T, Forbes JF, von Minckwitz G, Robertson JF, Grobmyer SR, Jatoi I, Sasano H, Kunkler I, Ho AY, Yamauchi C, Chow LW, Huang CS, Han W, Noguchi S, Pegram MD, Yamauchi H, Lee ES, Larionov AA, Bevilacqua JL, Yoshimura M, Sugie T, Yamauchi A, Krop IE, Noh DY, Klimberg VS.
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Journal Title
Future Oncol.
Volume: 11(9)
Pages: 1301-1305
DOI
Peer Reviewed / Open Access
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[Journal Article] Clinical significance of subtype classification in metastatic lymph nodes of breast cancer patients undergoing neoadjuvant chemotherapy.2015
Author(s)
Nemoto N, Shibahara Y, Tada H, Uchida K, McNamara KM, Chan MS, Watanabe M, Tamaki K, Miyashita M, Miki Y, Gonda K, Ishida T, Ohuchi N, Sasano H.
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Journal Title
Int J Biol Markers.
Volume: 30(2)
Pages: e174-e183
DOI
Peer Reviewed
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[Journal Article] Decreased Expression of ARID1A Contributes to Infiltrative Growth of Esophageal Squamous Cell Carcinoma.2015
Author(s)
Ozawa Y, Nakamura Y, Fujishima F, Felizola SJ, Takeda K, Okamoto H, Ito K, Ishida H, Konno T, Kamei T, Ohuchi N, Sasano H.
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Journal Title
Tohoku J Exp Med.
Volume: 235(3)
Pages: 185-191
DOI
Peer Reviewed / Open Access
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[Journal Article] Murine double minute 2 predicts response of advanced esophageal squamous cell carcinoma to definitive chemoradiotherapy.2015
Author(s)
Okamoto H, Fujishima F, Kamei T, Nakamura Y, Ozawa Y, Miyata G, Nakano T, Katsura K, Abe S, Taniyama Y, Sakurai T, Teshima J, Hikage M, Sasano H, Ohuchi N.
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Journal Title
BMC Cancer.
Volume: 15
Pages: 208
DOI
Peer Reviewed / Open Access
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[Journal Article] OX40 ligand expressed in glioblastoma modulates adaptive immunity depending on the microenvironment: a clue for successful immunotherapy.2015
Author(s)
Shibahara I, Saito R, Zhang R, Chonan M, Shoji T, Kanamori M, Sonoda Y, Kumabe T, Kanehira M, Kikuchi T, So T, Watanabe T, Takahashi H, Iwabuchi E, Tanaka Y, Shibahara Y, Sasano H, Ishii N, Tominaga T.
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Journal Title
Mol Cancer.
Volume: 14(1)
Pages: 41
DOI
Peer Reviewed / Open Access
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[Journal Article] The significance of combined CK5/6 and p63 immunohistochemistry in predicting the risks of subsequent carcinoma development in intraductal papilloma of the breast.2015
Author(s)
Yang Y, Suzuki K, Abe E, Li C, Uno M, Akiyama F, Yamauchi H, Kikuchi M, Ohde S, Deshpande G, Shibahara Y, Nakamura Y, Sasano H.
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Journal Title
Pathol Int.
Volume: 65(2)
Pages: 81-88
DOI
Peer Reviewed / Open Access
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[Journal Article] 3β -hydroxysteroid dehydrogenase isoforms in human aldosterone-producing adenoma.2015
Author(s)
Konosu-Fukaya S, Nakamura Y, Satoh F, Felizola SJ, Maekawa T, Ono Y, Morimoto R, Ise K, Takeda KI, Katsu K, Fujishima F, Kasajima A, Watanabe M, Arai Y, Gomez-Sanchez EP, Gomez-Sanchez CE, Doi M, Okamura H, Sasano H.
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Journal Title
Mol Cell Endocrinol.
Volume: 408
Pages: 205-212
DOI
Peer Reviewed / Open Access
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[Presentation] ヒト副腎皮質2016
Author(s)
笹野公伸
Organizer
第23回日本ステロイドホルモン学会学術集会
Place of Presentation
倉敷市芸文館(岡山県倉敷市)
Year and Date
2016-01-15 – 2016-01-15
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